Tracheal compression by the stomach following gastric pull-up: Diagnosis with CT and treatment with expandable metallic stent placement

Suil Kim; Michael B. Gotway; W. Richard Webb; Roy L. Gordon; Jeffrey A. Golden

doi:10.1378/chest.121.3.998

Tracheal compression by the stomach following gastric pull-up: Diagnosis with CT and treatment with expandable metallic stent placement

Suil Kim, Michael B. Gotway, W. Richard Webb, Roy L. Gordon, Jeffrey A. Golden

Diagnostic Radiology

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Surgical treatment of recurrent achalasia includes esophagectomy with gastric pull-up. A MEDLINE search yielded no articles describing an adverse effect of this surgery on pulmonary function. We report the first case of acute ventilatory failure caused by gastric pull-up. An evaluation by flexible bronchoscopy, spirometry with flow-volume loops, and dynamic CT scanning revealed extrinsic compression of the trachea by the stomach causing obstruction. Endotracheal placement of a self-expanding stent resulted in the rapid extubation of the patient with normalization of the flow-volume loop and dramatic improvement in the FVC, FEV₁, and peak expiratory flow.

Original language	English (US)
Pages (from-to)	998-1001
Number of pages	4
Journal	Chest
Volume	121
Issue number	3
DOIs	https://doi.org/10.1378/chest.121.3.998
State	Published - 2002

Keywords

Bronchoscopy
Dynamic CT
Esophagectomy
Spirometry
Stent
Tracheal obstruction
Tracheomalacia

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1378/chest.121.3.998

Cite this

@article{b906dae99ba9421c94a9f469c792b124,

title = "Tracheal compression by the stomach following gastric pull-up: Diagnosis with CT and treatment with expandable metallic stent placement",

abstract = "Surgical treatment of recurrent achalasia includes esophagectomy with gastric pull-up. A MEDLINE search yielded no articles describing an adverse effect of this surgery on pulmonary function. We report the first case of acute ventilatory failure caused by gastric pull-up. An evaluation by flexible bronchoscopy, spirometry with flow-volume loops, and dynamic CT scanning revealed extrinsic compression of the trachea by the stomach causing obstruction. Endotracheal placement of a self-expanding stent resulted in the rapid extubation of the patient with normalization of the flow-volume loop and dramatic improvement in the FVC, FEV1, and peak expiratory flow.",

keywords = "Bronchoscopy, Dynamic CT, Esophagectomy, Spirometry, Stent, Tracheal obstruction, Tracheomalacia",

author = "Suil Kim and Gotway, {Michael B.} and Webb, {W. Richard} and Gordon, {Roy L.} and Golden, {Jeffrey A.}",

year = "2002",

doi = "10.1378/chest.121.3.998",

language = "English (US)",

volume = "121",

pages = "998--1001",

journal = "Chest",

issn = "0012-3692",

publisher = "American College of Chest Physicians",

number = "3",

}

TY - JOUR

T1 - Tracheal compression by the stomach following gastric pull-up

T2 - Diagnosis with CT and treatment with expandable metallic stent placement

AU - Kim, Suil

AU - Gotway, Michael B.

AU - Webb, W. Richard

AU - Gordon, Roy L.

AU - Golden, Jeffrey A.

PY - 2002

Y1 - 2002

N2 - Surgical treatment of recurrent achalasia includes esophagectomy with gastric pull-up. A MEDLINE search yielded no articles describing an adverse effect of this surgery on pulmonary function. We report the first case of acute ventilatory failure caused by gastric pull-up. An evaluation by flexible bronchoscopy, spirometry with flow-volume loops, and dynamic CT scanning revealed extrinsic compression of the trachea by the stomach causing obstruction. Endotracheal placement of a self-expanding stent resulted in the rapid extubation of the patient with normalization of the flow-volume loop and dramatic improvement in the FVC, FEV1, and peak expiratory flow.

AB - Surgical treatment of recurrent achalasia includes esophagectomy with gastric pull-up. A MEDLINE search yielded no articles describing an adverse effect of this surgery on pulmonary function. We report the first case of acute ventilatory failure caused by gastric pull-up. An evaluation by flexible bronchoscopy, spirometry with flow-volume loops, and dynamic CT scanning revealed extrinsic compression of the trachea by the stomach causing obstruction. Endotracheal placement of a self-expanding stent resulted in the rapid extubation of the patient with normalization of the flow-volume loop and dramatic improvement in the FVC, FEV1, and peak expiratory flow.

KW - Bronchoscopy

KW - Dynamic CT

KW - Esophagectomy

KW - Spirometry

KW - Stent

KW - Tracheal obstruction

KW - Tracheomalacia

UR - http://www.scopus.com/inward/record.url?scp=0036202404&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036202404&partnerID=8YFLogxK

U2 - 10.1378/chest.121.3.998

DO - 10.1378/chest.121.3.998

M3 - Article

C2 - 11888992

AN - SCOPUS:0036202404

SN - 0012-3692

VL - 121

SP - 998

EP - 1001

JO - Chest

JF - Chest

IS - 3

ER -

Tracheal compression by the stomach following gastric pull-up: Diagnosis with CT and treatment with expandable metallic stent placement

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this