Successful management of esophagopericardial fistula complicating esophagogastrectomy
| Autor: | David M. Shahian, C. F. Kittle |
|---|---|
| Rok vydání: | 1981 |
| Předmět: |
Pulmonary and Respiratory Medicine
Leak medicine.medical_specialty business.industry Fistula medicine.medical_treatment Esophagogastrectomy Anastomosis medicine.disease Pericardial window Surgery medicine.anatomical_structure Drainage tubes medicine Pericardium Upper gastrointestinal Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 82:83-87 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)39391-2 |
| Popis: | An anastomotic leak into the right pleural space developed following esophagogastrectomy for cancer in a 56-year-old patient. Subsequently, a similar fistula occurred into the pericardium. This was managed successfully by a modification of Abbott's T-tube technique, together with a pericardial window, multiple drainage tubes, systemic antibiotics, and hyperalimentation. The anastomotic disruption healed completely, with only minimal narrowing on repeat roentgenograms of the upper gastrointestinal tract. Only four survivors of this rare and highly lethal problem have been previously reported. |
| Databáze: | OpenAIRE |
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