PMC4743527_01
Radiography showing contrast extravasation forming an lateral extra-gastric cavity
at the site of the esophagogastric angle
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Contrasted radiography study demonstrated extravasation on angle site (Figure 1); clinically it was, on daily basis by Penrose drain number 2, of 30-50 ml.
Endoscopic septotomy procedure: A) endoscopic appearance of the fistula at the
esophagogastric angle; B) septotomy being held
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She was referred for endoscopic treatment on day 30 after surgery which revealed a fistulous hole 10-12 mm in esophagogastric angle and stenosis with excessive angulation of the incisura angularis (Figure 2).
Evolution of the healing process: A) initial appearance after septotomy with
complete opening; B) final appearance in endoscopic control on day 30
post-septotomy
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It was performed with argon catheter 2 l/m and 90 w, in order to avoid bleeding in this inflamed and hypervascularized area (Figure 3). The pre-endoscopic cavity formed by the fistula had its full resolution at 30 days (Figure 3), although the patient already carry out her activities and feeding with no problems.