A rare complication of surgical management for esophageal tumor: a non neoplastic belated fistula between stomach and main right bronchus.
The fistula between stomach and bronchus after surgery for cancer of the esophagus is a rare occurrence. We describe a gastric non neoplastic ulceration that arose late after six years from an esophagectomy, with an end-side cervical esophagogastrostomy, for a spino-cellular carcinoma. After the partial failure of surgical technique, of the endoscopic treatment and for the bad general conditions of patient we decided to treat the fistula by transluminal drainage. This technique involved a progressive resolution of the fistula, becoming, nowadays, in our division, the preferred treatment for these kinds of postoperative complications.
Brega Massone
P P
PP
Department of Thoracic Surgery, Istituto Nazionale Tumori, Milan, Italy. ppbm@virgilio.it
Lequaglie
C
C
Ferro
F
F
Gallino
G
G
Magnani
B
B
Conti
B
B
Cataldo
I
I
D001983:Bronchial Fistula / Q000209:etiology*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects*; D005747:Gastric Fistula / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged