Evidence map›Paper›PMID 26520033›Full record

ArticleInternational journal of surgery case reports2015

Gastrobronchial fistula following minimally invasive esophagectomy for esophageal cancer in a patient with myotonic dystrophy: Case report.

Silje Hugin, Egil Johnson, Hans-Olaf Johannessen, Bjørn Hofstad, Kjell Olafsen, Harald Mellem

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 96% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Silje HuginDepartments of Gastrointestinal Surgery, Oso University Hospital, Ullevål, P. O. Box 4950 Nydalen, Oslo, Norway. Electronic address: silje.hugin@gmail.com.
Egil JohnsonDepartments of Gastrointestinal Surgery, Oso University Hospital, Ullevål, P. O. Box 4950 Nydalen, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Kirkeveien 166, 0450 Oslo, Norway. Electronic address: egil.johnson@medisin.uio.no.
Hans-Olaf JohannessenDepartments of Gastrointestinal Surgery, Oso University Hospital, Ullevål, P. O. Box 4950 Nydalen, Oslo, Norway. Electronic address: uxhojo@ous-hf.no.
Bjørn HofstadDepartments of Gastroenterology, Oso University Hospital, Ullevål, P. O. Box 4950 Nydalen, Oslo, Norway. Electronic address: uxbjho@ous-hf.no.
Kjell OlafsenDepartments of Intensive Care, Oso University Hospital, Ullevål, P. O. Box 4950 Nydalen, Oslo, Norway. Electronic address: uxkjol@ous-hf.no.
Harald MellemDepartments of Lung Medicine, Oso University Hospital, Ullevål, P. O. Box 4950 Nydalen, Oslo, Norway. Electronic address: uxhame@ous-hf.no.
Oslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMyotonic dystrophies are inherited multisystemic diseases characterized by musculopathy, cardiac arrythmias and cognitive disorders. These patients are at increased risk for fatal post-surgical complications from pulmonary hypoventilation. We present a case with myotonic dystrophy and esophageal cancer who had a minimally invasive esophagectomy complicated with gastrobronchial fistulisation. PRESENTATION OF CASE: A 44-year-old male with myotonic dystrophy type 1 and esophageal cancer had a minimally invasive esophagectomy performed instead of open surgery in order to reduce the risk for pulmonary complications. At day 15 respiratory failure occurred from a gastrobronchial fistula between the right intermediary bronchus (defect 7-8mm) and the esophagogastric anastomosis (defect 10mm). In order to minimize large leakage of air into the gastric conduit the anastomosis was stented and ventilation maintained at low airway pressures. His general condition improved and allowed extubation at day 29 and stent removal at day 35. Bronchoscopy confirmed that the fistula was healed. The patient was discharged from hospital at day 37 without further complications. DISCUSSION: The fistula was probably caused by bronchial necrosis from thermal injury during close dissection using the Ligasure instrument. Fistula treatment by non-surgical intervention was considered safer than surgery which could be followed by potentially life-threatening respiratory complications. Indications for stenting of gastrobronchial fistulas will be discussed.

conclusionsMinimally invasive esophagectomy was performed instead of open surgery in a myotonic dystrophy patient as these patients are particularly vulnerable to respiratory complications. Gastrobronchial fistula, a major complication, was safely treated by stenting and low airway pressure ventilation.

Indexed as

CancerEsophagectomyFistulaMyotonic dystrophy

Identifiers

PMID26520033
PMCPMC4701820
OpenAlexW1844659838

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.