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J Thorac Cardiovasc Surg 2004;127:296-297
© 2004 The American Association for Thoracic Surgery

Brief communication

Gastrobronchial fistula and anastomotic esophagogastric stenosis after esophagectomy for esophageal carcinoma

R. Aguiló Espases, MD, PhDa,*, R. Lozano, MD, PhDa, A. C. Navarro, MDa, F. Regueiro, MDa, E. Tejero, MD, PhDa, J. C. Salinas, MD, PhDa

a Servicio de Cirugía General y Torácica "A," Hospital Clínico Universitario "Lozano Blesa," Zaragoza, Spain

Received for publication July 11, 2003; accepted for publication August 11, 2003.

* Address for reprints: Rafael Aguiló Espases, Servicio de Cirugía General y Torácica "A," Hospital Clínico Universitario "Lozano Blesa," P./San Juan Bosco, 15, Zaragoza 50009, Spain
cgah@hcu-lblesa.es

The first 20% of the full text of this article appears below.

Esophagectomy and esophageal replacement with a gastric tube are the procedures of choice for resectable esophageal carcinoma. Postoperative stricture at the level of the esophagogastric anastomosis is a well-known complication of this procedure.1,2 Much less common is the development of a benign fistula communicating the gastric tube and the airway.3,4

We report the clinical case of a patient in whom successful surgical repair of the 2 complications was simultaneously achieved in a single-staged operation.

Clinical summary

A 51-year-old male patient had epidermoid carcinoma of the middle third of the esophagus. After neoadjuvant chemotherapy and radiation therapy, he underwent total esophagectomy and mediastinal lymphadenectomy through a right-sided thoracotomy. The esophagus was replaced with a gastric tube, and the esophagogastric anastomosis was performed manually in the neck. Postoperatively, the patient had external anastomotic leakage that was managed with full fasting and enteral . . . [Full Text of this Article]




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