| Autor: |
Hiroshi, Hosoda, Yu, Kawada, Yusuke, Tatsutomi, Sachiko, Imai |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Kyobu geka. The Japanese journal of thoracic surgery. 73(7) |
| ISSN: |
0021-5252 |
| Popis: |
A 55-year-old man with esophageal cancer underwent esophagectomy along with lymph node dissection and reconstruction with gastric conduit through the sternal route. He developed a continuous cough with sputum production, 3 years postoperatively. Chest radiography revealed a right middle lung field infiltrate. Chest computed tomography revealed communication between the reconstructed esophagus and the gastric conduit( pull-up) and right middle lobe airways. Upper gastrointestinal examination revealed ulcerative lesions involving the gastric mucosa;however, biopsy of the ulcer showed no malignancy. Conservative therapy including fasting and proton-pump inhibitor administration did not improve symptoms caused by gastropleural fistula. Thoracotomy was performed through the anterolateral intercostal space under the right-up supine position, and the partial lung resection and direct closure of the stomach with muscle flap wrapping was performed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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