Esophagectomy for complications of esophageal intramural pseudodiverticulosis
This report describes the clinical course of a patient with complications of esophageal intramural pseudodiverticulosis. The condition led to fistulization and abscess formation in the mediastinum. The initial presentation was for the septic process and appropriate antibiotic therapy led to infectio...
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| Veröffentlicht in: | Diseases of the esophagus 2007-04, Vol.20 (2), p.178-182 |
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| container_title | Diseases of the esophagus |
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| creator | Thibodeau, M.‐P. Brigand, C. Ferraro, P. Martin, J. Duranceau, A. |
| description | This report describes the clinical course of a patient with complications of esophageal intramural pseudodiverticulosis. The condition led to fistulization and abscess formation in the mediastinum. The initial presentation was for the septic process and appropriate antibiotic therapy led to infection control while the abscess drained spontaneously back into the esophageal lumen. A long stricture affecting the distal half of the esophagus became evident after a few months and could not be managed by repeat dilatations. After appropriate preparation, subtotal esophagectomy was offered to the patient with an initial right thoracic approach followed by laparotomy and left cervical reconstruction. A total gastric tube was used for reconstruction and placed in a substernal position. An uneventful postoperative evolution led to normal swallowing comfort. |
| doi_str_mv | 10.1111/j.1442-2050.2007.00666.x |
| format | Article |
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The condition led to fistulization and abscess formation in the mediastinum. The initial presentation was for the septic process and appropriate antibiotic therapy led to infection control while the abscess drained spontaneously back into the esophageal lumen. A long stricture affecting the distal half of the esophagus became evident after a few months and could not be managed by repeat dilatations. After appropriate preparation, subtotal esophagectomy was offered to the patient with an initial right thoracic approach followed by laparotomy and left cervical reconstruction. A total gastric tube was used for reconstruction and placed in a substernal position. 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The condition led to fistulization and abscess formation in the mediastinum. The initial presentation was for the septic process and appropriate antibiotic therapy led to infection control while the abscess drained spontaneously back into the esophageal lumen. A long stricture affecting the distal half of the esophagus became evident after a few months and could not be managed by repeat dilatations. After appropriate preparation, subtotal esophagectomy was offered to the patient with an initial right thoracic approach followed by laparotomy and left cervical reconstruction. A total gastric tube was used for reconstruction and placed in a substernal position. An uneventful postoperative evolution led to normal swallowing comfort.</description><subject>Abscess - etiology</subject><subject>Abscess - therapy</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Candida albicans - isolation & purification</subject><subject>Candidiasis - diagnosis</subject><subject>Candidiasis - drug therapy</subject><subject>Diverticulosis, Esophageal - complications</subject><subject>Diverticulosis, Esophageal - diagnosis</subject><subject>Diverticulosis, Esophageal - surgery</subject><subject>Esophageal Stenosis - etiology</subject><subject>Esophageal Stenosis - therapy</subject><subject>Esophagectomy</subject><subject>Fistula - etiology</subject><subject>Fistula - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Mediastinal Diseases - etiology</subject><subject>Mediastinal Diseases - therapy</subject><subject>mediastinum</subject><subject>Middle Aged</subject><subject>pseudodiverticulosis</subject><subject>septic complication</subject><subject>Sputum - microbiology</subject><issn>1120-8694</issn><issn>1442-2050</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD9PwzAQxS0EoqXwFVAmtoRz7DrJwIBK-SMVdSmz5To2uErqYCfQfnscGsEIt9yT_N6d74dQhCHBoa43CaY0jVOYQpICZAkAYyzZHaHxz8Nx0DiFOGcFHaEz7zcAOCMsP0UjnFFSMKBj9Dz3tnkTr0q2tt5H2rpI2rqpjBStsVsfWR2pwSKqyGxbJ-rOBdl41ZW2NB_KtUZ2lfXGn6MTLSqvLoY-QS_389XsMV4sH55mt4tYUpqzWE0zojKylmuKAStSEmAifEdhKFKNiQ7HlFrnBWEkA8pYMcVlmpZUq5LSQpIJujrMbZx975RveW28VFUltsp2nmdAiv7uP40BVE4grJmg_GCUznrvlOaNM7Vwe46B98z5hvdo-wTwnjn_Zs53IXo57OjWtSp_gwPkYLg5GD5Npfb_Hszvlqt5UOQL4jaQWA</recordid><startdate>200704</startdate><enddate>200704</enddate><creator>Thibodeau, M.‐P.</creator><creator>Brigand, C.</creator><creator>Ferraro, P.</creator><creator>Martin, J.</creator><creator>Duranceau, A.</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200704</creationdate><title>Esophagectomy for complications of esophageal intramural pseudodiverticulosis</title><author>Thibodeau, M.‐P. ; 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| ispartof | Diseases of the esophagus, 2007-04, Vol.20 (2), p.178-182 |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Wiley Online Library All Journals |
| subjects | Abscess - etiology Abscess - therapy Anti-Bacterial Agents - therapeutic use Candida albicans - isolation & purification Candidiasis - diagnosis Candidiasis - drug therapy Diverticulosis, Esophageal - complications Diverticulosis, Esophageal - diagnosis Diverticulosis, Esophageal - surgery Esophageal Stenosis - etiology Esophageal Stenosis - therapy Esophagectomy Fistula - etiology Fistula - therapy Humans Male Mediastinal Diseases - etiology Mediastinal Diseases - therapy mediastinum Middle Aged pseudodiverticulosis septic complication Sputum - microbiology |
| title | Esophagectomy for complications of esophageal intramural pseudodiverticulosis |
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