Successful Management of a Tracheogastric Conduit Fistula after a Threefield Esophagectomy with Combined Sternocleidomastoid Muscle Rotation Flap and Histoacryl Injection Treatment
- Author:
Yoon Ji CHUNG
1
;
Ji Hyun KIM
;
Dong Jin KIM
;
Jin Jo KIM
Author Information
- Publication Type:Case Report
- From:Journal of Gastric Cancer 2020;20(4):454-460
- CountryRepublic of Korea
- Language:English
- Abstract: Tracheo-gastric conduit fistula is an extremely rare but severe complication that is difficult to manage. Conservative care, esophageal or tracheal stent placement, or cutaneomuscular flaps have been suggested; however, no definite treatment has been proven. We report a case of tracheo-gastric conduit fistula that occurred after a minimally invasive radical three-field esophagectomy. Following the primary surgery, the diagnosis was made while evaluating the patient's frequent aspiration and coughing. Conservative management failed, and a surgical correction was undertaken to identify the multifocal mucosal defect and exposed tracheal ring. A sternocleidomastoid muscle rotation flap and subsequent Histoacryl injection into the remaining fistula were performed, and the fistula was successfully managed.
