Muñoz-González S, Quejada-Cuesta S, González-Arroyave D, Ardila CM. Endoscopic vacuum assisted closure therapy for esophagopericardial fistula in a 16-year-old male: A case report. World J Gastrointest Endosc 2024; 16(9): 533-539 [PMID: 39351174 DOI: 10.4253/wjge.v16.i9.533]
Corresponding Author of This Article
Carlos M Ardila, PhD, Academic Editor, Department of Basic Sciences, University of Antioquia, Calle 70 52-21, Medellín 050010, Antioquia, Colombia. martin.ardila@udea.edu.co
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Sep 16, 2024; 16(9): 533-539 Published online Sep 16, 2024. doi: 10.4253/wjge.v16.i9.533
Endoscopic vacuum assisted closure therapy for esophagopericardial fistula in a 16-year-old male: A case report
Simón Muñoz-González, Samir Quejada-Cuesta, Daniel González-Arroyave, Carlos M Ardila
Simón Muñoz-González, Samir Quejada-Cuesta, Department of Surgery, University of Antioquia, Medellin 050010, Antioquia, Colombia
Daniel González-Arroyave, Department of Surgery, Pontificia Universidad Bolivariana, Medellín 050031, Antioquia, Colombia
Carlos M Ardila, Department of Basic Sciences, University of Antioquia, Medellín 050010, Antioquia, Colombia
Co-first authors: Simón Muñoz González and Samir Quejada-Cuesta.
Author contributions: Muñoz-González S designed and performed research, analyzed data and wrote the paper; Quejada-Cuesta S designed and performed research, analyzed data and wrote the paper; González-Arroyave D designed and performed research and analyzed data; Ardila CM designed and performed research, analyzed data and wrote the paper. Muñoz-González S and Quejada-Cuesta S contributed equally to this work as co-first authors.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors report no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Carlos M Ardila, PhD, Academic Editor, Department of Basic Sciences, University of Antioquia, Calle 70 52-21, Medellín 050010, Antioquia, Colombia. martin.ardila@udea.edu.co
Received: August 6, 2024 Revised: August 24, 2024 Accepted: August 28, 2024 Published online: September 16, 2024 Processing time: 36 Days and 11 Hours
Abstract
BACKGROUND
Esophagopericardial fistula (EPF) is a rare, life-threatening condition with limited scientific literature and no established management guidelines. This case report highlights a successful multidisciplinary approach and the innovative use of endoscopic vacuum assisted closure (endoVAC) therapy in treating this complex condition.
CASE SUMMARY
A 16-year-old male with a history of esophageal atresia and colon interposition presented with progressive chest pain, fever, and dyspnea. Imaging revealed an EPF with associated pleural and pericardial effusions. Initial management with an esophageal stent failed, prompting the use of an endoVAC system. The patient underwent multiple endoVAC device changes and received broad-spectrum antibiotics and nutritional support. The fistula successfully closed, and the patient recovered, demonstrating no new symptoms at a 6-month follow-up.
CONCLUSION
EndoVAC therapy can effectively manage EPF, providing a minimally invasive treatment option.
Core Tip: This case report highlights the successful use of endoscopic vacuum assisted closure (endoVAC) therapy in treating a rare esophagopericardial fistula (EPF) in a 16-year-old male. The innovative approach involved a multidisciplinary strategy, resulting in the resolution of the fistulous tract and significant clinical improvement. Our findings suggest that endoVAC therapy can be an effective minimally invasive alternative for EPF management, offering a promising solution for complex cases where traditional surgical methods may be less feasible. This report emphasizes the need for further research to establish standardized protocols and validate the long-term efficacy of endoVAC therapy.
