Gastrobronchial fistula repair followed by esophageal leak--rescue by transesophageal drainage of the pleural cavity.
A gastrobronchial fistula (GBF) associated with bilateral aspiration pneumonia was diagnosed six years after an esophagectomy with gastric pull-up. After failed surgical repair, an uncontained esophagopleural leak developed. Fistula closure was attempted by implanting a Wilson-Cook endoprosthesis, which quickly became dislodged. Transesophageal drainage was positioned endoscopically through the suture-line defect and led to closure of the leak after 10 days.
Brega Massone
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PP
Oncologic Thoracic Surgery Department, Istituto Nazionale Tumori, Milano, Italy. ppbm@virgilio.it
Infante
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Valente
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Conti
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Carboni
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U
Cataldo
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D000714:Anastomosis, Surgical / Q000009:adverse effects*; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D016145:Endoscopy, Digestive System / Q000379:methods*; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000601:surgery; D013396:Suction / Q000379:methods*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome