Successful Treatment of an Esophagopericaridal Fistula with Pyopericardium That Developed after Laparoscopic Total Gastrectomy for Gastric Cancer by Intraoperative Stent Insertion

Young Wook Kim, Jin-Jo Kim, Sung Min Park, Gi Jun Kim, Seung Jee Ryu, Joon Sung Kim, Byung-Wook Kim, Seung-Man Park
2015 The Korean Journal of Helicobacter and Upper Gastrointestinal Research  
Esophagopericardial fistula (EPF) is a rare and serious medical condition induced by benign and malignant causes. Surgery is the main stay of treatment for benign EPF. However, there have been few reports of benign EPF treated by endoscopic stent insertion. We performed a laparoscopic total gastrectomy for treatment of a gastric cancer located at the cardia in a 62-year-old patient. A benign EPF occurred as a postoperative complication 14 days after surgery. We successfully managed the EPF
more » ... anaged the EPF through emergent laparoscopic pericardial window formation and insertion of a fully covered self-expendable metal stent during operation. The patient is being followed up without complications in the outpatient department after stent removal. (Korean J Helicobacter Up Gastrointest Res 2015;15:279-282)
doi:10.7704/kjhugr.2015.15.4.279 fatcat:itpnqiht3ze3lh2k6w4cfc7tie