• Medicine · Feb 2022

    Case Reports

    Postoperative thoracogastric necrosis associated with thoracogastric-tracheal fistula of an endoscopic McKeown-type resection of esophageal carcinoma: A case report.

    • Yanhong Lu and Zixue Ren.
    • Department of Thoracic Surgery, The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Cancer Hospital), Hefei, China.
    • Medicine (Baltimore). 2022 Feb 4; 101 (5): e28755e28755.

    IntroductionPostoperative thoracogastric necrosis (TGN) associated with thoracogastric-tracheal fistula (TGTF) of an endoscopic McKeown-type resection of esophageal carcinoma is rare and has a poor prognosis and high mortality. Few cases have been reported and successful treatment is rare. Surgery is the major treatment option.Patient ConcernsA 71-year-old man was hospitalized in a local hospital for more than 2 months due to dysphagia. The patient was previously healthy and had no underlying diseases.DiagnosisTGN associated with TGTF of an endoscopic McKeown-type resection of esophageal carcinoma.InterventionTwo-stage surgeries were performed.OutcomeThe patient recovered well at the time of the follow-up examination on April 4, 2021 with an ECOG score of 0.ConclusionStaging surgery can be an alternative treatment for TGN associated with TGTF of an endoscopic McKeown-type resection of esophageal carcinoma.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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