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Articles Published Processes
10/19/2026 7:28:05 AM | Browse: 0 | Download: 0
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Received |
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2026-05-13 07:16 |
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Peer-Review Started |
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2026-05-13 07:18 |
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First Decision by Editorial Office Director |
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2026-07-01 05:59 |
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2026-07-15 07:44 |
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2026-07-26 12:22 |
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2026-07-30 02:32 |
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Final Decision by Editorial Office Director |
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2026-07-30 10:39 |
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Articles in Press |
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2026-07-30 10:39 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-09-14 02:39 |
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Publish the Manuscript Online |
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2026-10-19 07:28 |
| ISSN |
1948-9366 (online) |
| Open Access |
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. |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Case Report |
| Article Title |
Conservative management of a delayed esophagomediastinal fistula after endoscopic submucosal dissection: A case report
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Wen-Juan Ding, Han-Zhang Tang, Xiang-Rong Zhou, Wei-Hui Liu and Guang-Re Xu |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Guang-Re Xu, MD, Department of Gastroenterology and Hepatology, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32 First Ring Road, Chengdu 610072, Sichuan Province, China. xgre@sina.com |
| Key Words |
Endoscopic submucosal dissection; Esophagomediastinal fistula; Delayed perforation; Conservative management; Fistula drainage; Case report |
| Core Tip |
We report a rare case of severe, ultra-late esophagomediastinal fistula occurring on postoperative day 23 following circumferential endoscopic submucosal dissection. Instead of emergency thoracic surgery, we adopted a multidisciplinary conservative strategy with three core pillars: (1) Culture-guided, long-term antimicrobial infection control; (2) Prolonged low-pressure sinus tract irrigation and closed drainage; and (3) Early jejunal enteral nutrition. Joint participation of gastroenterology, infectious disease, thoracic surgery, radiology and nutrition teams optimized clinical decision making. This multidisciplinary approach was useful in achieving complete fistula healing, demonstrating that systematic non-operative management is a viable and effective option for selected patients, precluding the risks of major surgery. Clinicians should maintain high vigilance for ultra-late delayed perforation after full-circumferential esophageal endoscopic submucosal dissection, with serial postoperative monitoring to exclude sepsis and occult mediastinal infection. |
| Publish Date |
2026-10-19 07:28 |
| 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
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| URL |
https://www.wjgnet.com/1948-9366/full/v18/i10/122861.htm |
| DOI |
https://doi.org/10.4240/wjgs.122861 |
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