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J Thorac Cardiovasc Surg 2007;133:1103-1104
© 2007 The American Association for Thoracic Surgery

Brief Communication

Closure of tracheogastric fistula by video-assisted tracheoscopy, direct repair, and self-expandable titanium stent in a patient with total laryngopharyngoesophagectomy

Said Fayoumi, MD*, Samer Sawalhi, MD

King Hussein Cancer Center, Department of Surgery, Amman, Jordan.

Received for publication August 3, 2006; accepted for publication October 23, 2006.

* Address for reprints: Said Fayoumi, MD, Department of Surgery, King Hussein Cancer Center, Amman, Jordan. (Email: Fayoumi@gmail.com).

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

A fistula between the trachea and an oseophagogastric anastamosis after oseophagectomy is uncommon.1Go An alternative means of reconstruction after laryngopharyngo-oseophagectomy should be considered.2Go Kalm’ar and associates3Go used the pectoralis major muscle flap to prevent recurrence of the fistula. The advent of video-assisted technology provided an effective, definitive, and one-stage repair of tracheogastric fistula (TGF).

Clinical Summary

A 33-year-old man was known to have squamous cell carcinoma of the hypopharynx, to have hypertension, and to be a smoker. He reported dysphagia, weight loss, and hoarseness. An endoscopic examination of the . . . [Full Text of this Article]






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Copyright © 2007 by The American Association for Thoracic Surgery.