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

P. P. Brega Massone; M. Infante; M. Valente; B. Conti; U. Carboni; I. Cataldo

doi:10.1055/s-2002-26685

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2002; 50(2): 113-116
DOI: 10.1055/s-2002-26685

Case Report

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

Abstract

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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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References

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Pier Paolo Brega MassoneMD

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