Single-stage surgical repair of airway gastric fistula after esophagectomy.

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.

• Authors: Hui Shi, Wen-Ping Wang, Qiang Gao, Long-Qi Chen
• Journal: Journal of cardiothoracic surgery (J Cardiothorac Surg) Vol. 9 Pg. 30 (Feb 08 2014) ISSN: 1749-8090 [Electronic] England
• PMID: 24506968 (Publication Type: Case Reports, Journal Article)

Topics

• Anastomosis, Surgical (methods)
• Bronchial Fistula (diagnosis, etiology, surgery)
• Bronchoscopy
• Endoscopy, Gastrointestinal
• Esophageal Neoplasms (surgery)
• Esophagectomy (adverse effects)
• Esophagus (surgery)
• Follow-Up Studies
• Gastric Fistula (diagnosis, etiology, surgery)
• Humans
• Male
• Middle Aged
• Postoperative Complications
• Reoperation
• Suture Techniques