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Open Access 01-12-2014 | Case report

Single-stage surgical repair of airway gastric fistula after esophagectomy

Authors: Hui Shi, Wen-Ping Wang, Qiang Gao, Long-Qi Chen

Published in: Journal of Cardiothoracic Surgery | Issue 1/2014

Abstract

Airway gastric fistula (AGF) is a rare but catastrophic complication after esophagectomy. Surgical repair with viable tissue interposed between the airway and alimentary tracts remains the definitive treatment. However, it is challenging for surgeons, and only anecdotally described in sporadic case reports due to the complexity of the techniques necessary for successful surgical intervention. Here, we report two cases successfully managed via single-stage surgical re-exploration. On outpatient follow-up, the two Chinese patients were progressing satisfactorily without complaint of any dyspnea or dysphagia.

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Sahebazamani M, Rubio E, Boyd M: Airway gastric fistula after esophagectomy for esophageal cancer. Ann Thorac Surg. 2012, 93 (3): 988-990. 10.1016/j.athoracsur.2011.06.052.CrossRefPubMed

Schweigert M, Dubecz A, Beron M, Muschweck H, Stein H: Management of anastomotic leakage-induced tracheobronchial fistula following oesophagectomy: the role of endoscopic stent insertion. Eur J Cardiothorac Surg. 2012, 41 (5): 74-80. 10.1093/ejcts/ezr328.CrossRef

Han Y, Liu K, Li X-F, Wang X-P, Zhou Y-G, Gu Z-P, Ma Q-F, Tao J, Huang L-J, Zhang T, Chen Q-S: Repair of massive stent-induced tracheoesophageal fistula. J Thorac Cardiovasc Surg. 2009, 137 (4): 813-817. 10.1016/j.jtcvs.2008.07.050.CrossRefPubMed

Muniappan A, Wain JC, Wright CD, Donahue DM, Gaissert H, Lanuti M, Mathisen DJ: Surgical treatment of nonmalignant tracheoesophageal fistula: a thirty-five year experience. Ann Thorac Surg. 2013, 95 (4): 1141-1146. 10.1016/j.athoracsur.2012.07.041.CrossRefPubMed

Repici A, Presbitero P, Carlino A, Strangio G, Rando G, Pagano N, Romeo F, Rosati R: First human case of esophagus-tracheal fistula closure by using a cardiac septal occluder (with video). Gastrointest Endosc. 2010, 71 (4): 867-869. 10.1016/j.gie.2009.08.036.CrossRefPubMed

Reames BN, Lin J: Repair of a complex bronchogastric fistula after esophagectomy with biologic mesh. Ann Thorac Surg. 2013, 95 (3): 1096-1097. 10.1016/j.athoracsur.2012.07.056.CrossRefPubMed

Takimoto K, Toyonaga T, Matsuyama K: Endoscopic tissue shielding to prevent delayed perforation associated with endoscopic submucosal dissection for duodenal neoplasms. Endoscopy. 2012, 44 (Suppl 2): 414-415.

Title: Single-stage surgical repair of airway gastric fistula after esophagectomy
Authors: Hui Shi
Wen-Ping Wang
Qiang Gao
Long-Qi Chen
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2014
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-9-30

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Single-stage surgical repair of airway gastric fistula after esophagectomy

Abstract

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Abstract

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