A case of gastropericardial fistula of a gastric tube after esophagectomy: A case report and review

Takehito Kato, Takahiro Mori, Koki Niibori

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

A 65-year-old man who had received an esophagectomy 10 years earlier was admitted to our hospital for right chest pain. Preoperative examinations showed pneumopericardium, a retrosternal gastric tube, and an active gastric tube ulcer. We diagnosed gastropericardial fistula of the gastric tube ulcer. Emergency surgery included lavage and drainage of the pericardial cavity and plombage of the rectus abdominis muscle flap to the posterior space of the gastric tube. Total parental nutrition and/or enteric nutrition were provided. Due to minor leakage from the ulcer, the patient could start oral intake on the postoperative 49th day, and was discharged from the hospital on the postoperative 86th day after physical rehabilitation. He has been free from complications for more than 33 months after surgery. Here, we review the literature and discuss the etiology and treatment of choice for this rare yet lethal complication in the follow-up after esophagectomy

Original languageEnglish
Article number20
JournalWorld Journal of Emergency Surgery
Volume5
Issue number1
DOIs
Publication statusPublished - 2010 Jul 21

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine

Fingerprint Dive into the research topics of 'A case of gastropericardial fistula of a gastric tube after esophagectomy: A case report and review'. Together they form a unique fingerprint.

  • Cite this