Esophageal Fistula After Anterior Cervical Decompression and Fusion

Taizhou Hospital5 enrolled

Overview

This study aims to evaluate the incidence, risk factors, and preventive measures of esophageal fistula following anterior cervical decompression and fusion. By understanding the mechanisms and clinical manifestations of this complication, the study seeks to provide clinicians with better guidelines for treatment and improve postoperative outcomes for patients.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Esophageal Fistula

Interventions

esophageal repairPROCEDURE

The surgery confirmed a secondary esophageal fistula following the anterior cervical surgery. The procedure involved trimming the esophageal tissue around the fistula and repairing the fistula.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: Patients aged 18 and older. Diagnosed with a secondary esophageal fistula following anterior cervical decompression and fusion surgery. Postoperative confirmation of the esophageal fistula via imaging studies or endoscopy. Presence of clinical symptoms such as dysphagia, coughing, or signs of infection. Patients or their legal representatives must provide informed consent. Exclusion Criteria: Preexisting esophageal diseases such as esophageal cancer, severe esophagitis, or congenital anomalies. Other types of fistulas not related to the surgery. Severe comorbid conditions, including: Uncontrolled diabetes, severe cardiovascular diseases, immunosuppression, pregnant women. Individuals unable or unwilling to comply with study protocols. Life expectancy of less than six months due to other underlying health conditions.

Outcomes

Primary Outcomes

The healing rate after the repair of an esophageal fistula

Successful repair of an esophageal fistula can result in a high healing rate, with many patients experiencing complete recovery. However, complications such as infection, poor blood supply to the repaired area, or underlying health conditions can affect the healing process. Close postoperative monitoring and appropriate care are crucial to ensure optimal healing and to address any potential complications promptly.

Time frame: 2 month

Data from ClinicalTrials.gov

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