Document Detail


Surgical repair of esophagobronchial fistula caused by radiation injury.
MedLine Citation:
PMID:  15143909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Department of Gastroenterological Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan. fuku@eva.hi-ho.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Bronchial Fistula / etiology,  surgery*
Carcinoma, Squamous Cell / radiotherapy
Esophageal Fistula / etiology,  surgery*
Esophageal Neoplasms / radiotherapy
Humans
Male
Middle Aged
Radiation Injuries / etiology,  surgery*
Radiotherapy / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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