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Ann Thorac Surg 2005;80:1115-1117
© 2005 The Society of Thoracic Surgeons

Case report

Hyperbaric Oxygen Treatment of Hemorrhagic Radiation-Induced Gastritis After Esophagectomy

Kemp H. Kernstine, MD, PhD * , J. Eric Greensmith, MD, PhD, Frederick C. Johlin, MD, Gerry F. Funk, MD, Daniel T. De Armond, MD, Timothy L. Van Natta, MD, Daniel J. Berg, MD

Departments of Surgery, Anesthesia, Internal Medicine, Otolaryngology, and Medical Oncology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA

Accepted for publication February 23, 2004.

* Address reprint requests to Dr Kernstine, Division of Cardiothoracic Surgery, Department of Surgery, The University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Room 1616-B JCP, Iowa City, IA52242-1009; (Email: kemp-kernstine{at}uiowa.edu).

My colleagues and I present 2 cases of hemorrhagic postesophagectomy gastritis after chemoradiotherapy for esophageal cancer. On the basis of the location of the gastritis (lesser curve and midstomach) and the classic radiation injury appearance, radiation damage was believed to be the cause. In both patients, hyperbaric oxygen therapy rapidly arrested bleeding. This is the first description in which hyperbaric oxygen therapy was used to treat hemorrhagic postesophagectomy gastritis.






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