Tracheogastric Fistula : A Rare Complication of Total Laryngopharyngoesophagectomy with Gastric Pull-up Procedure

기관-위 샛길 : 전인두후두식도 절제술후 위를 이용한 재건 후 발생한 드문 합병증 1예

  • Baek, Seung-Jae (Department of Otorhinolaryngology, College of Medicine Kwan Dong University, Myungji Hospital) ;
  • Park, In-Kyu (Department of Thoracic Surgery, Yonsei University College of Medicine) ;
  • Kim, Choong-Bai (Department of Surgery, Yonsei University College of Medicine) ;
  • Choi, Eun-Chang (Department of Otorhinolaryngology, Yonsei University College of Medicine)
  • 백승재 (관동대학교 의과대학 명지병원 이비인후과학교실) ;
  • 박인규 (연세대학교 의과대학 흉부외과학교실) ;
  • 김충배 (연세대학교 의과대학 외과학교실) ;
  • 최은창 (연세대학교 의과대학 이비인후과학교실)
  • Published : 2010.05.31

Abstract

Tracheo-gastric fistula is a very rare late complication of total laryngopharyngoesophagectomy with gastric pull-up procedure. It usually occurs after transhiatal esophagectomy, but it has only rarely been reported after total laryngopharyngoesophagectomy with gastric pull-up procedure. Chronic irritation and gastric ulcer may be the cause of tracheogastric fistula. To prevent fistula formation, active management of gastric ulcer and avoidance of mucosal irritation are necessary. We report a case of a tracheogastric fistula which occurred two years after total laryngopharyngoesophagectomy with gastric pull-up procedure that maybe occurred by chronic irritation and gastric ulcer.

Keywords

References

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