Open AccessCase of bronchoesophageal fistula with gastric perforation due to multidrug-resistant tuberculosis
Author(s) -
Chan Sung Park,
Kwang Won Seo,
Chang Ryul Park,
Yang Won Nah,
Jae Hee Suh
Publication year - 2014
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v6.i12.253
Subject(s) - medicine , surgery , tuberculosis , perforation , fistula , materials science , pathology , punching , metallurgy
Gastric perforation and tuberculous bronchoesophageal fistula (TBEF) are very rare complications of extrapulmonary tuberculosis (TB). We present a case of pulmonary TB with TBEF and gastric perforation caused by a multidrug-resistant tuberculosis strain in a non-acquired immune deficiency syndrome male patient. The patient underwent total gastrectomy with Roux-en-Y end-to-side esophagojejunostomy and feeding jejunostomy during intravenous treatment with anti-TB medication, and esophageal reconstruction with colonic interposition and jejunocolostomy were performed successfully after a full course of anti-TB medication. Though recent therapies for TBEF have favored medication, patients with severe stenosis or perforation require surgery and medication with anti-TB drugs based upon adequate culture and drug susceptibility testing.