Surgery for Esophageal Fistula Treatment
Author Information
Author(s): Rehders Alexander, Cupisti Kenko, Schmitt Marcus, Renter Marc A, Kröpil Patrick, Iskender Özcan, Knoefel Wolfram T
Primary Institution: Heinrich Heine Universität, Düsseldorf, Germany
Hypothesis
Can laparotomy provide a safe access for retrograde endoscopic therapy in patients with esophageal obstruction?
Conclusion
Open surgery enables a safe access for retrograde endoscopic therapy in patients who had undergone esophageal resection with gastric interposition.
Supporting Evidence
- The patient had severe dysphagia and recurrent pulmonary infections due to an esophago-tracheal fistula.
- Conventional endoscopic therapy failed due to complete obstruction.
- A laparotomy allowed for retrograde access to the esophagus.
Takeaway
Doctors can use surgery to help patients with a blocked esophagus so they can eat again.
Methodology
A laparotomy was performed to access the esophagus for retrograde dilatation and stent placement.
Limitations
The study reports on a single case, limiting generalizability.
Participant Demographics
A 66-year-old man with recurrent esophageal cancer.
Digital Object Identifier (DOI)
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