2022 Volume 47 Issue 6 Pages 715-719
A 78-year-old man with a history of having undergone laparoscopy-assisted subtotal esophagectomy for esophageal cancer 6 years ago visited us complaing of poor appetite and frequent vomiting. A gastrointestinal series and upper gastrointestinal endoscopy showed pyloric obstruction. We performed endoscopic balloon dilatation twice, but the obstruction failed to improve. We performed reoperation with dissection of the adhesions and Roux-en-Y reconstruction. The operation led to successful relief from the symptoms of obstruction. Delayed gastric conduit emptying (DGCE) is a rare late complication after esophagectomy. Gastrojejunostomy is regarded as a useful option to prevent digestive reflux.
