Tracheoesophageal fistula caused by a self-expanding esophageal stent

Schowengerdt, Carl G.

doi:10.1016/s0003-4975(98)01341-1

Cited by 24 publications

(16 citation statements)

References 2 publications

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“…Benign fistulae may be of greater surgical interest because of their possible curative management. The nonmalignant etiologies include complications of mechanical ventilation [4,6], indwelling tracheal or esophageal stents [7,8], granulomatous mediastinal infections [9], trauma [10], iatrogenic injuries [5], and caustic ingestion [4]. The incidence of acquired TEF is lower in children, and most are caused by foreign body impaction [2,11].…”

Section: Discussionmentioning

confidence: 99%

Management of acquired tracheoesophageal fistula with various clinical presentations

Çiftçi

Karnak

Tanyel

et al. 2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Management of acquired tracheoesophageal fistula with various clinical presentations

Çiftçi

Karnak

Tanyel

et al. 2011

Journal of Pediatric Surgery

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“…However, they sometimes have iatrogenic causes such as metal stents used for esophageal stenosis [4], tracheogastric fi stula from the ischemic effect of the endotracheal tube or nasogastric tube [5], and tracheogastric fi stula after operation for esophageal cancer [6][7][8][9]. Esophageal cancer frequently invades the trachea.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle: a case report

et al. 2008

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When tracheal injury occurs during esophagectomy, it is a very serious and frequently fatal complication. We experienced a case of intractable tracheomediastinal fi stula caused by tracheal injury during esophagectomy that was successfully repaired using a pedicle fl ap of the left pectoralis major muscle. A 55-year-old Japanese man who had congenital right aortic arch was referred to our hospital with a complaint of dysphagia. He had a type 2 carcinoma from the distal part of the cervical esophagus to the upper thoracic esophagus, 4.5 cm in length and attached to the membranous wall of the trachea. Subtotal esophagectomy was performed with left thoracotomy. The tumor adhered tightly to the membranous portion of the trachea, and the trachea was injured during removal of the tumor. The laceration was directly sutured and covered with a latissimus dorsi muscle fl ap. However, a tracheomediastinal fi stula became enlarged and the left subclavian artery became exposed. Repair of the fi stula was performed 31 days after the fi rst operation: a permanent tracheotomy was made, laryngectomy was performed, and the fi stula was fi lled with a pedicle fl ap of the pectoralis major muscle. The postoperative course was uneventful and the patient's general condition improved. The use of a pectoralis major muscle fl ap was effective for repairing the tracheomediastinal fi stula.

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“…Other reports have indicated that complications and mortality are increased in patients after chemoradiotherapy, photodynamic therapy and brachytherapy [13,16]. There also have been multiple reports of stent erosion into the aorta [1,27], bronchus [9,11,26], pericardium [7], common carotid artery [14], small bowel [10], and epidural space [4], increasing concerns regarding their application in patients without finite life expectations.…”

Section: Discussionmentioning

confidence: 99%