Oesophagojejunal anastomosis with recurrent gastric carcinoma (gross pathology)
Diagnosis certain
Presentation
Autopsy specimen.
Patient Data
Age: Adult
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Specimen contains an oesophagojejunal anastomosis opened longitudinally, containing an Atkinson tube (a rigid esophageal prosthesis) in situ. A mass at the anastomosis represents a proven recurrent adenocarcinoma, the reason for the previous gastrectomy and anastomosis.
Case Discussion
Rigid esophageal tubes, like the Atkinson tube (used ~1970-1990) , have been replaced expandable stents that can be delivered via much smaller introducers and have far fewer complications 1,2.
They are primarily used to treat malignant strictures (as in this case) or fistulas.
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