ArticleSurgical case reports2018
Successful repair using thymus pedicle flap for tracheoesophageal fistula: a case report.
Article in Surgical case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Robotic repair of an esophago-left main bronchial fistula using a pedicled autologous pericardial patch and latissimus dorsi muscle flap: a novel technique after chemoradiotherapy for cT4b esophageal cancer.Esophagus : official journal of the Japan Esophageal Society · 2026Article
- A review of management of benign post-esophagectomy respiratory-digestive fistula in esophageal cancer in China.Esophagus : official journal of the Japan Esophageal Society · 2026Review
- Comprehensive Insights into Tracheoesophageal Fistula Pathophysiology, Diagnosis, Treatment, and Future Directions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025Review
- Gastro-tracheal fistula following esophageal cancer surgery through the retrosternal route: a case report.Surgical case reports · 2024Article
- Airway and anesthesia management in tracheoesophageal fistula closure implantation: a single-centre retrospective study.Journal of cardiothoracic surgery · 2024Article
- Anesthesia management for tracheoesophageal fistula closed with a new gastrointestinal occluder device: a case report.Journal of cardiothoracic surgery · 2022Article
- Intraoperative methods for wrapping anastomoses after airway reconstruction: a case series.Translational lung cancer research · 2022Article
- Fascia lata: for the repairment of post-intubation tracheoesophageal fistula.General thoracic and cardiovascular surgery · 2020Article
- [Surgical treatment of esophagotracheal and esophagobronchial fistulas].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Review
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreatment for tracheoesophageal fistula (TEF), a life-threatening complication after esophagectomy, is challenging. CASE PRESENTATION: A 75-year-old man with thoracic esophageal cancer underwent subtotal esophagectomy and gastric tube reconstruction through the post-mediastinal root after neoadjuvant chemotherapy. Owing to postoperative anastomotic leakage, an abscess formed at the anastomotic region. Sustained inflammation from the abscess caused refractory TEF between the esophagogastric anastomotic site and membrane of the trachea, and several conservative therapies for TEF failed. Hence, the patient underwent surgery including division of the fistula, direct suturing of the leakage sites, and reinforcement with the flap of the thymus pedicle. As a result, the abscess and TEF disappeared after surgery and the patient was immediately administered an oral diet and discharged home 103 days after initial surgery.
conclusionsAlthough pedicle flaps for the reinforcement of TEF are usually obtained from muscle or pericardium, these flaps need enough lengths to overcome moving distance. We are the first in the existing literature to have successfully treated TEF with surgical repair using a thymus flap located close to TEF. The thymus pedicle might be another candidate for the reinforcement flap in TEF.
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