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The Journal of Cardiovascular Surgery 2000 October;41(5):787-90

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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.