Document Detail

Surgical repair of esophagobronchial fistula caused by radiation injury.
MedLine Citation:
PMID:  15143909     Owner:  NLM     Status:  MEDLINE    
We present an unusual case of a benign esophagobronchial fistula caused by radiotherapy to treat esophageal carcinoma which was closed successfully. A 62-year-old man with superficial squamous cell carcinoma of the esophagus underwent radiotherapy, including 60 Gy externally and 10 Gy intraluminally from January to March 1995. Esophagography revealed a fistula between the esophagus and left main stem bronchus on January 14, 1996. No residual cancer existed. Neither stenting with a silicone tube nor with a covered flexible metallic stent occluded the fistula. Thoracic esophagectomy, closure of the esophagobronchial fistula using a 2-cm nubbin of esophageal wall, surrounding the orifice of the fistula and antesternal gastric pull-through reconstruction with mediastinal lymphadenectomy were performed. The postoperative course was uneventful and there is no evidence of recurrence of the fistula or the cancer 5 years postoperatively. Radiotherapy may cause esophagobronchial fistula even in cases of superficial esophageal cancer. Bypass surgery should be considered because stenting is not effective for benign fistula without stricture.
Kenichiro Fukuhara; Harushi Osugi; Taigo Tokuhara; Nobuyasu Takada; Masashi Takemura; Shigeru Lee; Masakatsu Ueno; Yoshinori Tanaka; Yushi Fujiwara; Satoshi Nishizawa; Yukie Hashimoto; Hiroaki Kinoshita
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  51     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-05-17     Completed Date:  2004-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  754-6     Citation Subset:  IM    
Department of Gastroenterological Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
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MeSH Terms
Bronchial Fistula / etiology,  surgery*
Carcinoma, Squamous Cell / radiotherapy
Esophageal Fistula / etiology,  surgery*
Esophageal Neoplasms / radiotherapy
Middle Aged
Radiation Injuries / etiology,  surgery*
Radiotherapy / adverse effects

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