Successful Conservative Management of Benign Gastro-Bronchial Fistula After Intrathoracic Esophagogastrostomy

Davide Bona, Dario Sarli, Greta Saino, Matteo Quarenghi, Luigi Bonavina

Research output: Contribution to journalArticlepeer-review

Abstract

Benign gastro-bronchial fistula is a rare and devastating complication of esophagectomy with gastric replacement. The most likely cause is a leak from the esophagogastric anastomosis with subsequent mediastinal abscess and rupture into the posterior wall of the tracheobronchial tree. The clinical presentation includes cough upon swallowing, fever, and recurrent pneumonia. Early surgical treatment is the standard of care. A unique case of chronic gastro-bronchial fistula is reported in this article. The patient, a 57-year-old woman, was referred from another hospital after 6 months of symptomatic therapy and total enteral nutrition. A self-expanding esophageal metal stent allowed exclusion of the fistula with symptom relief and return to oral alimentation.

Original languageEnglish
Pages (from-to)1036-1038
Number of pages3
JournalAnnals of Thoracic Surgery
Volume84
Issue number3
DOIs
Publication statusPublished - Sep 2007

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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