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Esophagocoloplasty fistula successfully treated with vacuum-assisted closure.

ABSTRACT: Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure 'V.A.C. system', (Kinetic Concepts Inc., San Antonio, TX, USA). The patient initially presented with purulent fluid from the cervical wound 13 days after surgery. Esophagogram confirmed a leak. Since the patient had a history of anastomotic leaks, a surgical intervention was not the treatment of choice. In light of this, conservative treatment with V.A.C. system was initiated. She underwent full recovery.

SUBMITTER: Endara SA

PROVIDER: S-EPMC5755238 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Esophagocoloplasty fistula successfully treated with vacuum-assisted closure.

Endara Santiago A SA Terán Fernando J FJ Serrano Armando J AJ Castillo Manuela J MJ Molina Gabriel A GA

Journal of surgical case reports 20180104 1

Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure 'V.A.C. system', (Kinetic Concepts Inc., San Antonio, TX, USA). The patient initially presented with purulent fluid from the cervical wound 13 days after surgery. Esophagogram confirmed a leak. Since the patient had a history of anastomotic leaks, a surgical interventio ...[more]

PMID: 29321843

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