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Ann Thorac Surg 2006;82:e37-e38
© 2006 The Society of Thoracic Surgeons

Case Reports

Superior Mesenteric Artery Syndrome After Esophagectomy With Cervical Esophagogastrostomy

Ku Ran Cho, MD, PhDa, Won-Min Jo, MD, PhDb,*

a Department of Radiology, Anam Hospital, Korea University, Seongbuk-ku, Seoul
b Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University, Ansan-si, Kyonggi-do, Republic of Korea

Accepted for publication June 19, 2006.

* Address correspondence to Dr Jo, Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University, Gojan-1-dong, Danwon-ku, Ansan-si, Kyonggi-do, Republic of Korea 425-707. (Email: jowonmin{at}korea.ac.kr).

A 50-year-old man who underwent esophagectomy with cervical esophagogastrostomy for esophageal cancer presented with superior mesenteric artery syndrome. He had severe diffuse and dull abdominal pain and frequent vomiting that began within 10 days after the operation. He also complained of indigestion and early fullness, and lost more than 5 kg of body weight during the period. The symptoms were initiated by poor oral intake and weight loss, and were relieved by nutritional support. Although it is very rare, we conclude that surgeons and radiologists should be aware of the possibility of superior mesenteric artery syndrome as one of the complications after esophagectomy.






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