Figure 1

Diagnosis of ESSC, Esophagectomy and Esophagostomy after conduit failure. A) Workup including esophageal fluoroscopy at first presentation of the patient revealed an ESSC at 20-25 cm from the incisors. B) Status post Ivor-Lewis thoraco-abdominal esophagectomy with gastric pull-up and circular end-to-side stapled cervical anastomosis. C) Status post cervical esophagostomy and stump closure of the gastric pull-up conduit, which remained in situ within the right hemithorax.