Refractory cutaneo-gastric conduit fistula after esophagectomy repaired by a pectoralis major muscle flap and split-thickness skin graft.

Rintaro Yoshida, Noriaki Sadanaga, Takuya Honboh, Hisashi Migita, Hiroshi Matsuura

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Article in Surgical case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Rintaro YoshidaDepartment of Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan. yoshirin@surg2.med.kyushu-u.ac.jp.ORCID http://orcid.org/0000-0003-2902-683X

Noriaki SadanagaDepartment of Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan.

Takuya HonbohDepartment of Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan.

Hisashi MigitaDepartment of Plastic Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan.

Hiroshi MatsuuraDepartment of Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan.

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6 · The paper itself

Abstract

backgroundGastric conduit ulcer after esophagectomy is not uncommon. In cases where a gastric conduit ulcer penetrates the adjacent organs, it is difficult to select a suitable treatment strategy. The treatment depends on the adjacent organs penetrated. CASE PRESENTATION: We report a case in which a reconstructed gastric conduit ulcer penetrated the precordial skin in a patient who had undergone esophagectomy due to spontaneous esophageal rupture 28 years previously. To treat the cutaneo-gastric conduit fistula, we resected the fistula, covered the site of anastomosis with a major pectoralis muscle flap, and applied a split-thickness skin graft to the skin defect.

conclusionsIn cases of gastric conduit trouble in patients treated via the antesternal route, a major pectoralis muscle flap is useful because of its rich blood supply and easy mobilization. In addition, a split-thickness skin graft should be applied to the skin defect.

Indexed as

Antesternal routeGastric conduit ulcerPectoralis major muscle flapSkin fistulaSplit-thickness skin graft

Identifiers

PMID31317288

DOI10.1186/s40792-019-0672-z

PMCPMC6637157

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