Treatment tactics for a patient with esophagopulmonary fistula using colonic esophagoplasty 

Sergey N. Loginov, Candidate of medical sciences, associate professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia); head of the department of thoracic surgery, Pensa Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova, Penza, Russia), E-mail: loginovsn37@mail.ru
Elena G. Feoktistova, candidate of medical sciences, associate professor, associate professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: eyutkina@bk.ru
Oleg S. Knestyapin, Surgeon of the department of thoracic surgery, Pensa Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova, Penza, Russia), E-mail: oleg-knestyapin@yandex.ru 

Background. Despite the severity of clinical manifestations, the simplicity and accessibility of diagnostic methods for esophageal and respiratory fistulas in clinical practice, problems arise with their timely detection. The lack of unified approaches to treatment and the severity of the condition of these patients leads to an undoubted scientific and practical interest in this topic. The purpose of the study is to familiarize with the case of successful treatment of a patient with post-burn cicatricial stricture of the esophagus, complicated by esophagopulmonary fistula and lower lobe destructive pneumonia, by choosing the tactics of long-term preoperative preparation and reconstructive surgery - colonic esophagoplasty. Materials and methods. The experience of successful treatment of a patient with post-burn cicatricial stricture of the esophagus, complicated by esophagopulmonary fistula and lower lobe destructive pneumonia by colonic esophagoplasty is presented. The description of the tactics of diagnosis and treatment of this patient is given. Result. In this patient, the result of successful surgical treatment is due to adequate long-term preoperative preparation. Reconstructive operations should be performed in the absence of inflammatory processes by highly qualified surgeons who have experience in performing such operations. Conclusions. In this case, colonic esophagoplasty became the method of choice for surgical treatment of a patient with post-burn cicatricial stricture of the esophagus complicated by esophagopulmonary fistula and lower lobe destructive pneumonia, which ensured a good treatment result. 

esophagopulmonary fistula, benign cicatricial stricture of the esophagus, colonic esophagoplasty, destructive pneumonia, complications of chemical burn of the esophagus 

Loginov S.N., Feoktistova E.G., Knestyapin O.S. Treatment tactics for a patient with esophagopulmonary fistula using colonic esophagoplasty. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2024;(2):29–42. (In Russ.). doi: 10.21685/2072-3032-2024-2-3