Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual Complication
Gastrotracheal fistula following open transhiatal esophagectomy (Orringer’s technique) for esophageal cancer is an unusual but lethal complication. Surgical intervention with resection of the fistula tract and primary interrupted suturing of gastric and tracheal orifices using a muscle flap interpos...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/728393 |
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| author | Heshmatollah Salahi Mehdi Tahamtan Bijan Ziaian Mansoor Masjedi Zahra Saadati Nazanin Hoseini Elahe Torabi |
| author_facet | Heshmatollah Salahi Mehdi Tahamtan Bijan Ziaian Mansoor Masjedi Zahra Saadati Nazanin Hoseini Elahe Torabi |
| author_sort | Heshmatollah Salahi |
| collection | DOAJ |
| description | Gastrotracheal fistula following open transhiatal esophagectomy (Orringer’s technique) for esophageal cancer is an unusual but lethal complication. Surgical intervention with resection of the fistula tract and primary interrupted suturing of gastric and tracheal orifices using a muscle flap interposition has proved to be a successful method. We report the case of a 73-year-old male with an adenocarcinoma of the distal part of the esophagus, who underwent open transhiatal esophagectomy (Orringer’s technique) with gastric tube reconstruction and cervical anastomosis. The patient did not receive induction chemoradiotherapy before the esophagectomy. Two attempts of surgical repair of fistula failed and the patient died. Being aware of warning signs such as dyspnea and respiratory distress accompanied by bilious content in the tracheal tube is helpful in the early detection and treatment of this type of fistula. |
| format | Article |
| id | doaj-art-ee33bf33e2014923981afb8b59217dee |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ee33bf33e2014923981afb8b59217dee2025-02-03T05:43:43ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/728393728393Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual ComplicationHeshmatollah Salahi0Mehdi Tahamtan1Bijan Ziaian2Mansoor Masjedi3Zahra Saadati4Nazanin Hoseini5Elahe Torabi6Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Thoracic Surgery, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, IranShiraz University of Medical Sciences, Shiraz, IranShiraz University of Medical Sciences, Shiraz, IranDepartment of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, IranGastrotracheal fistula following open transhiatal esophagectomy (Orringer’s technique) for esophageal cancer is an unusual but lethal complication. Surgical intervention with resection of the fistula tract and primary interrupted suturing of gastric and tracheal orifices using a muscle flap interposition has proved to be a successful method. We report the case of a 73-year-old male with an adenocarcinoma of the distal part of the esophagus, who underwent open transhiatal esophagectomy (Orringer’s technique) with gastric tube reconstruction and cervical anastomosis. The patient did not receive induction chemoradiotherapy before the esophagectomy. Two attempts of surgical repair of fistula failed and the patient died. Being aware of warning signs such as dyspnea and respiratory distress accompanied by bilious content in the tracheal tube is helpful in the early detection and treatment of this type of fistula.http://dx.doi.org/10.1155/2015/728393 |
| spellingShingle | Heshmatollah Salahi Mehdi Tahamtan Bijan Ziaian Mansoor Masjedi Zahra Saadati Nazanin Hoseini Elahe Torabi Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual Complication Case Reports in Surgery |
| title | Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual Complication |
| title_full | Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual Complication |
| title_fullStr | Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual Complication |
| title_full_unstemmed | Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual Complication |
| title_short | Gastrotracheal Fistula as a Result of Transhiatal Esophagectomy for Esophageal Cancer: An Unusual Complication |
| title_sort | gastrotracheal fistula as a result of transhiatal esophagectomy for esophageal cancer an unusual complication |
| url | http://dx.doi.org/10.1155/2015/728393 |
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