scholarly journals Tracheoplasty in a Giant Tracheoesophageal Fistula Caused by a Self-expanding Esophageal Stent. A Case Report.

2002 ◽  
Vol 63 (7) ◽  
pp. 1666-1669
Author(s):  
Hiroshi HOSODA ◽  
Masayuki TOISHI ◽  
Yoshiro FUJIMORI ◽  
Jun IGARASHI ◽  
Hideo MIYAMOTO ◽  
...  
2021 ◽  
Vol 63 (2) ◽  
pp. 233-234
Author(s):  
Shunsuke Fujii ◽  
Sooyoung Lee ◽  
Kaori Okamura ◽  
Makoto Hayashida ◽  
Keiichiro Mizuno

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 162-162
Author(s):  
Hannah Andrae ◽  
Thomas Musholt ◽  
Hauke Lang ◽  
Peter Grimminger

Abstract Background Esophagotracheal perforation is a very severe complication. However, an esophagotracheal perforation caused due to an esophageal stent after anastomotic leakage after ivor-lewis resection, is even more complex and associated with high mortality. Therefore we present a case how we managed a high esophagotracheal perforation and anastomotic leakage after ivor-lewis resection of esophageal cancer, prior treated with neoadjuvant radiochemotherapy. Methods Case report A 71-year old patient was transferred to our center due to an esophagotracheal perforation at the proximal stent—and at 18–20 cm from the front teeth row. The stent had been placed due to anastomotic leakage after ivor-lewis resection. The patient's history began with a squamous cell carcinoma of the esophagus, treated with neoadjuvant radiochemotherapy and followed by ivor-lewis esophagectomy. She developed an anastomotic leakage, which was treated with an esophageal stent. This stent perforated and caused a fistula between the esophagus and the trachea. Results After transfer to our center, we performed a tracheotomia with a tubus blocked, distal of the esophagotracheal fistula, to prevent a respiratory insufficiency. We removed the dislocated stent and induced an endosponge therapy. A prolonged healing process lead to a step-by-step decrease of the anastomotic leakage. Finally, the semicircular hole could be supplied by a fibrin sealant. We resected the fistula via cervical surgery and placed a pectoralis muscle flap between trachea and esophagus. The surgery was performed under steady neuromonitoring control. The postoperative course was uncomplicated. The patient could be extubated with spontaneous breathing. Eleven days after surgery, the patient could be discharged fully enteralised. The stomach interponate could be kept. Half a year later, our patient shows up in our regular consultation, reporting no dysphagia. Conclusion Our experience with endosponge treatment suggests that this is the first choice for successful healing of anastomotic leakage after ivor-lewis resection. A stenting of the esophagus after finding an anastomotic leakage can be considered, but is associated with a risk of further complication. Disclosure All authors have declared no conflicts of interest.


1992 ◽  
Vol 17 (2) ◽  
pp. 103-105 ◽  
Author(s):  
CAROLINE C. CHOW ◽  
EDUARD V. KOTLYAROV ◽  
GEORGE T. FANTRY ◽  
LISA S. PICHNEY

2021 ◽  
Vol 0 ◽  
pp. 0-0
Author(s):  
Daisy Sanchez ◽  
Francisco Tarrazzi ◽  
Scott Harter ◽  
Mark Block ◽  
Syed S. Razi

2004 ◽  
Vol 132 (suppl. 1) ◽  
pp. 115-118
Author(s):  
Mila Kolar ◽  
Zoran Krstic ◽  
Marija Lukac ◽  
Volodja Stankovic ◽  
Marko Kostic

The objective of this article was to present possibilities of percutaneous gastrostomy for management of a newborn with esophageal and duodenal atresia. Percutaneous gastrostomy is the most commonly employed technique for providing long-term enteral nutrition. In adults, it is also method of choice for decompression of digestive tract in palliative treatment of malignant and non malignant diseases. This is a case report of two-day old newborn with esophageal atresia with distal tracheoesophageal fistula and duodenal atresia. Percutaneous decompressive gastrostomy was used as a temporary bridge to definite surgery for management of respiratory dysfunction of this newborn, caused by dilated stomach. Surgical management (esophageal and duodenal reconstructions) as well as intra- and postoperative period were without any complications. Three months after surgical management, the infant is well and without any difficulties.


2021 ◽  
Vol 0 ◽  
pp. 0-0
Author(s):  
Xiaogang Liu ◽  
Qiuyuan Li ◽  
Wei Huang ◽  
Ming Liu ◽  
Haifeng Wang ◽  
...  

1997 ◽  
Vol 33 (5) ◽  
pp. 984
Author(s):  
Chong Soo Kim ◽  
Young Jin Lim ◽  
Chung Su Kim ◽  
Sang Hwan Do ◽  
Chang Gi Kim

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