Gastro-Cavenous Fistula Developed after Esophagectomy ( Ivor Lewis Operation ) Due to Active Gastric Ulcer in Esophageal Cancer.
- Author:
Sung Chul KIM
1
;
Young Mog SIM
;
Kwan Min KIM
;
Jhin Gook KIM
Author Information
1. Collegee of Medicine, Sungkyunkwan University, Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital.
- Publication Type:Original Article
- Keywords:
Esophageal neoplasm;
ulcer;
Fistula
- MeSH:
Abdominal Pain;
Abscess;
Chills;
Cough;
Deglutition Disorders;
Emergencies;
Esophageal Neoplasms*;
Esophagectomy*;
Fever;
Fistula*;
Gastric Fundus;
Humans;
Male;
Middle Aged;
Sputum;
Stomach Ulcer*;
Ulcer
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(1):49-52
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 58-year-old male patient visited our hospital for epigastric discomfort and dysphagia which had developed 5 months earlier. He was diagnosed with esophageal cancer at the mid-thoracic level based on radiologic, endoscopic, and histologic examinations. An esophagectomy(Ivor Lewis technique) was done to treat the esophageal cancer. He was doing well until the 20th postoperative day when he began to complain of cough, sputum, fever and chills, Subsequently, thereafter, abdominal pain and generalized abdominal tenderness developed on the 22nd postoperative day. Upon gastrofiberscopy and esophagographic examinations, he was diagnosed with gastrobronchial fistula and an emergency operation was performed. On operative findings, the gastric fundus was perforated and directly connected to the abscessed cavity of the right upper lobe due to a gastric ulcer. We, herewith, report this case after review of the literature.
