Healing of Anastomotic Fistula and Stenosis

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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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Evidence of granulation tissue and returning mucosa.

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