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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

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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