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Managing esophagocutaneous fistula after secondary gastric pull-up: A case report
BACKGROUND: Gastric pull-up (GPU) procedures may be complicated by leaks, fistulas, or stenoses. These complications are usually managed by endoscopy, but in extreme cases multidisciplinary management including reoperation may be necessary. Here, we report a combined endoscopic and surgical approach...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072190/ https://www.ncbi.nlm.nih.gov/pubmed/33967561 http://dx.doi.org/10.3748/wjg.v27.i16.1841 |
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author | Lock, Johan F Reimer, Stanislaus Pietryga, Sebastian Jakubietz, Rafael Flemming, Sven Meining, Alexander Germer, Christoph-Thomas Seyfried, Florian |
author_facet | Lock, Johan F Reimer, Stanislaus Pietryga, Sebastian Jakubietz, Rafael Flemming, Sven Meining, Alexander Germer, Christoph-Thomas Seyfried, Florian |
author_sort | Lock, Johan F |
collection | PubMed |
description | BACKGROUND: Gastric pull-up (GPU) procedures may be complicated by leaks, fistulas, or stenoses. These complications are usually managed by endoscopy, but in extreme cases multidisciplinary management including reoperation may be necessary. Here, we report a combined endoscopic and surgical approach to manage a failed secondary GPU procedure. CASE SUMMARY: A 70-year-old male with treatment-refractory cervical esophagocutaneous fistula with stenotic remnant esophagus after secondary GPU was transferred to our tertiary hospital. Local and systemic infection originating from the infected fistula was resolved by endoscopy. Hence, elective esophageal reconstruction with free-jejunal interposition was performed with no subsequent adverse events. CONCLUSION: A multidisciplinary approach involving interventional endoscopists and surgeons successfully managed severe complications arising from a cervical esophagocutaneous fistula after GPU. Endoscopic treatment may have lowered the perioperative risk to promote primary wound healing after free-jejunal graft interposition. |
format | Online Article Text |
id | pubmed-8072190 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-80721902021-05-06 Managing esophagocutaneous fistula after secondary gastric pull-up: A case report Lock, Johan F Reimer, Stanislaus Pietryga, Sebastian Jakubietz, Rafael Flemming, Sven Meining, Alexander Germer, Christoph-Thomas Seyfried, Florian World J Gastroenterol Case Report BACKGROUND: Gastric pull-up (GPU) procedures may be complicated by leaks, fistulas, or stenoses. These complications are usually managed by endoscopy, but in extreme cases multidisciplinary management including reoperation may be necessary. Here, we report a combined endoscopic and surgical approach to manage a failed secondary GPU procedure. CASE SUMMARY: A 70-year-old male with treatment-refractory cervical esophagocutaneous fistula with stenotic remnant esophagus after secondary GPU was transferred to our tertiary hospital. Local and systemic infection originating from the infected fistula was resolved by endoscopy. Hence, elective esophageal reconstruction with free-jejunal interposition was performed with no subsequent adverse events. CONCLUSION: A multidisciplinary approach involving interventional endoscopists and surgeons successfully managed severe complications arising from a cervical esophagocutaneous fistula after GPU. Endoscopic treatment may have lowered the perioperative risk to promote primary wound healing after free-jejunal graft interposition. Baishideng Publishing Group Inc 2021-04-28 2021-04-28 /pmc/articles/PMC8072190/ /pubmed/33967561 http://dx.doi.org/10.3748/wjg.v27.i16.1841 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Lock, Johan F Reimer, Stanislaus Pietryga, Sebastian Jakubietz, Rafael Flemming, Sven Meining, Alexander Germer, Christoph-Thomas Seyfried, Florian Managing esophagocutaneous fistula after secondary gastric pull-up: A case report |
title | Managing esophagocutaneous fistula after secondary gastric pull-up: A case report |
title_full | Managing esophagocutaneous fistula after secondary gastric pull-up: A case report |
title_fullStr | Managing esophagocutaneous fistula after secondary gastric pull-up: A case report |
title_full_unstemmed | Managing esophagocutaneous fistula after secondary gastric pull-up: A case report |
title_short | Managing esophagocutaneous fistula after secondary gastric pull-up: A case report |
title_sort | managing esophagocutaneous fistula after secondary gastric pull-up: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072190/ https://www.ncbi.nlm.nih.gov/pubmed/33967561 http://dx.doi.org/10.3748/wjg.v27.i16.1841 |
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