Esophagocoloplasty fistula successfully treated with vacuum-assisted closure

被引：2

作者：

Endara, Santiago A. ^{[1
]}

Teran, Fernando J. ^{[2
]}

Serrano, Armando J. ^{[3
]}

Castillo, Manuela J. ^{[4
]}

Molina, Gabriel A. ^{[5
]}

机构：

[1] Hosp Metropolitano, Div Cardiothorac Surg, Dept Gen Surg, Quito, Ecuador

[2] Hosp Metropolitano, Dept Gen Surg, Quito, Ecuador

[3] Hosp Metropolitano, Dept Plast Surg, Quito, Ecuador

[4] USFQ, Oromaxillofacial Surg, Quito, Ecuador

[5] PUCE, Gen Surg, Quito, Ecuador

来源：

JOURNAL OF SURGICAL CASE REPORTS | 2018年 / 01期

关键词：

D O I：

10.1093/jscr/rjx256

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure 'V.A.C. system', (Kinetic Concepts Inc., San Antonio, TX, USA). The patient initially presented with purulent fluid from the cervical wound 13 days after surgery. Esophagogram confirmed a leak. Since the patient had a history of anastomotic leaks, a surgical intervention was not the treatment of choice. In light of this, conservative treatment with V.A.C. system was initiated. She underwent full recovery.

引用

页数：3

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