Maria C Fonseca, MD, Cristian A Milla Matute, MD, Fernando Sarmiento-Cobos, MD, Armando Rosales, Tolga Erim, DO, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic Florida
Open Esophagectomy is a complex procedure with potential morbidity. Among its complications are Hiatal hernias and anastomotic stricture. The later accounts for 10-40% of the cases and most of them result in anastomotic leaks. However, in rare cases, development of symptomatic High-Grade (type IV) Paraoesophageal hernia can be seen. Considering the anatomy of the hiatus, paraoesophageal hernia incarceration is a rare but morbid complication and has to be addressed carefully. The purpose of this video is to present a case of a 55-year-old male with history of open Ivor-Lewis esophagectomy complicated by stricture, dilatation, stent and perforation, who was admitted with signs and symptoms of distal obstruction secondary to incarcerated paraesophageal hernia. An anterior approach for Hiatal hernia repair and per-oral pyloromyotomy where performed to achieve full recovery of the patient.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95200
Program Number: V275
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop