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Esophageal Resection
Julia Alegría, MD; Tomás Franquet, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Surgical procedures for benign and malignant esophageal lesions
                  • Transthoracic esophagectomy through right thoracotomy (Ivor Lewis procedure)
                    • Most common technique
                    • Middle and lower 1/3 esophageal carcinomas
                  • Transhiatal esophagectomy without thoracotomy
                    • Thoracic-cervicothoracic esophageal carcinoma
                    • Achalasia, caustic injury
                  • Transthoracic esophagectomy through left thoracotomy
                    • Benign and malignant distal esophageal lesions
                  • Radical en-bloc esophagectomy
                    • Potentially curable tumor (pre- and intraoperative staging)

              IMAGING

              • Radiographic Findings

                • CT Findings

                  • Ultrasonographic Findings

                    • Nuclear Medicine Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  Selected References

                                  1. Pines G et al: Long-term radiologic evaluation of microaspirations among patients after esophagectomy. Thorac Cardiovasc Surg. 69(3):204-10, 2021
                                  2. Grimminger PP et al: Diagnosis, assessment, and management of surgical complications following esophagectomy. Ann N Y Acad Sci. 1434(1):254-73, 2018
                                  3. Flanagan JC et al: Esophagectomy and gastric pull-through procedures: surgical techniques, imaging features, and potential complications. Radiographics. 36(1):107-21, 2016
                                  4. Kim TJ et al: Multimodality assessment of esophageal cancer: preoperative staging and monitoring of response to therapy. Radiographics. 29(2):403-21, 2009
                                  5. Kim TJ et al: Postoperative imaging of esophageal cancer: what chest radiologists need to know. Radiographics. 27(2):409-29, 2007
                                  6. Kim SH et al: Esophageal resection: indications, techniques, and radiologic assessment. Radiographics. 21(5):1119-37; discussion 1138-40, 2001
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Definitions

                                                • Surgical procedures for benign and malignant esophageal lesions
                                                  • Transthoracic esophagectomy through right thoracotomy (Ivor Lewis procedure)
                                                    • Most common technique
                                                    • Middle and lower 1/3 esophageal carcinomas
                                                  • Transhiatal esophagectomy without thoracotomy
                                                    • Thoracic-cervicothoracic esophageal carcinoma
                                                    • Achalasia, caustic injury
                                                  • Transthoracic esophagectomy through left thoracotomy
                                                    • Benign and malignant distal esophageal lesions
                                                  • Radical en-bloc esophagectomy
                                                    • Potentially curable tumor (pre- and intraoperative staging)

                                              IMAGING

                                              • Radiographic Findings

                                                • CT Findings

                                                  • Ultrasonographic Findings

                                                    • Nuclear Medicine Findings

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Consider

                                                                  Selected References

                                                                  1. Pines G et al: Long-term radiologic evaluation of microaspirations among patients after esophagectomy. Thorac Cardiovasc Surg. 69(3):204-10, 2021
                                                                  2. Grimminger PP et al: Diagnosis, assessment, and management of surgical complications following esophagectomy. Ann N Y Acad Sci. 1434(1):254-73, 2018
                                                                  3. Flanagan JC et al: Esophagectomy and gastric pull-through procedures: surgical techniques, imaging features, and potential complications. Radiographics. 36(1):107-21, 2016
                                                                  4. Kim TJ et al: Multimodality assessment of esophageal cancer: preoperative staging and monitoring of response to therapy. Radiographics. 29(2):403-21, 2009
                                                                  5. Kim TJ et al: Postoperative imaging of esophageal cancer: what chest radiologists need to know. Radiographics. 27(2):409-29, 2007
                                                                  6. Kim SH et al: Esophageal resection: indications, techniques, and radiologic assessment. Radiographics. 21(5):1119-37; discussion 1138-40, 2001