Treatment of chronic esophageal-pleural fistula as a result of spontaneous rupture of the esophagus (Boerhaave’s syndrome) in patient with achalasia cardia using an endoscopic vacuum therapy
M. V. Khrustaleva,
N. A. Bulganina,
E. A. Godzhello,
L. S. Agalaryan,
T. V. Belisova,
T. T. Bitarov,
V. V. Khovrin https://doi.org/10.31146/1682-8658-ecg-201-5-137-141
Abstract
A patient with achalasia cardia after surgery for spontaneous rupture of the lower third of the esophagus developed failure of surgical suturing and a chronic esophago-pleural fistula. A control computed tomography of the chest with contrasting of the pleural cavity through the drainage revealed a filiform bronchial fistula. After the completion of endoscopic vacuum aspiration therapy, which consisted of four sessions, positive dynamics was noted in the form of the absence of air and fluid inflow through the drainage, as well as a significant decrease in the fistula orifice according to the endoscopic examination. A positive result was confirmed by X-ray, fistulography and computed tomography with contrasting—no contrast agent was received outside the esophagus and into the left bronchus. 5 months after discharge from the hospital, the patient underwent a combined course of endoscopic balloon dilatation with a good effect due to stage 3 achalasia cardia. According to computed tomography, endoscopic and X-ray examinations, there is no recurrence of the fistula.
About the Authors
M. V. Khrustaleva
Petrovsky National Research Center of Surgery
Russian Federation
Russian Federation
Marina V. Khrustaleva, Department of Endoscopy, Head of the Department, MD, PhD
Scopus Author ID: 6508292103
119991, Moscow, Abrikosovsky lane, build.2 2
N. A. Bulganina
Petrovsky National Research Center of Surgery
Russian Federation
Russian Federation
Natalia A. Bulganina, Department of Endoscopy Scientific Employee, PhD
Scopus Author ID 57194588404
119991, Moscow, Abrikosovsky lane, build.2 2
E. A. Godzhello
Petrovsky National Research Center of Surgery
Russian Federation
Russian Federation
Elina A. Godzhello, Department of Endoscopy Chief Scientifi c Employee, MD, PhD
Scopus Author ID: 6506623443
119991, Moscow, Abrikosovsky lane, build.2 2
L. S. Agalaryan
Petrovsky National Research Center of Surgery
Russian Federation
Russian Federation
Liliya S. Agalaryan, Department of Endoscopy, Physician, PhD
119991, Moscow, Abrikosovsky lane, build.2 2
T. V. Belisova
Petrovsky National Research Center of Surgery
Russian Federation
Russian Federation
Tamara V. Belisova, Department of Endoscopy, Physician, PhD
119991, Moscow, Abrikosovsky lane, build.2 2
T. T. Bitarov
Petrovsky National Research Center of Surgery
Russian Federation
Russian Federation
Тimur Т. Bitarov, Department of Surgery, Scientific Employee, PhD
119991, Moscow, Abrikosovsky lane, build.2 2
V. V. Khovrin
Petrovsky National Research Center of Surgery
Russian Federation
Russian Federation
Valery V. Khovrin, Department of X-ray diagnostics and Computed Tomography, Chief Scientifi c Employee, MD, PhD
Scopus Author ID: 6504830959
119991, Moscow, Abrikosovsky lane, build.2 2
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For citations:
Khrustaleva M.V., Bulganina N.A., Godzhello E.A., Agalaryan L.S., Belisova T.V., Bitarov T.T., Khovrin V.V. Treatment of chronic esophageal-pleural fistula as a result of spontaneous rupture of the esophagus (Boerhaave’s syndrome) in patient with achalasia cardia using an endoscopic vacuum therapy. Experimental and Clinical Gastroenterology. 2022;(5):137-141. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-201-5-137-141
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