[A case report of esophageal carcinoma developing esophago-brochial fistula successfully treated by esophageal bypass surgery].
We have experienced a case of esophageal carcinoma developing esophago-bronchial fistula that was successfully treated by esophageal bypass surgery followed by chemo-radiation. A man aged 64 years old with developed esophago- bronchial fistula after initial chemo-radiation was undergone a gastric bypass surgery to separate esophagus and bronchus. Though closure of fistula was just 4 months after definitive chemo-radiation, an oral feeding was possible until the death of the patient. Stent placement for esophageal carcinoma was less invasive treatment though chemo-radiation after a stent placement was accompanied by high incidence of stent associated morbidity. Since esophageal bypass surgery can definitely separate airway from esophagus, chemo-radiation with oral feeding can be easily carried out. Esophageal bypass surgery was a treatment recommendation for the patient with esophageal carcinoma invading trachea or bronchus.
Dept. of Surgery, Tokyo Metropolitan Toshima Hospital.
Takeshi
T
Nagahama
Masayuki
M
Ando
Keiichi
K
Fujiya
Masahiro
M
Nakamura
Jun
J
Takasaki
Yoshihisa
Y
Watayou
Hidetoshi
H
Amagasa
Hideaki
H
Ganno
Toshiaki
T
Kurokawa
Katsunori
K
Ami
Akira
A
Fukuda
Kuniyoshi
K
Arai
D001983:Bronchial Fistula / Q000473:pathology*; D059248:Chemoradiotherapy; D013505:Digestive System Surgical Procedures; D004938:Esophageal Neoplasms / Q000601:surgery* / Q000628:therapy; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness