Disturbed anastomotic healing after esophagectomy: a novel treatment of a benign tracheo-neo-esophageal fistula.
In this report a 65-year-old man is presented who developed a benign tracheo-neo-esophageal fistula 1 month after esophageal resection due to confined leakage of the cervical anastomosis. After unsuccessful conservative treatment, the fistula was partly excised via a cervical approach and a T-drain was inserted in the esophagus, thus creating a new fistula to the skin. Over a period of 8 weeks, the long mediastinal fistula track obliterated, and after removal of the T-drain the (neo-)esophagocutaneous fistula closed rapidly.
Buskens
C J
CJ
Department of Surgery, University of Amsterdam, Antoni van Leeuwenhoek Hospital Amsterdam, The Netherlands. C.J.Buskens@amc.uva.nl
van Coevorden
F
F
Obertop
H
H
van Lanschot
J J B
JJ
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014138:Tracheoesophageal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014945:Wound Healing