Puestow's procedure performed during gastric conduit harvesting

Tzu-Yi Yang, Pei-Ching Huang, Yun-Hen Liu, Chun-Yi Tsai, Ta-Sen Yeh, Yin-Kai Chao
Annals of Thoracic Surgery 2021 August 27
Esophageal cancer survival has improved owing to improvements in surgical techniques and preoperative chemoradiation. Excessive alcohol consumption is a shared risk factor for esophageal cancer and chronic alcoholic pancreatitis. Puestow's procedure is a treatment choice for pain relief and pancreatic duct decompression. It is logical to perform Puestow's procedure on patients undergoing esophagectomy with underlying chronic pancreatitis to preserve pancreatic function and restore quality of life in the setting of improved esophageal cancer overall survival. Herein, we report our preliminary experience with two patients who underwent both of these procedures during the same operation and achieved acceptable outcomes.

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