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Successful Management of a Tracheo-gastric Conduit Fistula after a Three-field Esophagectomy with Combined Sternocleidomastoid Muscle Rotation Flap and Histoacryl Injection Treatment

  • Chung, Yoon Ji (Department of Surgery, College of Medicine, Eunpyeong St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Ji Hyun (Department of Surgery, College of Medicine, Eunpyeong St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Dong Jin (Department of Surgery, College of Medicine, Eunpyeong St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Jin Jo (Department of Surgery, College of Medicine, Eunpyeong St. Mary's Hospital, The Catholic University of Korea)
  • Received : 2020.10.30
  • Accepted : 2020.12.19
  • Published : 2020.12.31

Abstract

Tracheo-gastric conduit fistula is an extremely rare but severe complication that is difficult to manage. Conservative care, esophageal or tracheal stent placement, or cutaneomuscular flaps have been suggested; however, no definite treatment has been proven. We report a case of tracheo-gastric conduit fistula that occurred after a minimally invasive radical three-field esophagectomy. Following the primary surgery, the diagnosis was made while evaluating the patient's frequent aspiration and coughing. Conservative management failed, and a surgical correction was undertaken to identify the multifocal mucosal defect and exposed tracheal ring. A sternocleidomastoid muscle rotation flap and subsequent Histoacryl injection into the remaining fistula were performed, and the fistula was successfully managed.

Keywords

References

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