• Ann. Thorac. Surg. · Mar 2013

    Case Reports

    Repair of a complex bronchogastric fistula after esophagectomy with biologic mesh.

    • Bradley N Reames and Jules Lin.
    • Section of General Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI 48109-5344, USA.
    • Ann. Thorac. Surg. 2013 Mar 1; 95 (3): 1096-7.

    AbstractBronchogastric conduit fistula is a rare and potentially fatal complication after esophagectomy for esophageal cancer. We report a case of a patient transferred to our institution with a complex bronchogastric conduit fistula after a thoracoscopic three-hole esophagectomy for midesophageal squamous cell carcinoma. The defect involved the entire membranous airway of the bronchus intermedius, with a 15-cm dehiscence of the gastric conduit staple line. This was successfully reconstructed with a single-stage repair by use of an Alloderm patch reinforced with an intercostal muscle flap. At postoperative follow-up the patient is doing well and tolerating a regular diet without dysphagia.Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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