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Successful Management of Anastomotic Leakage and Lung Fistula After Esophagectomy  Takeyuki Wada, MD, Hiroya Takeuchi, MD, Takahisa Yoshikawa, MD, Takashi.

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Presentation on theme: "Successful Management of Anastomotic Leakage and Lung Fistula After Esophagectomy  Takeyuki Wada, MD, Hiroya Takeuchi, MD, Takahisa Yoshikawa, MD, Takashi."— Presentation transcript:

1 Successful Management of Anastomotic Leakage and Lung Fistula After Esophagectomy 
Takeyuki Wada, MD, Hiroya Takeuchi, MD, Takahisa Yoshikawa, MD, Takashi Oyama, MD, Rieko Nakamura, MD, Tsunehiro Takahashi, MD, Hirofumi Kawakubo, MD, Norihito Wada, MD, Yoshiro Saikawa, MD, Tai Omori, MD, Yuko Kitagawa, MD  The Annals of Thoracic Surgery  Volume 97, Issue 3, Pages (March 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 CT scan on postoperative day 4 with (A) mediastinal and (B) lung windows shows lung abscess of the left lung located beside the esophagogastric anastomosis site and an infiltrative shadow around the lung abscess. CT scan on postoperative day 24 with (C) mediastinal and (D) lung windows shows decreased abscess fluid and improved infiltrative shadow. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Radiologic contrast agent view demonstrating anastomotic leakage and lung fistula. The contrast agent was injected by nasogastric tube and flowed into the left bronchus through the lung fistula. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Double elementary diet tube (W-ED tube) composed of separated double lumen. (B) Use of tube to reduce pressure of digestive cavity and deliver enteral nutrient from the distal point nasally. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Closure of lung fistula closed on postoperative day 21.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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