Two cases of benign tracheo-gastric fistula following esophagectomy for cancer.

K. Kalmár, T. F. Molnár, O. Horvath

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Two successfully managed cases of esophageal replacement for cancer complicated by neoesophagotracheal fistula are described. In both cases radical esophagectomy with a gastric pull-up was performed. In the postoperative period different complications necessitated prolonged ventilatory support and tracheostomy. In both cases a tracheo-gastric fistula developed probably because of the ischaemic effort of the tracheostomy tube and the nasogastric tube. At single stage repairs, the fistulae were divided and the gastric defects were closed directly. In the first case resection of four strictured tracheal rings and tracheal anastomosis had to be performed. In the second case the fistula was recognized earlier and stricture did not develop. The defect on the membranous trachea was patched with autologous fascia lata graft. A left pectoralis major muscle flap was interposed between the trachea and the pulled up stomach in both cases to prevent recurrence of the fistula. Treatment of this potentially life-threatening and rare condition yielded excellent results.

Original languageEnglish
Pages (from-to)261-267
Number of pages7
JournalActa Chirurgica Hungarica
Volume38
Issue number3-4
Publication statusPublished - 1999

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Gastric Fistula
Esophagectomy
Fistula
Stomach
Tracheostomy
Trachea
Neoplasms
Pectoralis Muscles
Fascia Lata
Esophageal Neoplasms
Postoperative Period
Pathologic Constriction
Transplants
Recurrence

ASJC Scopus subject areas

  • Surgery

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Two cases of benign tracheo-gastric fistula following esophagectomy for cancer. / Kalmár, K.; Molnár, T. F.; Horvath, O.

In: Acta Chirurgica Hungarica, Vol. 38, No. 3-4, 1999, p. 261-267.

Research output: Contribution to journalArticle

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