Ivor Lewis procedure - barium study

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

History of operated esophageal cancer with recent dysphagia.

Patient Data

Age: 50 years
Gender: Female
Fluoroscopy

Postoperative changes are seen due to total esophagectomy and gastric pull up. There is no apparent stricture or definite sign of local tumoral recurrence at the anastomotic site.

Case Discussion

Barium study shows no apparent sign of local tumoral recurrence at the anastomotic site; however, contrast enhanced CT scan can be more helpful in this patient if clinically suspected, but the gold standard investigation for anastomotic recurrence is endoscopy with biopsy.

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