ArticleWorld journal of gastroenterology2021
Managing esophagocutaneous fistula after secondary gastric pull-up: A case report.
Article in World journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Complicated Diverticulitis: A Rare Long-Term Complication After Esophagectomy With Colon Interposition.ACG case reports journal · 2025Article
- Evolution of endoscopic vacuum therapy for upper gastrointestinal leakage over a 10-year period: a quality improvement study.Surgical endoscopy · 2022Article
- Endoscopic Management of Large Leakages After Upper Gastrointestinal Surgery.Frontiers in surgery · 2022Article
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Authors and funding
8 authors.
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Abstract
backgroundGastric pull-up (GPU) procedures may be complicated by leaks, fistulas, or stenoses. These complications are usually managed by endoscopy, but in extreme cases multidisciplinary management including reoperation may be necessary. Here, we report a combined endoscopic and surgical approach to manage a failed secondary GPU procedure. CASE SUMMARY: A 70-year-old male with treatment-refractory cervical esophagocutaneous fistula with stenotic remnant esophagus after secondary GPU was transferred to our tertiary hospital. Local and systemic infection originating from the infected fistula was resolved by endoscopy. Hence, elective esophageal reconstruction with free-jejunal interposition was performed with no subsequent adverse events.
conclusionA multidisciplinary approach involving interventional endoscopists and surgeons successfully managed severe complications arising from a cervical esophagocutaneous fistula after GPU. Endoscopic treatment may have lowered the perioperative risk to promote primary wound healing after free-jejunal graft interposition.
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