Thoughts on Esophageal cancer with RLN paralysis?
70 year old male, mid Esoph adenoca left RLN paralysis- neoadj chemo xrt
Robo Ivor Lewis and Bilateral RLN dissec ypT0N0
Lorenzo Ferri MD PhD ISDE.net Magnus Nilsson JOGS SSAT Ewen A Griffiths Elliot Servais, MD, FACS
Ziad Awad, MD, FACS SAGES is in Long Beach in 2025! SSAT AHPBA We used to operate after 4 months. Remove the stents, allow the strictures to form,to have a dilated proximal system. Then plan HJ . Q why delayed?
Eric Knauer Michael J. Pucci SAGES is in Long Beach in 2025! SSAT AHPBA Correct- it was a bomb explosion upon exploration and the assumption was total/near total transection. However, contrast imaging showed “intact posterior wall” and contrast flowing into the duodenum.
Ziad Awad, MD, FACS SAGES is in Long Beach in 2025! SSAT AHPBA PTC, once access to duodenum is successful > remove the two drains and place a large internal/external biliary drain opened to external bag.
Ziad Awad, MD, FACS SAGES is in Long Beach in 2025! SSAT AHPBA Hepatico-jejunostomy vs rendez vous.
Tim Underwood OG Surgery Well said Tim- never believed studies regarding regression of Barrett’s after ARS.
Ziad Awad, MD, FACS SAGES is in Long Beach in 2025! SSAT AHPBA everything is going to the right direction, even showing the CBD and duo? can we just PTC to see if the cathter can get to the CBD and duo, if successful, slowly back out the JP drains...?
Ziad Awad, MD, FACS SAGES is in Long Beach in 2025! SSAT AHPBA Roux en Y hepaticojejunostomy. They figured this one out a long time ago.
Lee M. Ocuin MD, FACS Jennifer Miller-Ocuin, MD RIP - my deep condolences for your loss.
Michael J. Pucci SAGES is in Long Beach in 2025! SSAT AHPBA Yes the washout and drains were placed when I explored her upon transfer from OSH. Contrast imaging done 6 months later
Ziad Awad, MD, FACS SAGES is in Long Beach in 2025! SSAT AHPBA Hepp-Couinaid open cholangioanastomosis