To the content
4 . 2022

A rare complication of esophagoplasty in a COVID-19 reconvalescent

Abstract

Esophagoplasty in patients with esophageal cancer remains an extremely high-risk operation. This is due not only to the invasiveness of the operation, but also to the need for adequate blood supply to the gastric tube moved to the posterior mediastinum. The course of a new coronavirus infection is characterized by a high risk of thrombotic and thromboembolic complications, including after surgical interventions.

The aim is to present a clinical observation of the development of a lethal complication of esophagoplasty – gastric graft necrosis in a convalescent patient with a new coronavirus infection COVID-19.

Keywords:COVID-19; esophagoplasty; surgery complications; cancer

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Shestakov A.L., Tarasova I.A., Tskhovrebov A.T., Gorshunova A.P., Ivanova M.Yu., Guseva A.S. A rare complication of esophagoplasty in a COVID-19 reconvalescent. Clinical and Experimental Surgery. Petrovsky Journal. 2022; 10 (4): 99–106. DOI: https://doi.org/10.33029/2308-1198-2022-10-4-99-106  (in Russian)

References

1.     Doglietto F., Vezzoli M., Gheza F. Factors associated with surgical mortality and complications among patients with and without coronavirus disease 2019 (COVID-19) in Italy. JAMA Surg. 2020; 155 (8): 691–702.

2.     Ceban F., Ling S., Lui L.M.W. Fatigue and cognitive impairment in post-COVID-19 syndrome: a systematic review and meta-analysis. Brain Behav Immun. 2022; 101: 93–135.

3.     Huang C., Huang L., Wang Y. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021; 397 (10 270): 220-32.

4.     Udongwo N., Albayati A., Akoluk A. Catastrophic thromboembolic syndrome during the COVID-19 pandemic. Cureus. 2021; 13 (8): e16854.

5.     Petrov A., De Glee Romera J.P., Wilbring M. Aortic Thrombosis following COVID-19: a systematic review. Thorac Cardiovasc Surg. 2022; 70 (4): 323–32.

6.     Kenizou D., Perrin C., Harzallah I. Multiple arterial thrombosis in a 78-year-old patient: catastrophic thrombotic syndrome in COVID-19. CJC Open. 2021; 3 (2): 198–200.

7.     Nurczyk K., Chan C.-E., Nowak N. COVID-19 pneumonia on post-operative day 2 after esophagectomy: performing esophago-gastric junction cancer surgery during the SARS-Cov-2 second wave. Curr Oncol. 2021; 28 (2): 1348–53.

8.     Vrba R., Lubuska L., Spicka P. Hybrid transthoracic oesophagectomy due to carcinoma with complications after COVID-19 pneumonia – a case report. Int J Surg Case Rep. 2022; 90: 106749.

9.     El-Boghdadly K., Cook T.M., Goodacre T. SARS-CoV-2 infection, COVID-19 and timing of elective surgery: a multidisciplinary consensus statement on behalf of the Association of Anaesthetists, the Centre for Peri-Operative Care, the Federation of Surgical Specialty Associations, the Royal College of Anaesthetists and the Royal College of Surgeons of England. Anaesthesia. 2021; 76 (7): 940–6.

10. Deng J.Z., Chan J.S., Potter A.L. The risk of postoperative complications after major elective surgery in active or resolved COVID-19 in the United States. Ann Surg. 2022; 275 (2): 242–6.

11. Wormuth J.K., Heitmiller R.F. Esophageal conduit necrosis. Thorac Surg Clin. 2006; 16 (1): 11–22.

12. Athanasiou A., Hennessy M., Spartalis E. Conduit necrosis following esophagectomy: an up-to-date literature review. World J Gastrointest Surg. 2019; 11 (3): 155–68.

13. Liebermann-Meffert D.M., Meier R., Siewert J.R. Vascular anatomy of the gastric tube used for esophageal reconstruction. Ann Thorac Surg. 1992; 54 (6): 1110–5.

14. Shestakov A.L., Tarasova I.A., Tskhovrebov A.T., Boeva I.A., Bitarov T.T., Bezaltynnykh A.A., et al. Reconstructive esophageal surgery in fast track epoch. Khirurgiya. Zhurnal imeni N.I. Pirogova [Surgery. The Journal Named after N.I. Pirogov]. 2021; (6-2): 73–83. (in Russian).

15. Sulewski A., Sieroń D., Szyluk K. Avascular necrosis bone complication after active COVID-19 infection: preliminary results. Medicina (Kaunas). 2021; 57 (12): 1311.

16. Malinowski K., Skowronek P., Hirschmann M. Transient spontaneous osteonecrosis of the knee (SONK) shortly after SARS-CoV-2 infection: a report of 2 cases. Adv Clin Exp Med. 2022; 31 (9): 1035–41. DOI: https://doi.org/10.17219/acem/153004

17. Ardakani M.V., Parviz S., Ghadimi E. Concomitant septic arthritis of the hip joint and femoral head avascular necrosis in patients with recent COVID-19 infection: a cautionary report. J Orthop Surg Res. 2022; 17 (1): 302.

18. Mañón V.A., Balandran S., Young S. COVID-associated avascular necrosis of the maxilla-a rare, new side effect of COVID-19. J Oral Maxillofac Surg. 2022; 80 (7): 1254-9.

19. Al-Mahalawy H., El-Mahallawy Y., Dessoky N.Y. Post-COVID-19 related osteonecrosis of the jaw (PC-RONJ): an alarming morbidity in COVID-19 surviving patients. BMC Infect Dis. 2022; 22 (1): 1–9.

20. Rahim F., Subramanian S.K., Larson S. Case report of acute esophageal necrosis (Gurvits syndrome) in vaccinated, COVID-19-infected patient. Cureus. 2022; 14 (2): e22241.

21. Nakatsutsumi K., Endo A., Okuzawa H. Colon perforation as a complication of COVID-19: a case report. Surg Case Rep. 2021; 7 (1): 175.

22. Morioka H., Goto M., Tanaka H. Acute intestinal necrosis due to multiple thrombosis in COVID-19 patient. Report of a case. Surg Case Rep. 2022; 8 (1): 136.

23. Hosoda T., Orikasa H. A fatal case of extensive gastrointestinal necrosis due to portal and mesenteric vein thrombosis in the post-acute phase of COVID-19. J Infect Chemother. 2022; 28 (1): 108–11.

24. Karic A., Haxhibeqiri-Karabdic I., Kabil E. Left ventricular free wall rupture after acute myocardial reinfarction due to in-stent thrombosis in COVID-19 patient. Acta Inform Med. 2022; 30 (1): 76–80.

25. LaFree A., Lenz A., Tomaszewski C. Case report of thrombosis of the distal aorta with occlusion of iliac arteries in COVID-19 infection. Clin Pract Cases Emerg Med. 2021; 5 (1): 17–21.

26. Borulu F., Erkut B. Severe aortic thrombosis in the early period after COVID-19: two cases. Ann Vasc Surg. 2021; 73: 114–8.

27. Dao L., Lund A., Schibler C.D. A case of COVID-19-associated free-floating aortic thrombus successfully treated with thrombectomy. Am J Case Rep. 2021; 22: e933225.

28. Collaborative C.O. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg. 2020; 107 (11): 1440–9.

29. Piras A., Venuti V., D’Aviero A. COVID-19 and radiotherapy: a systematic review after 2 years of pandemic. Clin Transl Imaging. 2022; 10 (6): 611–30.

30. Gimatdinova G.R., Davydkin I.L., Danilova O.E., Khayretdinov R.K. Features of hemostasis in oncohematological patients who have undergone COVID-19 (literature review). Byulleten’ meditsinskoy nauki [Bulletin of Medical Science]. 2022; 1 (25): 70–4. (in Russian)

31. Vorob’ev N.A., Vorob’eva А.I. Predictive value of D-dimer in COVID-19. Problemy standartizatsii v zdravookhranenii [Problems of Standardization in Health Care]. 2021; 5–6: 36–42. (in Russian)

32. Sharma D. Rationale of anticoagulation among patients of COVID-19 undergoing cardiac surgery. Indian J Thorac Cardiovasc Surg. 2020; 36 (5): 546–7.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

Journals of «GEOTAR-Media»