Repair of a complex bronchogastric fistula after esophagectomy with biologic mesh

Bradley N Reames, Jules Lin

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Bronchogastric conduit fistula is a rare and potentially fatal complication after esophagectomy for esophageal cancer. We report a case of a patient transferred to our institution with a complex bronchogastric conduit fistula after a thoracoscopic three-hole esophagectomy for midesophageal squamous cell carcinoma. The defect involved the entire membranous airway of the bronchus intermedius, with a 15-cm dehiscence of the gastric conduit staple line. This was successfully reconstructed with a single-stage repair by use of an Alloderm patch reinforced with an intercostal muscle flap. At postoperative follow-up the patient is doing well and tolerating a regular diet without dysphagia.

Original languageEnglish (US)
Pages (from-to)1096-1097
Number of pages2
JournalAnnals of Thoracic Surgery
Volume95
Issue number3
DOIs
StatePublished - Mar 1 2013

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Esophagectomy
Fistula
Intercostal Muscles
Bronchi
Esophageal Neoplasms
Deglutition Disorders
Squamous Cell Carcinoma
Stomach
Diet
Alloderm

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

Repair of a complex bronchogastric fistula after esophagectomy with biologic mesh. / Reames, Bradley N; Lin, Jules.

In: Annals of Thoracic Surgery, Vol. 95, No. 3, 01.03.2013, p. 1096-1097.

Research output: Contribution to journalArticle

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