* Emergency escape surgery for a gastro-bronchial fistula with respiratory failure that developed after esophagectomy.
- A gastro-bronchial fistula (GBF) is a rare complication after esophageal reconstruction using a gastric tube, but it can cause severe pneumonia, and the surgical procedure is challenging. We herein describe a patient who was successfully managed using a two-stage operation for a GBF. Because the patient had life-threatening pneumonia and respiratory failure caused by the GBF, we first transected the duodenum, established a cervical esophagostomy and gastrostomy and placed a decompression catheter in the gastric tube without a thoracotomy. The patient recovered from pneumonia after the resolution of the salivary inflow and digestive juice reflux into the lungs through the GBF. Two months later, an esophageal bypass was achieved by reconstructing the esophagus using a long segment of pedicled jejunum. The patient was discharged 38 days thereafter. Appropriate treatment for GBF should be tailored to individual patients based on their current status and disease severity.
=>に基づき
Overview of verb base
The verb base has 3 senses (first 1 from tagged texts)
1. (75) establish, base, ground, found -- (use as a basis for; found on; "base a claim on some
observation")
2. base -- (situate as a center of operations; "we will base this project in the new lab")
3. free-base, base -- (use (purified cocaine) by burning it and inhaling the fumes)
Overview of adj based
The adj based has 2 senses (first 2 from tagged texts)
1. (3) based -- (having a base; "firmly based ice")
2. (1) based -- (having a base of operations (often used as a combining form); "a locally based
business"; "an Atlanta-based company"; "carrier-based planes")
--- WordNet end ---