Combined pedicled antropyloroplasty and gastric pull-up reconstruction for corrosive esophagogastric stricture Tzu-Ping Chen, MD, Chi-Hsiao Yeh, MD,

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Presentation transcript:

Combined pedicled antropyloroplasty and gastric pull-up reconstruction for corrosive esophagogastric stricture Tzu-Ping Chen, MD, Chi-Hsiao Yeh, MD, PhD, Yi-Cheng Wu, MD, Hui-Ping Liu, MD The Journal of Thoracic and Cardiovascular Surgery Volume 133, Issue 6, Pages 1669-1670.e1 (June 2007) DOI: 10.1016/j.jtcvs.2007.02.006 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative upper gastrointestinal series revealed stricture with ulcer crater formation at the distal antrum leading to partial gastric outlet obstruction (black arrow). B, Postoperative esophagography revealed smooth passage of contrast media with patent anastomosis. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1669-1670.e1DOI: (10.1016/j.jtcvs.2007.02.006) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Schematic illustration of gastric flap creation. A, Gastroplasty with staples: one third of the lesser curvature is excised for creation of a pedicle flap (preserving right gastric artery integrity). B, Pedicle gastric flap coverage on the opened antrum/pylorus region. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1669-1670.e1DOI: (10.1016/j.jtcvs.2007.02.006) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Operative view of the flap (black arrow) divided from the lesser curvature. A 6-cm incision was made through the distal antrum (white arrow). E2, Final anastomosis of the anterior wall gastric conduit (white arrow). The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1669-1670.e1DOI: (10.1016/j.jtcvs.2007.02.006) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions