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J Thorac Cardiovasc Surg 2006;132:716-717
© 2006 The American Association for Thoracic Surgery

Brief Communication

Repair of gastrotracheal fistula with a pedicled pericardial flap after Ivor Lewis esophagogastrectomy for esophageal cancer

Suk-Won Song, MD, Hyun-Sung Lee, MD, Moon Soo Kim, MD, Jong Mog Lee, MD, Jae Hyun Kim, MD*, Jae Ill Zo, MD, PhD

Center for Lung Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, Republic of Korea.

Received for publication April 25, 2006; accepted for publication May 17, 2006.

* Address for reprints: Jae Ill Zo, MD, PhD, Center for Lung Cancer, National Cancer Center, 809 Madu1-dong, Ilsandong-gu, Goyang, Gyeonggi, 411-769, Korea (Email: jaylzo@ncc.re.kr).

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


Figure 1
Drs J. Lee, H. Lee, Zo, Kim, and Song (left to right)


A benign fistula between the trachea and the intrathoracic stomach after a total esophagectomy is a rare but potentially fatal complication.1Go One such complication occurred in our series of 253 esophagectomies for carcinoma during a 4-year period. The present report describes the successful surgical repair of the fistula with a pedicled pericardial flap.

Clinical Summary

A 73-year-old male patient with a squamous cell carcinoma of the lower third of the esophagus underwent a transthoracic esophagectomy, a 2-field lymphadenectomy, and an intrathoracic esophagogastrostomy through a right-sided thoracotomy. Other than having non–insulin-dependent diabetes mellitus and hypertension, the patient was in good health. The postoperative course was uneventful. The initial esophagogram with barium swallow on the seventh postoperative day showed no evidence of anastomotic leakage or passage disturbance. However, the patient experienced mild coughing with aspiration while swallowing food. Vocal cord examination revealed no evidence of paralysis. Examination with a fiberoptic bronchoscope on the 18th postoperative day . . . [Full Text of this Article]




This article has been cited by other articles:


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Staged Repair of Benign Tracheo-Neo-Esophageal Fistula 12 Years After Esophagectomy for Esophageal Cancer
Ann. Thorac. Surg., December 1, 2010; 90(6): e83 - e85.
[Abstract] [Full Text] [PDF]

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C. Bakhos, S. Alazemi, G. Michaud, and M. DeCamp
STAGED REPAIR OF BENIGN TRACHEO-NEO-ESOPHAGEAL FISTULA 12 YEARS AFTER ESOPHAGECTOMY FOR ESOPHAGEAL CANCER
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[Abstract]


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