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Thorac Cardiovasc Surg 2002; 50(2): 113-116
DOI: 10.1055/s-2002-26685
Case Report
© Georg Thieme Verlag Stuttgart · New York

Gastrobronchial Fistula Repair
Followed by Esophageal Leak -
Rescue by Transesophageal Drainage of the Pleural Cavity

P.  P.  Brega Massone1 , M.  Infante2 , M.  Valente3 , B.  Conti1 , U.  Carboni2 , I.  Cataldo1
  • 1Oncologic Thoracic Surgery Department, Istituto Nazionale Tumori, Milano,
    Italy
  • 2Thoracic Surgery Department, Istituto Clinico Humanitas, Milano, Italy
  • 3Thoracic Surgery Department, Ospedale Monaldi, Naples, Italy
The work was performed at the Oncological Thoracic Surgery of the National Cancer Institute of Milan (Italy).The abstract has been presented to 9th Congress of the European Society of Surgical Oncology (ESSO). Lausanne (Switzerland), June 3 - 6, 1998
Further Information

Publication History

March 19, 2001

Publication Date:
30 April 2002 (online)

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Abstract

A gastrobronchial fistula (GBF) associated with bilateral aspiration pneumonia was diagnosed six years after an esophagectomy with gastric pull-up. After failed surgical repair, an uncontained esophagopleural leak developed. Fistula closure was attempted by implanting a Wilson-Cook endoprosthesis, which quickly became dislodged. Transesophageal drainage was positioned endoscopically through the suture-line defect and led to closure of the leak after 10 days.

Key words

Gastrobronchial fistula - Esophagopleural leak - Cancer of the esophagus

References

  • 1 Brückner M, Grimm H, Nam V C, Soehendra N. Experience with a transnasally fixed endoprosthesis for treating esophageal anastomotic leakage.  Surg Endosc. 1991;  5 185-188
    PubMedGoogle Scholar
  • 2 Jorgensen J O, Hunt D R. Endoscopic Drainage of Esophageal Suture Line Leaks.  Am J Surg. 1993;  165 362-364
    CrossrefPubMedGoogle Scholar
  • 3 Moeller D D, Carpenter P R. Gastrobronchial fistula: case report and review of the English literature.  Am J Gastroenterol. 1985;  80 538-541
    PubMedGoogle Scholar
  • 4 Stal J M, Hanly P J, Darling G E. Gastrobronchial fistula: an unusual complication of esophagectomy.  Ann Thorac Surg. 1994;  58 886-887
    PubMedGoogle Scholar
  • 5 De Backer A I, De Schepper A M, Vaneerdeweg W. Esophagobronchial fistula following redo Nissen fundoplication.  Abdom Imaging. 2000;  25 116-118
    CrossrefPubMedGoogle Scholar
  • 6 Richardson J D, Larson G M, Polk H C. Intrathoracic fundoplication for shortened esophagus. Treacherous solution to a challenging problem.  Am J Surg. 1982;  143 29-35
    CrossrefPubMedGoogle Scholar
  • 7 Wang L S, Huang M H, Huang B S, Chien K Y. Gastric substitution for resectable carcinoma of the esophagus: an analysis of 368 cases.  Ann Thorac Surg. 1992;  53 289-294
    PubMedGoogle Scholar
  • 8 Chong W K, Constant O C. Case report: gastrobronchial fistula.  Clin Radiol. 1990;  41 141-142
    CrossrefPubMedGoogle Scholar
  • 9 McDermot M, Hourihane D OB. Fatal non malignant ulceration in the gastric tube after oesophagectomy.  J Clin Pathol. 1993;  46 483-485
    PubMedGoogle Scholar
  • 10 Yokel R. Mucosal injury and gamma-irradiation produce persistent gastric ulcers in the rabbit.  Gastroenterology. 1991;  100 1201-1205
    PubMedGoogle Scholar
  • 11 Gerzic Z, Rakic S, Randjelovic T. Acquired Benign Esophagorespiratory Fistula: Report of 16 Consecutive Cases.  Ann Thorac Surg. 1990;  50 724-727
    PubMedGoogle Scholar
  • 12 Joseph J T, Krumpe P E. Diagnosis of gastrobronchial fistula by measurement of Bronchial Secretion pH.  Chest. 1989;  96 935-936
    PubMedGoogle Scholar
  • 13 Richardson A J, Tait N, O'Rourke O. Gastrobronchial fistula owing to non malignant causes.  Br J Surg. 1992;  79 331-332
    PubMedGoogle Scholar
  • 14 Mathisen D J, Grillo H C, Wain J C, Hilgenberg A D. Management of Acquired Nonmalignant Tracheoesophageal Fistula.  Ann Thorac Surg. 1991;  52 759-765
    CrossrefPubMedGoogle Scholar

Correspondence

Pier Paolo Brega MassoneMD 

Via Cascina Spelta 24/b

27100 Pavia

Italy

Phone: + 39-2-2390384

Fax: + 39-2-2360486

Email: ppbm@virgilio.it

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