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Treating Complete Occlusion of the Esophagogastric Anastomosis After Transhiatal Esophagectomy - A Laparoscopic-Assisted Double-Endoscopy Technique
Edward Chau^*, Nikolai Bildzukewicz, John Lipham
Surgery, Keck Medical Center of USC, South Pasadena, CA

Anastomotic complications at the esophago-gastrostomy after esophagectomy are not uncommon, but complete occlusion developing in a delayed fashion poses a rare and complex problem. The surgical team devised a combined laparoscopic and double-endoscopy approach that would allow visualization of the occlusion from both sides of the anastmosis to allow for safe access, dilation, and stent placement under direct vision, with the option of surgical revision if any complications were to occur during the therapeutic lap-assisted endoscopy. The results have been durable thus far and the technique is presented here.

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