caa a22 4500 606204512 CHVBK 20210128101003.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s10388-014-0438-4 doi (NATIONALLICENCE)springer-10.1007/s10388-014-0438-4 Gastropericardial fistula in the gastric tube after esophagectomy for cancer [Elektronische Daten] [Naoki Mori, Hiromasa Fujita, Toshiaki Tanaka, Satoru Matono, Kohei Nishimura, Haruhiro Hino, Kazuo Shirouzu, Susumu Sueyoshi] A 54-year-old man was admitted at our hospital with a complaint of sudden anterior chest pain. At 1year previously he had undergone right transthoracic esophagectomy for cancer followed by reconstruction using a gastric tube through a posterior mediastinal route. Upper gastrointestinal endoscopy confirmed a gastropericardial fistula. He was therefore given emergency intensive proton pump inhibitor together with gastric tube decompression using a nasogastric tube. Transabdominal pericardial drainage was surgically performed through a retrosternal space at 4days after the onset. On the 22nd day after the drainage operation, upper gastrointestinal endoscopy showed healing of the gastropericardial fistula, and he was discharged on the 38th postoperative day. A gastropericardial fistula in the gastric tube following esophagectomy for cancer could be treated with less-invasive procedures including surgical pericardial drainage. Our procedure may be recommended as initial emergency treatment before more invasive procedures such as gastric tube resection and muscle flap plombage. The Japan Esophageal Society and Springer Japan, 2014 Gastropericardial fistula nationallicence Gastric tube ulcer nationallicence Esophagectomy for cancer nationallicence Mori Naoki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut Fujita Hiromasa Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut Tanaka Toshiaki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut Matono Satoru Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut Nishimura Kohei Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut Hino Haruhiro Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut Shirouzu Kazuo Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut Sueyoshi Susumu Department of Surgery, Omuta City Hospital, Omuta, Japan aut Esophagus Springer Japan 12/3(2015-07-01), 272-276 1612-9059 12:3<272 2015 12 10388 https://doi.org/10.1007/s10388-014-0438-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10388-014-0438-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mori Naoki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut NATIONALLICENCE 700 1- Fujita Hiromasa Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut NATIONALLICENCE 700 1- Tanaka Toshiaki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut NATIONALLICENCE 700 1- Matono Satoru Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut NATIONALLICENCE 700 1- Nishimura Kohei Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut NATIONALLICENCE 700 1- Hino Haruhiro Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut NATIONALLICENCE 700 1- Shirouzu Kazuo Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Japan aut NATIONALLICENCE 700 1- Sueyoshi Susumu Department of Surgery, Omuta City Hospital, Omuta, Japan aut NATIONALLICENCE 773 0- Esophagus Springer Japan 12/3(2015-07-01), 272-276 1612-9059 12:3<272 2015 12 10388