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http://dx.doi.org/10.5230/jgc.2020.20.e38

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)
Publication Information
Journal of Gastric Cancer / v.20, no.4, 2020 , pp. 454-460 More about this Journal
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
Esophageal cancer; Complication; Fistula;
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