A CASE OF REFRACTORY ANASTOMOTIC LEAKAGE AND PULMONARY FISTULA AFTER LOCAL RESECTION OF THE GASTRIC TUBE TREATED BY ENDOSCOPIC FISTULA CLOSURE USING A POLYGLYCOLIC ACID SHEET

Abstract

A 76-year-old man who underwent subtotal esophagectomy with gastric tube reconstruction for esophageal cancer was diagnosed with gastric tube cancer two years after the initial surgery. An open local resection of the gastric tube was performed. However, anastomotic leakage and a pulmonary fistula were observed postoperatively. The fistula was refractory to conservative management. Although surgery was considered, minimally invasive endoscopic treatment was selected. Endoscopic fistula closure using a polyglycolic acid sheet was successfully performed, and the patient recovered successfully. Endoscopic closure for refractory fistulas after gastric tube cancer surgery appears to be a minimally invasive and effective treatment method.