title: Staged repair of benign tracheo-neo-esophageal fistula 12 years after esophagectomy for esophageal cancer.
abstract: Benign tracheo-neo-esophageal fistula is a rare complication after esophagectomy. We report a 60-year-old man who presented 12 years after a McKeown esophagectomy with a fistula between the tracheal carina and the gastric conduit. In view of his severe sepsis and profound malnutrition, he underwent placement of a silicon Y-stent with a successful three-stage surgical repair consisting of duodenal exclusion with drainage gastrostomy. Six weeks later, the patient had closure of the fistula through a right thoracotomy. He finally underwent Roux-en-Y gastro-jejunostomy through a left thoraco-abdominal approach to restore the gastrointestinal continuity. Eighteen months postoperatively, he reports no dysphagia and has regained his premorbid weight.
authors.affiliation: Division of Thoracic Surgery, Beth Israel Deaconess Medical Center, Boston, Massachussetts, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Bakhos
authors.forename: Saleh
authors.initials: S
authors.lastname: Alazemi
authors.forename: Gaetane
authors.initials: G
authors.lastname: Michaud
authors.forename: Malcolm M
authors.initials: MM
authors.lastname: DeCamp
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D001999:Bronchoscopy; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects*; D004945:Esophagoscopy; D004947:Esophagus / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*