Staged repair of benign tracheo-neo-esophageal fistula 12 years after esophagectomy for esophageal cancer

Charles Bakhos, Saleh Alazemi, Gaetane Michaud, Malcolm M. Decamp

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Benign tracheo-neo-esophageal fistula is a rare complication after esophagectomy. We report a 60-year-old man who presented 12 years after a McKeown esophagectomy with a fistula between the tracheal carina and the gastric conduit. In view of his severe sepsis and profound malnutrition, he underwent placement of a silicon Y-stent with a successful three-stage surgical repair consisting of duodenal exclusion with drainage gastrostomy. Six weeks later, the patient had closure of the fistula through a right thoracotomy. He finally underwent Roux-en-Y gastro-jejunostomy through a left thoraco-abdominal approach to restore the gastrointestinal continuity. Eighteen months postoperatively, he reports no dysphagia and has regained his premorbid weight.

Original languageEnglish (US)
Pages (from-to)e83-e85
JournalAnnals of Thoracic Surgery
Volume90
Issue number6
DOIs
StatePublished - Dec 2010

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Fingerprint

Dive into the research topics of 'Staged repair of benign tracheo-neo-esophageal fistula 12 years after esophagectomy for esophageal cancer'. Together they form a unique fingerprint.

Cite this