Gastric antral patch oesophagoplasty for iatrogenic tracheo-oesophageal fistula.
Acquired tracheo-oesophageal fistula is a devastating condition, usually occurring as a late manifestation of oesophageal or other thoracic malignancies. In these cases palliation by placement of an oesophageal stent is the preferred option, but management of a large non-malignant fistula is more complex. In many patients in whom primary repair of the defects is not possible oesophagectomy may be seen as the best treatment. We present a case of a large tracheo-oesophageal fistula repaired with a gastric antral patch oesophagoplasty and intercostal muscle flap.
Talbot
Michael L
ML
Department of Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia. m.talbot@unsw.edu.au
Hugh
Thomas B
TB
Spratt
Phillip
P
D000328:Adult; D001241:Aspirin / Q000506:poisoning; D003061:Codeine / Q000506:poisoning; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D015607:Stents; D013270:Stomach / Q000637:transplantation*; D013406:Suicide, Attempted; D013524:Surgical Flaps; D014138:Tracheoesophageal Fistula / Q000209:etiology* / Q000601:surgery*
D001241:Aspirin; D003061:Codeine