Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2014; 2(8): 398-401
Published online Aug 16, 2014. doi: 10.12998/wjcc.v2.i8.398
Gastric conduit perforation
Nilesh Patil, Arvind Kaushal, Amit Jain, Sundeep Singh Saluja, Pramod Kumar Mishra
Nilesh Patil, Arvind Kaushal, Amit Jain, Sundeep Singh Saluja, Pramod Kumar Mishra, Department of Gastrointestinal Surgery, Academic Block, GB Pant Hospital and Maulana Azad Medical College, New Delhi 110002, India
Author contributions: Patil N, Saluja SS and Mishra PK contributed equally to this paper; Patil N wrote the paper; Jain A and Kaushal A contributed to the management of the patient; Saluja S and Mishra PK managed the patient and revised the paper.
Correspondence to: Sundeep Singh Saluja, MCh, Associate Professor, Department of Gastrointestinal Surgery, 2nd floor, Academic Block, GB Pant Hospital and Maulana Azad Medical College, 2, Jawaharlal Nehru Marg, New Delhi 110002, India. sundeepsaluja@yahoo.co.in
Telephone: +91-971-8599259 Fax: +91-11-23239442
Received: January 11, 2014
Revised: February 8, 2014
Accepted: June 13, 2014
Published online: August 16, 2014
Processing time: 74 Days and 3.4 Hours
Core Tip

Core tip: We report a patient with a spontaneous perforation of an ulcer in the gastric conduit of a patient who had surgery for carcinoma of the gastroesophageal junction. He responded to conservative management with continuous decompression of the conduit with Ryle’s tube aspiration, proton pump inhibitors and enteral nutrition through a feeding jejunostomy for 4 wk. Periodic endoscopic surveillance should be considered as gastric conduits are at a higher risk of ulcer formation than a normal stomach and management of a perforated gastric conduit ulcer should be individualized.