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BOAZ OFEK, MD; JACK HOFFMANN, MB, FCS(SA), FRCS(Edin)
Jerusalem

Arch Surg. 1986;121(1):124.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Leakage after esophagogastric or esophagojejunal anastomosis is followed by a high mortality and morbidity. The usual treatment for this complication is surgical drainage of the leak by laparotomy, thoracotomy, or reanastomosis. Herein, we describe a case in which an esophagogastric anastomotic leak into the mediastinum was successfully treated by an unorthodox means, ie, drainage of the leak via a nasoesophageal tube placed through the anastomotic defect into the mediastinum.

Report of a Case.—A 69-year-old man with carcinoma of the distal one third of the esophagus underwent a distal esophagectomy and proximal gastrectomy. An end-to-end esophagogastric anastomosis was performed. A feeding jejunostomy tube was inserted. On the fifth postoperative day the patient's temperature rose to 38.5 °C. The anastomosis was examined by means of a diatrizoate meglumine swallow. This disclosed an 3-cm anastomotic leak with a 9x8-cm sinus tract into the mediastinum. Under radiologic control a sump . . . [Full Text PDF of this Article]

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