J Korean Dysphagia Soc.  2019 Jul;9(2):89-92. 10.34160/jkds.2019.9.2.006.

A Man with Dysphagia after Cervical Esophagogastrostomy: A Case Report

Affiliations
  • 1Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. seonghoon@catholic.ac.kr

Abstract

Dysphagia caused by a functional gastric outlet obstruction is rare and the natural course of a functional gastric outlet obstruction is unclear. This paper reports a patient with dysphagia and a functional gastric outlet obstruction after a cervical esophagogastrostomy. A 62-year-old man with a history of esophageal cancer and cervical esophagogastrostomy presented with dysphagia and discomfort during meals. A videofluoroscopic swallowing study (VFSS) with barium revealed a mild increase in the post-swallow remnants and delayed emptying of the gastric outlet, reflecting a functional gastric outlet obstruction at the diaphragm. One month later, VFSS revealed a worsened functional gastric outlet obstruction at the diaphragm. A delayed chest X-ray showed worsened delayed emptying of the gastric outlet. A cervical esophagogastrostomy for early esophageal cancer can cause functional gastric outlet obstruction, presenting as dysphagia and discomfort during meals. Physicians should be concerned about dysphagia and the functional changes in the esophagus in patients with a cervical esophagogastrostomy.

Keyword

Esophageal cancer; Cervical esophagogastrostomy; Dysphagia; Gastric outlet obstruction; Hypertensive peristalsis
Full Text Links
  • JKDPS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr