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

作　　者：Simón Muñoz-González Samir Quejada-Cuesta Daniel González-Arroyave Carlos M Ardila 

机构地区：[1]Department of Surgery,University of Antioquia,Medellin 050010,Antioquia,Colombia [2]Department of Surgery,Pontificia Universidad Bolivariana,Medellín 050031,Antioquia,Colombia [3]Department of Basic Sciences,University of Antioquia,Medellín 050010,Antioquia,Colombia

出　　处：《World Journal of Gastrointestinal Endoscopy》2024年第9期533-539,共7页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：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.

关 键 词：Esophagopericardial fistula Endoscopic vacuum assisted closure Esophageal atresia Multidisciplinary approach Pleural effusion Case report 

分 类 号：R571[医药卫生—消化系统]