Gastropericardial fistula in the gastric tube after esophagectomy for cancer

被引：0

作者：

Mori, Naoki ^{[1
]}

Fujita, Hiromasa ^{[1
]}

Tanaka, Toshiaki ^{[1
]}

Matono, Satoru ^{[1
]}

Nishimura, Kohei ^{[1
]}

Hino, Haruhiro ^{[1
]}

Shirouzu, Kazuo ^{[1
]}

Sueyoshi, Susumu ^{[2
]}

机构：

[1] Kurume Univ, Sch Med, Dept Surg, Kurume, Fukuoka 8300011, Japan

[2] Omuta City Hosp, Dept Surg, Omuta, Japan

来源：

ESOPHAGUS | 2015年 / 12卷 / 03期

关键词：

Gastropericardial fistula; Gastric tube ulcer; Esophagectomy for cancer; HELICOBACTER-PYLORI INFECTION; POSTOPERATIVE RADIOTHERAPY; REPLACEMENT; SUBSTITUTE; MANAGEMENT; ACIDITY; ULCER;

D O I：

10.1007/s10388-014-0438-4

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A 54-year-old man was admitted at our hospital with a complaint of sudden anterior chest pain. At 1 year previously he had undergone right transthoracic esophagectomy for cancer followed by reconstruction using a gastric tube through a posterior mediastinal route. Upper gastrointestinal endoscopy confirmed a gastropericardial fistula. He was therefore given emergency intensive proton pump inhibitor together with gastric tube decompression using a nasogastric tube. Transabdominal pericardial drainage was surgically performed through a retrosternal space at 4 days after the onset. On the 22nd day after the drainage operation, upper gastrointestinal endoscopy showed healing of the gastropericardial fistula, and he was discharged on the 38th postoperative day. A gastropericardial fistula in the gastric tube following esophagectomy for cancer could be treated with less-invasive procedures including surgical pericardial drainage. Our procedure may be recommended as initial emergency treatment before more invasive procedures such as gastric tube resection and muscle flap plombage.

引用

页码：272 / 276

页数：5