Intraluminal migration of surgical drains after transhiatal esophagogastrectomy: radiographic findings and clinical relevance.

OBJECTIVE The objectives of our study were to review our experience with a group of patients in whom contrast examinations after transhiatal esophagogastrectomy and gastric pull-through revealed intraluminal migration of a surgical drain and to describe the radiographic appearance and clinical relevance of this phenomenon. CONCLUSION Our findings indicate that intraluminal migration of a surgical drain after transhiatal esophagogastrectomy is an infrequent but serious phenomenon that hinders or prevents healing of an anastomotic leak. Radiologists should be aware of this phenomenon and should be able to recognize the findings of an intraluminal drain on contrast examinations. When such drains are identified, we believe that they should be promptly withdrawn or removed to facilitate healing of anastomotic leaks.

[1]  A. Li,et al.  Chest drain penetration into the transposed stomach after Ivor-Lewis esophagectomy: diagnosis by early postoperative endoscopy , 1992, Surgical Endoscopy.

[2]  N. Demartines,et al.  Evidence-based Value of Prophylactic Drainage in Gastrointestinal Surgery: A Systematic Review and Meta-analyses , 2004, Annals of surgery.

[3]  Ashish S. Shah,et al.  Reducing hospital morbidity and mortality following esophagectomy. , 2004, The Annals of thoracic surgery.

[4]  R. Rosenthal,et al.  Routine Abdominal Drains After Laparoscopic Roux-en-Y Gastric Bypass: A Retrospective Review of 593 Patients , 2004, Obesity surgery.

[5]  J. Peters,et al.  Prevalence and risk factors for ischemia, leak, and stricture of esophageal anastomosis: gastric pull-up versus colon interposition. , 2004, Journal of the American College of Surgeons.

[6]  M. Levine,et al.  Radiologic diagnosis of gastrointestinal perforation. , 2003, Radiologic clinics of North America.

[7]  J. Gossage,et al.  Intercostal drain migration post esophagectomy. , 2003, Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus.

[8]  M. Iannettoni,et al.  Transhiatal Esophagectomy for Treatment of Benign and Malignant Esophageal Disease , 2001, World Journal of Surgery.

[9]  M. Iannettoni,et al.  Eliminating the cervical esophagogastric anastomotic leak with a side-to-side stapled anastomosis. , 2000, The Journal of thoracic and cardiovascular surgery.