Levy Faber Dan, Galili Ronen, Sharoni Erez, Segol Ori
Department of Cardiothoracic Surgery.
Ruth and Bruch Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Harefuah. 2020 Apr;159(4):251-252.
Esophageal perforation is a serious disease which entails significant morbidity and mortality. Barogenic perforation (Boerhaave's type perforation) is considered as having a relatively poor prognosis. We present a case of barogenic perforation treated initially with surgery for primary repair leading to the formation of a control fistula. The esophageal fistula was treated successfully with endoscopic vacuum-assisted closure (VAC) system therapy. This case presents a complex condition of esophageal perforation initially treated with surgery for primary repair. After surgery the patient developed a control fistula from the esophagus to the operative drain in the pleural space. We treated the fistula with a VAC (Vacuum Assisted Closure) system that was endoscopically placed in the esophagus at the level of the fistula.
食管穿孔是一种严重疾病，会导致显著的发病率和死亡率。气压性穿孔（博赫哈夫氏型穿孔）被认为预后相对较差。我们报告一例气压性穿孔病例，最初接受手术进行一期修复，结果形成了可控瘘。该食管瘘通过内镜下真空辅助闭合（VAC）系统疗法成功治愈。本病例呈现了食管穿孔的复杂情况，最初接受手术进行一期修复。术后患者形成了从食管到胸腔手术引流处的可控瘘。我们使用内镜下放置在瘘管水平食管处的VAC（真空辅助闭合）系统治疗该瘘管。
