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A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula

INTRODUCTION: An esophagorespiratory fistula (ERF) can cause severe pneumonia or a lung abscess which progresses to life-threatening sepsis. A case of a patient with esophageal cancer and an esophagopulmonary fistula (EPF) who underwent separation surgery with drainage tube-less (DRESS) esophagostom...

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Autores principales: Tanoue, Yukinori, Takeno, Shinsuke, Kawano, Fumiaki, Tashiro, Kousei, Hamada, Rouko, Miyazaki, Yasuyuki, Nanashima, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832673/
https://www.ncbi.nlm.nih.gov/pubmed/29462754
http://dx.doi.org/10.1016/j.ijscr.2018.02.013
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author Tanoue, Yukinori
Takeno, Shinsuke
Kawano, Fumiaki
Tashiro, Kousei
Hamada, Rouko
Miyazaki, Yasuyuki
Nanashima, Atsushi
author_facet Tanoue, Yukinori
Takeno, Shinsuke
Kawano, Fumiaki
Tashiro, Kousei
Hamada, Rouko
Miyazaki, Yasuyuki
Nanashima, Atsushi
author_sort Tanoue, Yukinori
collection PubMed
description INTRODUCTION: An esophagorespiratory fistula (ERF) can cause severe pneumonia or a lung abscess which progresses to life-threatening sepsis. A case of a patient with esophageal cancer and an esophagopulmonary fistula (EPF) who underwent separation surgery with drainage tube-less (DRESS) esophagostomy and was promptly started on definitive chemoradiotherapy (CRT) is reported. PRESENTATION OF CASE: A 79-year-old man visited a clinic with a month-long history of dysphagia. Esophageal cancer at the middle thoracic esophagus was detected, and invasion of the left main bronchus and lower lobe of the right lung was seen on contrast-enhanced computed tomography (CT). Three weeks later, the patient was transferred to our hospital. CT showed a lung abscess in the lower lobe of the right lung that continued into the adjacent esophageal cancer. Due to the EPF, the patient underwent emergency surgery that consisted of esophageal separation surgery and double bilateral esophagostomy and enterostomy. Definitive CRT for the esophageal cancer was started from postoperative day 25. At six-month follow-up, the patient achieved relapse-free survival. DISCUSSION: Separation surgery with a DRESS esophagostomy provides good control of inflammation because of division of the respiratory tract from the alimentary tract, which allows prompt initiation of CRT. Alternatively, a DRESS esophagostomy allows patients to be free from any tube trouble. CONCLUSION: Separation surgery with a DRESS esophagostomy for an ERF is a promising method to improve patient quality of life that is less invasive, controls inflammation, and facilitates subsequent definitive CRT.
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spelling pubmed-58326732018-03-06 A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula Tanoue, Yukinori Takeno, Shinsuke Kawano, Fumiaki Tashiro, Kousei Hamada, Rouko Miyazaki, Yasuyuki Nanashima, Atsushi Int J Surg Case Rep Article INTRODUCTION: An esophagorespiratory fistula (ERF) can cause severe pneumonia or a lung abscess which progresses to life-threatening sepsis. A case of a patient with esophageal cancer and an esophagopulmonary fistula (EPF) who underwent separation surgery with drainage tube-less (DRESS) esophagostomy and was promptly started on definitive chemoradiotherapy (CRT) is reported. PRESENTATION OF CASE: A 79-year-old man visited a clinic with a month-long history of dysphagia. Esophageal cancer at the middle thoracic esophagus was detected, and invasion of the left main bronchus and lower lobe of the right lung was seen on contrast-enhanced computed tomography (CT). Three weeks later, the patient was transferred to our hospital. CT showed a lung abscess in the lower lobe of the right lung that continued into the adjacent esophageal cancer. Due to the EPF, the patient underwent emergency surgery that consisted of esophageal separation surgery and double bilateral esophagostomy and enterostomy. Definitive CRT for the esophageal cancer was started from postoperative day 25. At six-month follow-up, the patient achieved relapse-free survival. DISCUSSION: Separation surgery with a DRESS esophagostomy provides good control of inflammation because of division of the respiratory tract from the alimentary tract, which allows prompt initiation of CRT. Alternatively, a DRESS esophagostomy allows patients to be free from any tube trouble. CONCLUSION: Separation surgery with a DRESS esophagostomy for an ERF is a promising method to improve patient quality of life that is less invasive, controls inflammation, and facilitates subsequent definitive CRT. Elsevier 2018-02-13 /pmc/articles/PMC5832673/ /pubmed/29462754 http://dx.doi.org/10.1016/j.ijscr.2018.02.013 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Tanoue, Yukinori
Takeno, Shinsuke
Kawano, Fumiaki
Tashiro, Kousei
Hamada, Rouko
Miyazaki, Yasuyuki
Nanashima, Atsushi
A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula
title A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula
title_full A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula
title_fullStr A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula
title_full_unstemmed A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula
title_short A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula
title_sort case of separation surgery with drainage tube-less (dress) esophagostomy for advanced cancer with a respiratory fistula
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832673/
https://www.ncbi.nlm.nih.gov/pubmed/29462754
http://dx.doi.org/10.1016/j.ijscr.2018.02.013
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