Conservative management of a delayed esophagomediastinal fistula after endoscopic submucosal dissection: A case report

doi:10.4240/wjgs.122861

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Oct 27, 2026; 18(10): 122861
Published online Oct 27, 2026. doi: 10.4240/wjgs.122861

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Figure 2 Chest computed tomography and follow-up gastroscopy upon clinical deterioration (December 28, 2022). A: Chest computed tomography showing esophagomediastinal fistula and pleural effusion; B: Yellowish-white purulent secretion at the original surgical site; C: Fistula opening approximately 0.6 cm in diameter, 43 cm from nasal verge; D: Abundant yellow secretion within the sinus tract; E: Nasogastric tube placed in the sinus tract (approximately 5 cm from fistula), connected to negative suction for drainage, alongside jejunal feeding tube placed in the duodenum.

Citation: Ding WJ, Tang HZ, Zhou XR, Liu WH, Xu GR. Conservative management of a delayed esophagomediastinal fistula after endoscopic submucosal dissection: A case report. World J Gastrointest Surg 2026; 18(10): 122861
URL: https://www.wjgnet.com/1948-9366/full/v18/i10/122861.htm
DOI: https://dx.doi.org/10.4240/wjgs.122861

Ding WJ, Tang HZ, Zhou XR, Liu WH, Xu GR. Conservative management of a delayed esophagomediastinal fistula after endoscopic submucosal dissection: A case report. World J Gastrointest Surg 2026; 18(10): 122861 [DOI: 10.4240/wjgs.122861]

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