Gastrotracheal fistula: a late complication after transhiatal esophagectomy.
A 51-year-old woman underwent a transhiatal esophagectomy for a failed antireflux procedure. She did well for 15 months, when she developed evidence of hemoptysis followed by tracheogastric fistula. She underwent operative repair with the use of a pericardial patch to replace the membranous trachea and interposition of a latissimus dorsi flap to isolate the stomach from the tracheal suture line. She has done well after this operation.
Kron
I L
IL
Department of Surgery, University of Virginia Medical Center, Charlottesville 22908.
Johnson
A M
AM
Morgan
R F
RF
D004947:Esophagus / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D005747:Gastric Fistula / Q000209:etiology* / Q000601:surgery; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery; D013524:Surgical Flaps; D014132:Trachea / Q000601:surgery; D014133:Tracheal Diseases / Q000209:etiology* / Q000601:surgery