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Endoluminal vacuum therapy in the management of a large gastrobronchial fistula

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Transthoracic esophagectomywith gastric reconstruction is associated with a high postoperative morbidity rate of 40% to 50%. Gastropulmonary fistula is a rare adverse event of esophagectomy with a reported incidence rate… Click to show full abstract

Transthoracic esophagectomywith gastric reconstruction is associated with a high postoperative morbidity rate of 40% to 50%. Gastropulmonary fistula is a rare adverse event of esophagectomy with a reported incidence rate of 0.8% to 3.9% with a high mortality rate more than 57%. Here, we discuss a challenging case of a critically ill patient with gastropulmonary fistula successfully treated with endoscopic vacuum therapy (EVT) as a bridge to definitive surgery.

Keywords: endoluminal vacuum; therapy management; vacuum therapy; fistula

Journal Title: VideoGIE
Year Published: 2020

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