open access

Vol 62, No 6 (2012)
Case report
Published online: 2012-12-28
Get Citation

Emergency gastrectomy associated with transhiatal oesophagectomy. Difficult decisions on-call

Zoran Stojcev, Maciej Bobowicz, Daniel Maliszewski, Iwona Pawłowska-Stojcev, Janusz Jaśkiewicz
Nowotwory. Journal of Oncology 2012;62(6):438-441.

open access

Vol 62, No 6 (2012)
Case report
Published online: 2012-12-28

Abstract

Surgical emergency procedures remain the most unpredictable operations. In this paper we describe a case of
a 44-years-old male patient with sudden peptic ulcer perforation a few days before planned esophagectomy with
simultaneous reconstruction for suspected c neoplastic stricture of the lower oesophagus. Emergency laparotomy
revealed large perforated ulceration (3 cm) in the pre-pyloric area and another ulceration in the sub-cardiac region.
Due to the high suspicion for oesophageal malignancy total gastrectomy with subtotal transhiatal oesophagectomy
were performed. As the patient was in septic shock and required intensive treatment during the initial operation the
delayed esophageal reconstruction was planned. Described case shows complex nature of emergency surgery with
multiple unexpected conditions at the same time. We describe our decisions making process as well as operative
steps to invite a discussion on management in such cases.

Abstract

Surgical emergency procedures remain the most unpredictable operations. In this paper we describe a case of
a 44-years-old male patient with sudden peptic ulcer perforation a few days before planned esophagectomy with
simultaneous reconstruction for suspected c neoplastic stricture of the lower oesophagus. Emergency laparotomy
revealed large perforated ulceration (3 cm) in the pre-pyloric area and another ulceration in the sub-cardiac region.
Due to the high suspicion for oesophageal malignancy total gastrectomy with subtotal transhiatal oesophagectomy
were performed. As the patient was in septic shock and required intensive treatment during the initial operation the
delayed esophageal reconstruction was planned. Described case shows complex nature of emergency surgery with
multiple unexpected conditions at the same time. We describe our decisions making process as well as operative
steps to invite a discussion on management in such cases.
Get Citation
About this article
Title

Emergency gastrectomy associated with transhiatal oesophagectomy. Difficult decisions on-call

Journal

Nowotwory. Journal of Oncology

Issue

Vol 62, No 6 (2012)

Article type

Case report

Pages

438-441

Published online

2012-12-28

Bibliographic record

Nowotwory. Journal of Oncology 2012;62(6):438-441.

Authors

Zoran Stojcev
Maciej Bobowicz
Daniel Maliszewski
Iwona Pawłowska-Stojcev
Janusz Jaśkiewicz

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest VM Media sp. z o.o. VM Group sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl