Esophageal patching for an unsuturable tracheoesophageal fistula.
We herein report a case of unsuturable tracheoesophageal fistula developed after chemotherapy of a mediastinal lymphoma. Esophageal exclusion was primary performed to prevent continued contamination of the respiratory tract. In a second stage procedure the fistula was patched with the esophageal posterior wall and the digestive tract was restored by a substernal colic bypass. This case leads to discuss the management of extrinsic tumoral tracheal compression and reminds us of an old reported procedure for the cure of large tracheoesophageal fistula.
Jougon
J
J
Service de chirurgie thoracique. Pr. J.F. VELLY, Hôpital du Haut-Lévêque, Bordeaux, PESSAC, France.
Couraud
L
L
D000328:Adult; D000714:Anastomosis, Surgical; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use; D003106:Colon / Q000601:surgery; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000188:drug therapy; D008479:Mediastinal Neoplasms / Q000188:drug therapy; D017792:Surgical Stapling; D013536:Suture Techniques; D014135:Tracheal Stenosis / Q000628:therapy; D014138:Tracheoesophageal Fistula / Q000139:chemically induced / Q000601:surgery*