Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2022; 10(17): 5854-5860
Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5854
Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report
Can Yurttas, Doerte Wichmann, Cihan Gani, Malte N Bongers, Stephan Singer, Christian Thiel, Alfred Koenigsrainer, Karolin Thiel
Can Yurttas, Doerte Wichmann, Christian Thiel, Alfred Koenigsrainer, Karolin Thiel, Department of General, Visceral and Transplant Surgery, University Hospital of Tuebingen, Tuebingen 72076, Germany
Cihan Gani, Department of Radiooncology, University Hospital of Tuebingen, Tuebingen 72076, Germany
Malte N Bongers, Department of Diagnostic and Interventional Radiology, University Hospital of Tuebingen, Tuebingen 72076, Germany
Stephan Singer, Department of Pathology, University Hospital of Tuebingen, Tuebingen 72076, Germany
Author contributions: Yurttas C, Thiel K and Koenigsrainer A conceived and wrote the manuscript; Thiel K and Koenigsrainer A were responsible for overall treatment; Endoscopic treatment was performed by Wichmann D; Yurttas C and Bongers MN prepared the figures; Yurttas C, Thiel K, Gani C, Thiel C, Singer S and Koenigsrainer A revised the manuscript; all authors read and approved the final version of the manuscript.
Informed consent statement: For all clinical data and personal images written consent for publication was obtained from the patient.
Conflict-of-interest statement: The authors have no competing interests to declare in the context of the current case.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Karolin Thiel, MD, Department of General, Visceral and Transplant Surgery, University Hospital of Tuebingen, Hoppe Seyler Str 3, Tuebingen 72076, Germany. karolin.thiel@med.uni-tuebingen.de
Received: December 27, 2021
Peer-review started: December 27, 2021
First decision: March 10, 2022
Revised: March 11, 2022
Accepted: April 9, 2022
Article in press: April 9, 2022
Published online: June 16, 2022
Core Tip

Core Tip: A patient with previous radiotherapy for gastric mucosa-associated lymphoid tissue lymphoma underwent esophagectomy and esophagogastrostomy for esophageal cancer more than seven years later. Gastric tube necrosis, made diversion surgery with salivary fistula necessary. Six months later, interposition of the transverse colon was performed without occurrence of any complications. The patient fully recovered with unlimited oral intake capability and remains free of tumor recurrence at date of publication. In patients with a long interval between gastric radiotherapy and surgery esophagogastrostomy should be avoided.