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Updated: Jul 11, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Candida osteo-chondromyelitis complicating thoraco-abdominal esophageal surgery
Giuseppe Sica1, Sara Meissner, Khaled Dawas
1Department of Upper Gastrointestinal Surgery, John Radcliffe Hospital, Oxford, United Kingdom.
Background:
Candida albicans osteo-costochondromyelitis is a rare condition. Such pathology after esophagectomy has not been reported.
Methods:
Report of four cases and review of pertinent English-language literature.
Results:
Four patients underwent esophageal surgery via a left thoraco-abdominal approach between June, 1999 and March, 2000. After complicated post-operative courses, Candida osteomyelitis of the costochondral margin presented initially as a cutaneous sinus.
Conclusions:
All patients responded well to surgical debridement followed by a three-month course of oral fluconazole.
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