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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS THORACIC PAPERS
The Journal of Cardiovascular Surgery 2000 October;41(5):787-90
A rare complication of surgical management for eso-phageal tumor: a non neoplastic belated fistula between stomach and main right bronchus
Brega Massone P. P., Lequaglie C., Ferro F. *, Gallino G. *, Magnani B. **, Conti B., Cataldo I.
From the Department of Thoracic Surgery and *Surgery of Digestive Tract C Unit Istituto Nazionale Tumori, Milan, Italy
**Statistical Unit, IIAARR, Pavia, Italy
The fistula between stomach and bronchus after surgery for cancer of the esophagus is a rare occurrence. We describe a gastric non neoplastic ulceration that arose late after six years from an esophagectomy, with an end-side cervical esophagogastrostomy, for a spinocellular carcinoma. After the partial failure of surgical technique, of the endoscopic treatment and for the bad general conditions of patient we decided to treat the fistula by transluminal drainage. This technique involved a progressive resolution of the fistula, becoming, nowadays, in our division, the preferred treatment for these kinds of postoperative complications.