Disturbed anastomotic healing after esophagectomy: a novel treatment of a benign tracheo-neo-esophageal fistula.

Abstract

In this report a 65-year-old man is presented who developed a benign tracheo-neo-esophageal fistula 1 month after esophageal resection due to confined leakage of the cervical anastomosis. After unsuccessful conservative treatment, the fistula was partly excised via a cervical approach and a T-drain was inserted in the esophagus, thus creating a new fistula to the skin. Over a period of 8 weeks, the long mediastinal fistula track obliterated, and after removal of the T-drain the (neo-)esophagocutaneous fistula closed rapidly.

• Authors: C J Buskens, F van Coevorden, H Obertop, J J B van Lanschot
• Journal: Digestive surgery (Dig Surg) Vol. 19 Issue 2 Pg. 88-91 ( 2002) ISSN: 0253-4886 [Print] Switzerland
• PMID: 11978991 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright 2002 S. Karger AG, Basel

Topics

• Adenocarcinoma (surgery)
• Aged
• Anastomosis, Surgical
• Esophageal Neoplasms (surgery)
• Esophagectomy (adverse effects)
• Humans
• Male
• Plastic Surgery Procedures (methods)
• Tracheoesophageal Fistula (diagnosis, etiology, surgery)
• Wound Healing