Evidence map›Paper›PMID 33856574›Full record

ArticleSurgical case reports2021

A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer.

Tohru Nishimura, Chisakou Fuse, Masayuki Akita, Nobuhisa Takase, Eri Maeda, Koichiro Abe, Akihito Kozuki, Kunio Yokoyama, Tomohiro Tanaka, Shinji Kishi and 3 more

Open access · goldAbstract read
In one paragraph

Article in Surgical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Surgical Repair of a Traumatic Gastrobronchial Fistula.The American journal of case reports · 2022
    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

13 authors at 2 institutions in 1 country.

Tohru NishimuraDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan. code013561@gmail.com.ORCID http://orcid.org/0000-0001-7206-7413
Chisakou FuseDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Masayuki AkitaDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Nobuhisa TakaseDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Eri MaedaDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Koichiro AbeDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Akihito KozukiDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Kunio YokoyamaDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Tomohiro TanakaDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Shinji KishiDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Toshihiko SakamotoDepartment of Thoracic Surgery, Steel Memorial Hirohata Hospital, Himeji, Japan.
Tetsuya SakaiDepartment of Surgery, Steel Memorial Hirohata Hospital, Himeji, Japan.
Kunihiko KanedaDepartment of Surgery, Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan.
Kagawa Prefectural Central Hospital · JPNippon Steel Yawata Memorial Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastrobronchial fistulas are rare, but life-threatening, complications of esophagectomy. They are caused by anastomotic leakage and mainly occur around anastomotic sites. In the present paper, we report a rare case of leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer, which was successfully treated using an intercostal muscle flap and lung resection. CASE PRESENTATION: A 61-year-old male underwent subtotal esophagectomy with regional lymphadenectomy for esophageal cancer. The sutures along the staple line of the gastric tube failed 11 days after surgery, and a pulmonary abscess was also found on imaging. The abscess did not heal after conservative treatment; therefore, right lower lobectomy, gastrobronchial fistula resection, primary closure, and patching of the leaking portion of the gastric tube with an intercostal muscle flap were performed 9 months after the first operation. The patient's postoperative course was uneventful, and he was discharged on the 354th day.

conclusionsWe experienced a case involving a gastrobronchial fistula caused by leakage from the staple line of a gastric tube and successfully treated it by performing right lower lobectomy and patching the leak with an intercostal muscle flap.

Indexed as

Anastomotic leakageEsophageal cancerEsophagectomyGastrobronchial fistulaIntercostal muscle flap

Identifiers

PMID33856574
PMCPMC8050132
OpenAlexW3154041118

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LicenceCC BY
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Registered trials

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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.