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

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

Research output: Contribution to journalArticle

11 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 languageEnglish (US)
Pages (from-to)998-1001
Number of pages4
JournalChest
Volume121
Issue number3 SUPPL.
DOIs
StatePublished - 2002
Externally publishedYes

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Keywords

  • Bronchoscopy
  • Dynamic CT
  • Esophagectomy
  • Spirometry
  • Stent
  • Tracheal obstruction
  • Tracheomalacia

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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