Abstract

PEREZ-RIVERA, Carlos J. et al. Emergency esophagojejunostomy in type IV hiatal hernia: A case report. Cir. cir. [online]. 2020, vol.88, suppl.1, pp.14-18.  Epub Feb 08, 2022. ISSN 2444-054X.  https://doi.org/10.24875/ciru.19001259.

Reconstruction of the digestive tract is a surgical challenge; we propose a novel and successful alternative using a large vascularized pedicled jejunum anastomosed to the cervical esophagus in an emergency situation. A 65-year-old female patient in follow-up due to a gigantic type IV paraesophageal hernia, whom underwent surgical hernial defect correction, had friable gastric tissue and esophageal lesions that forced an urgent esophagojejunostomy. Immediate post-operative recovery had no incidents and during the outpatient follow-up no complications were reported. This case report represents a paradigm change in the impossibility of raising the vascularized pedicled jejunum to the neck in an emergency situation.

Keywords : Esophageal reconstruction; Esophagojejunostomy Roux-en-Y; Hiatal hernia; Paraesophageal hernia; Total gastrectomy.

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