Complete endoscopic debridement combined with partial gastric wall resection successfully treated refractory esophagogastric anastomotic fistula: First clinical practice

Abstract Text A 59-year-old male occurred esophagogastric anastomotic fistula after radical resection of cardia adenocarcinoma. Symptoms didn’t improve and he can't eat orally after 6 months treatment in other department. We performed two times endoscopic debridement of necrotic tissue in fistula combined with gastric wall full-thickness resection. On the third day after the treatment, the patient was started on a through oral fluid diet. One month endoscopy follow-up saw the wound cleaning, the healing process was good, and the patient started a normal diet. 18 months later, endoscopy showed fistula had healed completely. His weight increased 9kg during follow up. [1] [2] [3] [4]

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/cf196412-863d-4e05-89fa-87bf6a673014/Uploads/13821_Complete_endoscopic%20debridement%20combined%20with%20partial%20gastric%20w....mp4

 

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

• References

• 1 Sundaram S. et al. Endoscopic management of postesophagectomy leak with modified clip-and-loop technique. Endoscopy 2022; vol. 54 (09) E488-E489
• 2 Bonin EA. et al. Closure of a persistent esophagopleural fistula assisted by a novel endoscopic suturing system. Endoscopy 2012; vol. 44 (Suppl. 02) UCTN E8-9
• 3 Zhu CJ. et al. Successful closure of esophagomediastinal fistula with endoclips and an endoloop after endoscopic submucosal dissection. Endoscopy 2018; vol. 50 (04) E92-E94
• 4 Soppimath SS. et al. Endoscopic mediastinal debridement for mediastinitis resulting from upper esophageal perforation. Endoscopy 2016; vol. 48 (Suppl. 01) UCTN E168-9

Publikationsverlauf

Artikel online veröffentlicht:
15. April 2024