ID 97921
タイトルヨミ
ショクドウガン ジュツゴ ソウキ ニ キカン イカンロウ オ ガッペイ シタ 1レイ
タイトル別表記
Tracheoesophageal fistula at early postoperative period of esophageal cancer : A case report
著者
武知, 克弥 徳島赤十字病院消化器外科
沖津, 宏 徳島赤十字病院消化器外科
蔵本, 俊輔 徳島赤十字病院消化器外科
松本, 大資 徳島赤十字病院消化器外科
古川, 尊子 徳島赤十字病院消化器外科
松岡, 裕 徳島赤十字病院消化器外科
木原, 歩美 徳島赤十字病院消化器外科
富林, 敦司 徳島赤十字病院消化器外科
湯浅, 康弘 徳島赤十字病院消化器外科
石倉, 久嗣 徳島赤十字病院消化器外科
木村, 秀 徳島赤十字病院消化器外科
阪田, 章聖 徳島赤十字病院消化器外科
沖津, 奈都 田岡病院外科
キーワード
tracheoesophageal fistula
esophageal stent
nephrotic syndrome
資料タイプ
学術雑誌論文
抄録
The patient was a45-year-old man. He had suffered from nephrotic syndrome at time of his twenties and had steroid salvage treatment. But he retired the treatment by himself. Esophageal tumor was suspected at the screening, and he was referred to our hospital.
Preoperative diagnosis was the adenocarcinoma of the esophagogastric junction(cT2N0M0 stage Ⅱ).
Thoracoscopy assisted subtotal esophagectomy in prone position with D2dissection was performed. Gastric role was prepared in laparoscopic approach, and pulled up to the neck via posterior mediastinal route. Although early postoperative course was uneventful and esophageal fluoroscopy on the7th day showed no leakage, sudden dyspnea appeared on the8th day. CT examination and Bronchoscopy showed tracheoesophageal fistula. Unfortunately, the fistula didn’t get well, and we considered that it was difficult to close the fistula by only conservative treatment.
Esophageal covered stent was inserted on the56th day. After that, he could start ingestion intake and was discharged from hospital on the85th day. Now, he is being followed up in our hospital.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
68
1-2
開始ページ
67
終了ページ
72
並び順
67
発行日
2012-04-25
備考
フルテキストファイル
言語
jpn