Open AccessLate-onset anastomotic leak following sweet esophagectomy
Author(s) -
FengWei Kong,
Weimin Wang,
Lei Liu,
Wenbin Wu,
Longbo Gong,
Miao Zhang
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000022479
Subject(s) - medicine , esophagectomy , surgery , esophageal cancer , chills , complication , leak , anastomosis , cancer , environmental engineering , engineering
Rationale: Late-onset anastomotic leak (AL) is an uncommon but potentially lethal complication after esophagectomy. Patient concerns: A 74-year-old male patient was readmitted due to chest distress and chills about 3 months after initial esophagectomy for cancer. Diagnoses: The previous endoscopic biopsy revealed primary esophageal squamous cell carcinoma, and sweet esophagectomy with gastric conduit reconstruction was therefore performed. The patient developed AL 3 months after the surgery. Interventions: Naso-leakage extraluminal drainage tube was utilized because the symptoms of the patient were aggravated 1 month after the chest tube drainage since his second admission for AL. Outcomes: Twenty-one days after naso-leakage extraluminal drainage, the computed tomography images showed the healing of the leakage. Then the patient was discharged from the hospital. Lessons: Late-onset AL should be kept in mind when the patient complained of chest distress and fever during the follow up after esophagectomy. In addition, naso-leakage extraluminal drainage could be considered for the treatment of AL. Further trials for better evidence are warranted.