Navigating the Oesophagus: Case Series on Tackling Complications Post-Esophagectomy in Achalasia Patients
DOI:
https://doi.org/10.14738/bjhr.1201.18185Keywords:
Achalasia, McKeown’s Esophagectomy, Tracheal injury, Recurrent laryngeal nerve injury, Anastomotic leakAbstract
Achalasia, a primary esophageal motility disorder, manifests as impaired peristalsis and dysfunctional relaxation of the lower esophageal sphincter. Treatment aims to alleviate the functional obstruction at the gastroesophageal junction, facilitating esophageal emptying. For end-stage cases, esophagectomy is often recommended as the primary intervention, despite the considerable postoperative complications it entails. In this case series, we present instances of various complications post-McKeown's esophagectomy in achalasia patients with sigmoid oesophagus. These complications encompass anastomotic strictures, leaks, hydrothorax, tracheal injury, and laryngeal nerve damage.
References
Kamaleddine I, Hendricks A, Popova M, Schafmayer C. Adequate Management of Postoperative Complications after Esophagectomy: A Cornerstone for a Positive Outcome.
Cancers (Basel) [Internet]. 2022 Nov 1 [cited 2024 Apr 15];14(22). Available from: https://pubmed.ncbi.nlm.nih.gov/36428649/
Nijhuis RO, Zaninotto G, Roman S, Boeckxstaens GE, Fockens P, Langendam MW, et al. European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations. United European Gastroenterol J [Internet]. [cited 2024 Apr 15];2020(1):13–33. Available from: https://onlinelibrary.wiley.com/doi/10.1177/2050640620903213
Vaezi MF, Pandolfino JE, Yadlapati RH, Greer KB, Kavitt RT. ACG Clinical Guidelines: Diagnosis and Management of Achalasia. American Journal of Gastroenterology [Internet]. 2020 Sep 1 [cited 2024 Apr 15];115(9):1393–411. Available from: https://journals.lww.com/ajg/fulltext/2020/09000/acg_clinical_guidelines__diagnosis_and_management.18.aspx
Hammad A, Lu VF, Dahiya DS, Kichloo A, Tuma F. Treatment challenges of sigmoid-shaped esophagus and severe achalasia. Annals of Medicine and Surgery [Internet]. 2021 Jan 1 [cited 2024 Apr 15]; 61:30–4. Available from: https://journals.lww.com/annals-of-medicine-andsurgery/fulltext/2021/01000/treatment_c hallenges_of_sigmoid_shaped_esophagus.7.aspx
Sci-Hub | Esophagectomy for stage IV achalasia. European Surgery, 50(2), 58–64 | 10.1007/s10353-018-0514-4 [Internet]. [cited 2024 Apr 12]. Available from: https://scihub.se/https://link.springer.com/article/10.1007/s10353-018-0514-4
Rafieian S, Gharabaghi MA. Tracheopleural fistula after thoracoscopic esophagectomy: novel therapeutic approach with pericardial and intercostal muscle flaps. J Surg Case Rep [Internet]. 2018 [cited 2024 Apr 15]; 10:1–3. Available from: https://academic.oup.com/jscr/article/2018/10/rjy277/5132982
Munasinghe BM, Karunatileke CT. Management of an intraoperative tracheal injury during a Mckeown oesophagectomy: A case report. Int J Surg Case Rep [Internet]. 2023 [cited 2024 Apr 15];105. Available from: http://creativecommons.org/licenses/by/4.0/
Slaman AE, Eshuis WJ, Van Berge Henegouwen MI, Gisbertz SS. Improved anastomotic leakage rates after the “flap and wrap” reconstruction in Ivor Lewis esophagectomy for cancer. Diseases of the Esophagus [Internet]. 2023 [cited 2024 Apr 15]; 36:1–8. Available from: https://doi.org/10.1093/dote/doac036
Agarwal S, Totey M, Kulkarni S, Gaurkar S. A Review on Vocal Cord Palsy: Complications and Management. J Pharm Res Int [Internet]. 2021 [cited 2024 Apr 15];33(60B):2219–26. Available from: https://www.sdiarticle5.com/review-history/79955
Ozawa S, Koyanagi K, Ninomiya Y, Yatabe K, Higuchi T. Postoperative complications of minimally invasive esophagectomy for esophageal cancer. Ann Gastroenterol Surg [Internet]. 2020 Mar 1 [cited 2024 Apr 15];4(2):126–34. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/ags3.12315
Ahmadinejad M, Surgery T, Soltanian A, Maghsoudi LH. Risk factors and therapeutic measures for postoperative complications associated with esophagectomy. 2020 [cited 2024 Apr 15]; Available from: https://doi.org/10.1016/j.amsu.2020.05.011
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Aminath Yazfa, Nik Ritza Kosai, Abdulla Ubaid, Aishath Azna Ali, Chishti Tanhar Bakth Choudhury
This work is licensed under a Creative Commons Attribution 4.0 International License.
