Kemp H. Kernstine, MD, PhD, J. Eric Greensmith, MD, PhD, Frederick C

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Presentation transcript:

Hyperbaric Oxygen Treatment of Hemorrhagic Radiation-Induced Gastritis After Esophagectomy Kemp H. Kernstine, MD, PhD, J. Eric Greensmith, MD, PhD, Frederick C. Johlin, MD, Gerry F. Funk, MD, Daniel T. De Armond, MD, Timothy L. Van Natta, MD, Daniel J. Berg, MD The Annals of Thoracic Surgery Volume 80, Issue 3, Pages 1115-1117 (September 2005) DOI: 10.1016/j.athoracsur.2004.02.102 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Bleeding gastritis found in patient 1. Telangiectasias and edematous friable gastric mucosa were consistent with radiation injury [12]. The damage appeared in the midportion of the gastric conduit, an area within the radiation portal. The antrum and the anastomosis appeared healthy; thus, conduit stasis and hypoperfusion were less likely. The Annals of Thoracic Surgery 2005 80, 1115-1117DOI: (10.1016/j.athoracsur.2004.02.102) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Endoscopic view of the gastric conduit after 2 weeks of hyperbaric therapy in patient 1. Telangiectasias, friability, and active bleeding have resolved. Edema is still present. The Annals of Thoracic Surgery 2005 80, 1115-1117DOI: (10.1016/j.athoracsur.2004.02.102) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions