Wu De-Di, Hao Ke-Nan, Chen Xiao-Jing, Li Xin-Min, He Xiao-Feng
Division of Vascular and Interventional Radiology, Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China.
World J Clin Cases. 2020 Oct 6;8(19):4550-4557. doi: 10.12998/wjcc.v8.i19.4550.
Gastro-thoracic fistula is a serious complication after radical surgery for esophageal cancer, and a conservative approach or endoscopic intervention is commonly applied to treat most cases.
Here we describe the case of a patient with a gastro-thoracic fistula which could not be closed during gastroscopy after receiving postoperative radiotherapy, together with severe multiple drug-resistant bacterial infection and chest wall fistula. The abscess was drained and local irrigation applied with ozonated water, together with oral ozonated water, which achieved a good effect and highlighted a new way to cure fistula in such patients.
Patients with gastro-thoracic fistula that cannot be closed and severe infection can be treated by drainage and flushing with ozonated water.
食管胃胸段瘘是食管癌根治术后的严重并发症,大多数病例通常采用保守治疗或内镜干预。
在此,我们描述了一名食管胃胸段瘘患者的病例,该患者在术后放疗后胃镜检查时瘘口无法闭合,同时伴有严重多重耐药菌感染和胸壁瘘。对脓肿进行引流并局部应用臭氧水冲洗,同时口服臭氧水,取得了良好效果,为治疗此类患者的瘘口提供了一种新方法。
无法闭合且伴有严重感染的食管胃胸段瘘患者可通过臭氧水引流和冲洗进行治疗。