Tracheoesophagogastric anastomosis fistula: a rare complication of esophagectomy.
Fistulas between trachea and esophagogastric anastomosis after esophagectomy are uncommon. We describe 2 patients with such a lesion successfully managed with single-stage repair. The fistula was divided, the tracheal defect was closed directly or with a free pericardial graft, and the esophagogastric anastomosis was redone. A muscle or pleural flap was used to separate the tracheal and digestive suture lines. This treatment of a potentially life-threatening condition yielded excellent results without postoperative complications.
Marty-Ané
C H
CH
Service de Chirurgie Thoracique et Vasculaire, Hospital Arnoud de Villeneuve, Centre hospitalier Universitaire, Montpellier, France.
Prudhome
M
M
Fabre
J M
JM
Domergue
J
J
Balmes
M
M
Mary
H
H
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects*; D005747:Gastric Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation; D010496:Pericardium / Q000637:transplantation; D010994:Pleura / Q000637:transplantation; D013524:Surgical Flaps; D014138:Tracheoesophageal Fistula / Q000209:etiology*