Postoperative imaging is essential to identify potential complications after Ivor-Lewis esophagectomy.
Anastomotic leak and pleuropneumopathy are the most frequent complications of Ivor-Lewis esophagectomy.
Computed tomography examination with oral administration of contrast material is the preferred imaging tool for the detection of complications after Ivor-Lewis esophagectomy.
Postoperative imaging plays a key role in the identification of complications after Ivor-Lewis esophagectomy (ILE). Careful analysis of imaging examinations can help identify the cause of the presenting symptoms and the mechanism of the complication. The complex surgical procedure used in ILE results in anatomical changes that make imaging interpretation challenging for many radiologists. The purpose of this review was to make radiologists more familiar with the imaging findings of normal anatomical changes and those of complications following ILE to enable accurate evaluation of patients with an altered postoperative course. Anastomotic leak, gastric conduit necrosis and pleuropulmonary complications are the most serious complications after ILE. Computed tomography used in conjunction with oral administration of contrast material is the preferred diagnostic tool, although it conveys limited sensitivity for the diagnosis of anastomotic fistula. In combination with early endoscopic assessment, it can also help early recognition of complications and appropriate therapeutic management.Le texte complet de cet article est disponible en PDF.
Keywords : Computed tomography, Esophagectomy, Esophageal neoplasms, Postoperative complications, Diagnostic imaging
Abbreviations : AUC, CI, CT, ILE, MRI, OR, PHH