Gastro-tracheal fistula--unusual and life threatening complication after esophagectomy for cancer: a case report.

Journal of Cardiothoracic Surgery
Jane E NardellaEtienne van Vyve

Abstract

A gastro-tracheal fistula following esophagectomy for cancer is a rare but potentially lethal complication. We report the successful surgical closure after failed endoscopic treatment, of a gastro-tracheal fistula following esophago-gastrectomy for cancer after induction chemo-radiotherapy. A 58 year-old male patient presented with a distal third uT3N1 carcinoma of the esophagus. After induction chemo-radiotherapy, he underwent an esophago-gastrectomy with radical lymphadenectomy and reconstruction by gastric pull-up. Immediate postoperative outcome was uneventful. On the 15th postoperative day however, our patient was readmitted in the Intensive Care Unit with severe bilateral basal pneumonia. Three days later a gastro-tracheal fistula was diagnosed upon gastroscopy and bronchoscopy. His good general condition allowed for an endoscopic primary approach which consisted in the insertion of a covered stent in the trachea along with clipping and glueing of the gastric fistular orifice. Two attempts proved unsuccessful. After several weeks of conservative measures, surgical re-intervention through a right thoracotomy with transection of the fistula and closure by primary interrupted sutures of both fistular orifices along with inte...Continue Reading

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Citations

Sep 10, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ninh T NguyenMichael J Stamos
Jun 5, 2012·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Radek VrbaCestmir Neoral
Mar 1, 2012·The Annals of Thoracic Surgery·Mitra SahebazamaniMichael Boyd
Aug 31, 2010·Surgery·Matthew J SchuchertRodney J Landreneau
Jan 1, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Gottumukkala S Raju
Mar 25, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Jonathan M BuscagliaSatish Nagula
Dec 5, 2012·Journal of Bronchology & Interventional Pulmonology·Michael Boyd, Edmundo Rubio
Nov 17, 2015·Clinical Nuclear Medicine·Ismini C MaintaOlivier Rager
Feb 1, 2013·Thoracic Cancer·Juan Ramón Hernández HernándezValentín Núñez Jorge
Jul 1, 2020·Thoracic Surgery Clinics·Jonathan C Yeung
Jan 7, 2021·Lung India : Official Organ of Indian Chest Society·Manoj Kumar Goel

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Methods Mentioned

BETA
pull-up
dissection

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