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Iatrogenic intramural esophageal dissection secondary to insertion of nasogastric tubes and the transorally inserted anvil during robot-assisted total gastrectomy

Authors
Publisher
The Korean Society of Anesthesiologists
Publication Date
Volume
63
Issue
3
Identifiers
DOI: 10.4097/kjae.2012.63.3.284
Keywords
  • Letter To The Editor
Disciplines
  • Medicine

Abstract

Korean J Anesthesiol 2012 September 63(3): 284-285 http://dx.doi.org/10.4097/kjae.2012.63.3.284 Letter to the Editor Iatrogenic intramural esophageal dissection secondary to insertion of nasogastric tubes and the transorally inserted anvil during robot-assisted total gastrectomy Hyea Hyoung Cho, Hyeon Ju Shin, Sung Uk Choi, Seung Zhoo Yoon, and Hye Won Lee Department of Anesthesiology and Pain Medicine, Korea University Medical Center, Anam Hospital, Seoul, Korea Corresponding author: Hyeon Ju Shin, M.D., Ph.D., Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Anam-dong 5-ga, Sungbuk-gu, Seoul 136-705, Korea. Tel: 82-2-920-5632, Fax: 82-2-928-2275, E-mail: [email protected] This manuscript was presented as an E-poster in the 88th the Korean society of anesthesiologists which was held in grand Hilton hotel, Seoul, Korea on November 4, 2011. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. CC Intramural esophageal dissection is a rare disorder that occurs spontaneously or iatrogenically. Iatrogenic causes are endotracheal intubation [1], gastrointestinal endoscopy [2], nasogastric tube insertion [3]. Lately, as laparoscopy or robot-assisted total gastrectomy is performed through an intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil (OrVilTM; Covidien, Mansfield, MA, USA), anesthesiologists are required to insert the OrVilTM transorally [4]. The OrVilTM has an anvil assembly mounted on a 90 cm long polyvinylchloride delivery tube and the anvil head is secured to the tube with a suture in the tilted position. First, the distal tip of the delivery tube should be inserted transorally after the esophagus

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