PMID- 28183095
OWN - NLM
STAT- MEDLINE
DCOM- 20180628
LR  - 20180628
IS  - 1421-9883 (Electronic)
IS  - 0253-4886 (Linking)
VI  - 34
IP  - 6
DP  - 2017
TI  - Clinical Impact of Intrathoracic Herniation of Gastric Tube Pull-Up via the 
      Retrosternal Route following Esophagectomy.
PG  - 483-488
LID - 10.1159/000456084 [doi]
AB  - BACKGROUND: Intrathoracic herniation of gastric tube (IHGT) pull-up via the 
      retrosternal route is a rare complication following esophagectomy, which is 
      caused due to an injury in the parietal pleura during a blunt dissection of the 
      retrosternal space. However, little is known regarding the clinical impact of 
      IHGT pull-up via the retrosternal route. PATIENTS AND METHODS: Clinical data of 
      231 patients receiving gastric tube reconstruction via the retrosternal route 
      following esophagectomy were collected from medical charts. RESULTS: Of the 231 
      patients, 19 (8%) developed IHGT. Vocal cord palsy, particularly with delayed 
      onset, developed at a significantly high frequency in the group of patients with 
      IHGT. There were no significant differences in the frequency of other surgical 
      complications. CONCLUSION: This is the first report to examine the clinical 
      impact of IHGT pull-up via the retrosternal route. Vocal cord palsy, particularly 
      with delayed onset, developed in the group of patients with IHGT. Therefore, when 
      reconstruction is performed via the retrosternal route, it is very important that 
      blunt and blind dissection of the retrosternal space be performed with extreme 
      care to prevent pleural injury.
CI  - (c) 2017 S. Karger AG, Basel.
FAU - Uemura, Norihisa
AU  - Uemura N
AD  - Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, 
      Japan.
FAU - Abe, Tetsuya
AU  - Abe T
FAU - Kawakami, Jiro
AU  - Kawakami J
FAU - Hosoi, Takahiro
AU  - Hosoi T
FAU - Ito, Seiji
AU  - Ito S
FAU - Shimizu, Yasuhiro
AU  - Shimizu Y
LA  - eng
PT  - Journal Article
DEP - 20170210
PL  - Switzerland
TA  - Dig Surg
JT  - Digestive surgery
JID - 8501808
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Esophageal Neoplasms/*surgery
MH  - Esophagectomy/*adverse effects
MH  - Esophagoplasty/*adverse effects/methods
MH  - Female
MH  - Hernia/diagnostic imaging/*etiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/diagnostic imaging/etiology
MH  - Retrospective Studies
MH  - Stomach/*surgery
MH  - Stomach Diseases/diagnostic imaging/*etiology
MH  - Surgically-Created Structures/*adverse effects
MH  - Thoracic Cavity
MH  - Vocal Cord Paralysis/*etiology
OTO - NOTNLM
OT  - Esophagectomy
OT  - Gastric tube
OT  - Intrathoracic herniation
OT  - Retrosternal route
EDAT- 2017/02/10 06:00
MHDA- 2018/06/29 06:00
CRDT- 2017/02/10 06:00
PHST- 2016/08/15 00:00 [received]
PHST- 2017/01/10 00:00 [accepted]
PHST- 2017/02/10 06:00 [pubmed]
PHST- 2018/06/29 06:00 [medline]
PHST- 2017/02/10 06:00 [entrez]
AID - 000456084 [pii]
AID - 10.1159/000456084 [doi]
PST - ppublish
SO  - Dig Surg. 2017;34(6):483-488. doi: 10.1159/000456084. Epub 2017 Feb 10.