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  Platinum Health, LLC.: Anastomoic Stenosis






Esophageal Anastomotic Fistula and Stricture
This 48 y.o. woman had a subtotal transhiatal esophagectomy with esophagogastrostomy. Her post operative course was complicated by leakage from the anastomosis, mediastinitis and sepsis. After a second surgery, she improved but was developed an esophagocutaneous fistula assoicated with an anastomotic stenosis. This was treated with frequent endoscopy, progressive dilation of the anastomosis, injection of triamcinolone and medical therapy to protect the mucosa, reduce acid secretion and encourage stomach emptying.

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  • Before

    Initial appearance of the esophagogastric anastomosis on March 5, 2002.

  • During

    Evidence of granulation tissue and returning mucosa.
  • After

    Significant improvement of the anastomosis, with minimal narrowing (no dysphagia at this point) and restoration of the esophageal and gastric mucosa.







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