A CASE OF A GASTROEPICARDIAL FISTULA DUE TO PERFORATING ULCER OF THE RECONSTRUCTED GASTRIC TUBE AFTER SURGERY FOR ESOPHAGEAL CANCER

DOI Web Site 5 Citations 12 References

Bibliographic Information

Other Title
  • 食道癌術後再建胃管の潰瘍が心嚢に穿通した１例

Search this article

Abstract

The patient was a 66–year–old man who underwent subtotal esophagectomy and retrosternal route esophagogastric tube anastmosis at the cervical region for esophageal cancer in January 2001. In January 2006, he was seen at the hospital because of general fatigue and admitted with a diagnosis of pericardial effusion. By endoscopic study and contrast–enhanced X–ray examination he was diagnosed as having a gastroepicardial fistula caused by perforating ulcer of the reconstructed gastric tube. He was treated with fasting, protonpump inhibitor, antibiotics, and percutaneous drainage in the pericardial space. The function of the heart was kept good and the infection was well controlled. At about one month after the initiation of conservative systemic treatment, the perforating fistula was confirmed to be closed on endoscopic and contrast–enhanced X–ray examinations. <BR>With recent progression in the treatment of esophageal cancer, long–term survivors after operation have been increasing and ulcer of the reconstructed gastric tube has not been uncommon. However, cases of ulcer of the reconstructed gastric tube due to a gastroepicardial fistula, especially cured by conservative therapy, are relatively rare. So we report this case with some notes on the relevant literature.

Journal

Citations (5)*help

See more

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top