ArticleWorld journal of surgery2016
Management of Tracheo- or Bronchoesophageal Fistula After Ivor-Lewis Esophagectomy.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Management of intra-thoracic anastomotic leakages after esophagectomy: updated systematic review and meta-analysis of endoscopic vacuum therapy versus stenting.BMC surgery · 2022Pooled it
- Staged Airway Stenting for Life-Threatening Tracheogastric Fistula (TGF) After Esophagectomy: A Case Report.Clinical case reports · 2026Article
- Technical Approach to Repair of Tracheogastric Conduit Fistula Following Minimally Invasive Esophagectomy: A Case Report.The American journal of case reports · 2026Article
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- Multidisciplinary management of a complex case of postesophagectomy tracheoesophageal fistula.JTCVS techniques · 2025Article
- Article
- Unusual Surgical Repair of Bronchoesophageal Fistula Following Esophagectomy.Diagnostics (Basel, Switzerland) · 2024Article
- Tracheoesophageal fistula due to Candida and Actinomyces co-infection: A case report and comprehensive review of the literature.European journal of microbiology & immunology · 2024Article
- Management of neo-esophagus-airway fistula after esophagectomy for oesophageal cancer: systematic literature review and meta-analysis.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- The final plug: novel use of vascular plug for management of bronchoesophageal fistula.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024Article
- Surgical cervicothoracic-flap repair of neoesophagus-airway fistula after esophagectomy for esophageal cancer: A retrospective cohort study.JTCVS techniques · 2024Article
- Surgical treatment of esophago-tracheobronchial fistulas after esophagectomy.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024Article
- Treatment of Esophago-Airway Fistula after Esophageal Resection.Healthcare (Basel, Switzerland) · 2023Article
- Successful repair of acquired intrathoracic nonmalignant tracheoesophageal fistulas using thoracoacromial artery perforator flap through a midsternal incision approach: a report of three cases.Journal of thoracic disease · 2023Article
- Endoscopic Vacuum Therapy for Treating an Esophago-Pulmonary Fistula after Esophagectomy: A Case Report and Review of the Literature.Visceral medicine · 2023Article
- Endoscopic Vacuum Therapy (EVT) versus Self-Expandable Metal Stent (SEMS) for Anastomotic Leaks after Upper Gastrointestinal Surgery: Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2023Review
- Management of aero-digestive fistulas in adults: the bronchoscopist's perspective.Mediastinum (Hong Kong, China) · 2023Review
- Anesthesia management for tracheoesophageal fistula closed with a new gastrointestinal occluder device: a case report.Journal of cardiothoracic surgery · 2022Article
- Adequate Management of Postoperative Complications after Esophagectomy: A Cornerstone for a Positive Outcome.Cancers · 2022Review
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Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe development of tracheo- or bronchoesophageal fistula (TBF) after Ivor-Lewis esophagectomy remains to be a rare complication associated with a high mortality rate.
methodsIn this retrospective study, the charts of patients with TBF after esophagectomy were analyzed in terms of individual patient characteristics, esophagotracheal complications, respiratory function, management, and outcome.
resultsBetween January 2000 and December 2014, 1204 patients underwent Ivor-Lewis esophagectomy for esophageal cancer; 13 patients (1.1 %) developed a TBF. In all 13 patients, a concomitant leakage of the intrathoracic esophagogastrostomy was evident, either prior to diagnosis of TBF (metachronous TBF) or simultaneously (synchronous TBF). TBF was predominantly located in the left main bronchus (n = 6, 46.1 %) or trachea (n = 5, 38.5 %). Management of TBF included re-thoracotomy (n = 7), interventional endoscopic (n = 10) or bronchoscopic therapy (n = 4). In the majority of patients (n = 8), management consisted of two subsequent treatment modalities. In 3 out of four patients, TBF was successfully treated by endoscopic stenting only. Five patients (38.5 %) died following a septic course with multiple organ failure.
conclusionsThe development of TBF after Ivor-Lewis esophagectomy is always combined with anastomotic leakage of the esophagogastrostomy. Treatment options primarily depend on the vascularization of the gastric conduit, the severity of the concomitant aspiration pneumonia, and the volume of the air leakage.
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