Endoscopic vacuum assisted closure therapy for esophagopericardial fistula in a 16-year-old male: A case report.

IF 1.4 Q4 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Endoscopy Pub Date : 2024-09-16 DOI:10.4253/wjge.v16.i9.533

Simón Muñoz-González, Samir Quejada-Cuesta, Daniel González-Arroyave, Carlos M Ardila

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Abstract

Background: Esophagopericardial fistula (EPF) is a rare, life-threatening condition with limited scientific literature and no established management guidelines. This case report highlights a successful multidisciplinary approach and the innovative use of endoscopic vacuum assisted closure (endoVAC) therapy in treating this complex condition.

Case summary: A 16-year-old male with a history of esophageal atresia and colon interposition presented with progressive chest pain, fever, and dyspnea. Imaging revealed an EPF with associated pleural and pericardial effusions. Initial management with an esophageal stent failed, prompting the use of an endoVAC system. The patient underwent multiple endoVAC device changes and received broad-spectrum antibiotics and nutritional support. The fistula successfully closed, and the patient recovered, demonstrating no new symptoms at a 6-month follow-up.

Conclusion: EndoVAC therapy can effectively manage EPF, providing a minimally invasive treatment option.

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一名 16 岁男性食管心包瘘的内窥镜真空辅助闭合疗法：病例报告。

背景：食管贲门瘘（EPF）是一种罕见的危及生命的疾病，科学文献有限，也没有既定的管理指南。本病例报告重点介绍了一种成功的多学科方法，以及内窥镜真空辅助闭合（endoVAC）疗法在治疗这种复杂病症中的创新应用。病例摘要：一名 16 岁男性患者曾患食道闭锁和结肠插管，出现进行性胸痛、发热和呼吸困难。影像学检查发现他患有 EPF，并伴有胸腔积液和心包积液。最初使用食管支架治疗失败，促使患者使用了食管内VAC系统。患者接受了多次内瘘管置换术，并接受了广谱抗生素和营养支持治疗。瘘管成功闭合，患者康复，在6个月的随访中没有出现新的症状：结论：内瘘管吻合器疗法可以有效控制 EPF，提供了一种微创治疗选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

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