Gastric pull up

Case contributed by Dr Ian Bickle

Presentation

Post upper gastrointestinal surgery for oesophageal malignancy.

Patient Data

Age: 71
Gender: Male
Modality: X-ray

Large right paramediastinal gas filled structure.

Gasless upper abdomen.

Right thoracotomy.

Case Discussion

The appearances are those of a patient who has undergone a 'gastric pull-up' procedure (oesophagogastrectomy).

Typically performed for a mid-distal oesophageal malignancy the stomach is 'pulled' into the chest to anastomse with the upper oesophagus after resection of a oesophageal segment has been surgically removed.

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Case Information

rID: 33216
Case created: 4th Jan 2015
Last edited: 10th Sep 2015
Tag: rdgh
Inclusion in quiz mode: Included

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