title: Closure of esophagotracheal fistula after esophagectomy for esophageal cancer.
abstract: Fistula between the trachea and esophagogastric anastomosis after esophagectomy is rare. We successfully treated a 75-year-old woman with such a lesion by single-stage repair. The patient had undergone radical esophagectomy 20 years ago, and repeatedly developed aspiration pneumonia for recent 5 years. Radiological and endoscopic examinations demonstrated the fistula between the trachea at the level of sternal notch and esophagogastric anastomosis. The fistula was separated and the defects on both sides were closed. A sternocleidomastoid muscle flap was inserted between the two structures. The postoperative course was uneventful.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Wakayama National Hospital, 1138 Wada, Mihama-chou, Hidaka-gun, Wakayama, 644-0044, Japan.
authors.forename: Junji
authors.initials: J
authors.lastname: Arimoto
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Wakayama National Hospital, 1138 Wada, Mihama-chou, Hidaka-gun, Wakayama, 644-0044, Japan. hatada@wakayama-med.ac.jp.
authors.forename: Atsutoshi
authors.initials: A
authors.lastname: Hatada
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Wakayama National Hospital, 1138 Wada, Mihama-chou, Hidaka-gun, Wakayama, 644-0044, Japan.
authors.forename: Mitsumasa
authors.initials: M
authors.lastname: Kawago
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Wakayama National Hospital, 1138 Wada, Mihama-chou, Hidaka-gun, Wakayama, 644-0044, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Nishimura
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Wakayama National Hospital, 1138 Wada, Mihama-chou, Hidaka-gun, Wakayama, 644-0044, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Maebeya
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Okamura
mesh_terms: D000368:Aged; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D014138:Tracheoesophageal Fistula / Q000601:surgery*
keywords: Esophagectomy; Esophagotracheal fistula; Sternocleidomastoid muscle flap