CASE REPORT: POST-CARDIOPLASTY GROHNDAL FISTULA WITH ANTRECTOMY AND ROUX-EN-Y RECONSTRUCTION (SERRA DÓRIA TECHNIQUE) - ENDOSCOPIC VACUUM APPROACH AS AUXILIARY THERAPY

Abstract

Case report of a 63-year-old male patient diagnosed with Chagas disease group IV megaesophagus who underwent elective surgery using the Grohndal technique, antrectomy, and Roux-en-Y reconstruction (Serra Dória). He developed an esophageal fistula postoperatively, which was managed with surgical drainage and, subsequently, with endoscopic vacuum, the tube being manually created. The patient showed progressive clinical improvement, with resolution of the infectious condition and hospital discharge. This case illustrates the applicability and safety of endoluminal negative pressure therapy in complex postoperative settings.

DOI: https://doi.org/10.56238/sevened2025.037-043