Esophagocoloplasty fistula successfully treated with vacuum-assisted closure

Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure ‘V.A.C. system’, (Kinetic Concepts Inc., San Antonio, TX, USA). The pa...

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Detalles Bibliográficos
Autores principales: Endara, Santiago A, Terán, Fernando J, Serrano, Armando J, Castillo, Manuela J, Molina, Gabriel A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755238/
https://www.ncbi.nlm.nih.gov/pubmed/29321843
http://dx.doi.org/10.1093/jscr/rjx256
Descripción
Sumario:Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure ‘V.A.C. system’, (Kinetic Concepts Inc., San Antonio, TX, USA). The patient initially presented with purulent fluid from the cervical wound 13 days after surgery. Esophagogram confirmed a leak. Since the patient had a history of anastomotic leaks, a surgical intervention was not the treatment of choice. In light of this, conservative treatment with V.A.C. system was initiated. She underwent full recovery.

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