21 December 2020: Articles
Laparoscopic Double-Tract Esophago-Jejunostomy Reconstruction for Iatrogenic Esophageal Perforation After Endoscopic Pneumatic Dilatation for Achalasia: A Case Report
Unusual setting of medical care
Saeed J. Alshomimi A* , Mohammed S. Foula A , Jihad Q. Alsafwani B , Zahra H. Alshammasi B , Abdulrahim Ahmed Abdulmomen B , Batool Salah Alzahir FDOI: 10.12659/AJCR.927282
Am J Case Rep 2020; 21:e927282
Figure 3. Operative technique used to perform the DTR. (A) Transection of the lower end of the esophagus, 8 cm proximal to GEJ. (B) Formation of esophagostomy with the help of the Orivel system (yellow arrow), white arrow showing the distal esophagus, blue arrow indicating the left diaphragmatic crus. (C) Resection of the proximal part of the stomach (yellow arrow). (D). Formation of the first anastomosis: end-to-end esophago-jejunostomy, yellow arrow showing the circular stapler. (E) Formation of the second anastomosis: side-to-side gastro-jejunostomy, 15 cm distal to esophago-jejunostomy, yellow arrow showing the jejunal loop, blue arrow showing the stomach. (F) Completion of the gastro-jejunostomy.