Effective management of continuous salivary flow through a pharyngocutaneous fistula using a negative pressure wound therapy device

Taku Maeda; Nayuta Tsushima; Kosuke Ishikawa; Yuhei Yamamoto

doi:10.1016/j.jpra.2024.10.016

Effective management of continuous salivary flow through a pharyngocutaneous fistula using a negative pressure wound therapy device

JPRAS Open. 2024 Nov 1:43:74-78. doi: 10.1016/j.jpra.2024.10.016. eCollection 2025 Mar.

Authors

Taku Maeda¹, Nayuta Tsushima², Kosuke Ishikawa¹, Yuhei Yamamoto¹

Affiliations

¹ Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15 Nishi-7, Kita-ku, Sapporo City, Hokkaido 060-8638, Japan.
² Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo City, Hokkaido 060-8638, Japan.

Abstract

Esophagojejunal anastomotic fistula is difficult to treat because of continuous salivary flow. This report describes the innovative use of a negative pressure wound therapy device with a slit drain to treat an esophagojejunal anastomotic fistula after free jejunal transfer. Insertion of a slit drain was very effective for management of saliva. This device worked as a portable suction machine, allowing earlier healing without the need for surgery. A negative pressure wound therapy device using a slit drain can be useful for recalcitrant esophagojejunal anastomotic fistula with salivary flow after free jejunal transfer.

Keywords: Esophagojejunal anastomotic fistula; Free jejunal transfer; Negative pressure wound therapy; Saliva; Slit drain.

Publication types

Case Reports