title: Repair of a complex bronchogastric fistula after esophagectomy with biologic mesh.
abstract: Bronchogastric conduit fistula is a rare and potentially fatal complication after esophagectomy for esophageal cancer. We report a case of a patient transferred to our institution with a complex bronchogastric conduit fistula after a thoracoscopic three-hole esophagectomy for midesophageal squamous cell carcinoma. The defect involved the entire membranous airway of the bronchus intermedius, with a 15-cm dehiscence of the gastric conduit staple line. This was successfully reconstructed with a single-stage repair by use of an Alloderm patch reinforced with an intercostal muscle flap. At postoperative follow-up the patient is doing well and tolerating a regular diet without dysphagia.
authors: Section of General Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI 48109-5344, USA.
authors: Bradley N
authors: BN
authors: Reames
authors: Jules
authors: J
authors: Lin
mesh_terms: D000368:Aged; D001672:Biocompatible Materials; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003094:Collagen; D003937:Diagnosis, Differential; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects*; D004944:Esophagoplasty / Q000379:methods*; D004945:Esophagoscopy; D005260:Female; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
chemical_list: C440568:Alloderm; D001672:Biocompatible Materials; D003094:Collagen