SynthesisThe Journal of international medical research2020
Management of thoracogastric airway fistula after esophagectomy for esophageal cancer: A systematic literature review.
Synthesis in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Update on therapeutic strategy for esophageal anastomotic leak: A systematic literature review.Thoracic cancer · 2023Pooled it
- Late-onset thoracogastric airway fistula after esophagectomy for esophageal cancer: a narrative review.Journal of thoracic disease · 2026Review
- Individualized Stent for Tracheal Fistula Complicating Tracheostomy Following Esophagectomy.Respirology 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
- Effective management of cervical anastomotic leakage post-esophageal cancer surgery using negative pressure wound therapy with saline instillation: A case report.Asia-Pacific journal of oncology nursing · 2025Article
- Conservative Management of a Rare Gastrobronchial Fistula Following Minimally Invasive Esophagectomy: A Case Report.Cureus · 2025Article
- A practical approach to the post esophagectomy CT: expected postoperative anatomy and anatomical approach to associated complication.Emergency radiology · 2025Review
- Endoluminal Wound Vacuum Therapy: A Paradigm Shift in Managing Esophageal Bronchial Fistula.Annals of thoracic surgery short reports · 2024Article
- Surgical repair of benign thoracogastric airway fistula after esophagectomy using a pedicled myocutaneous flap.Journal of thoracic disease · 2024Article
- Efficiency and Complications of Esophageal Stenting in the Management of Postoperative Fistulas.Journal of clinical medicine · 2024Article
- Successful surgical treatment for aortoenteric fistula after esophagectomy: a case report.General thoracic and cardiovascular surgery cases · 2024Article
- Management of neo-esophagus-airway fistula after esophagectomy for oesophageal cancer: systematic literature review and meta-analysis.Interdisciplinary cardiovascular and thoracic surgery · 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
- Duodenal diversion surgery in management of intractable tracheobroncho-gastric fistula after esophagectomy.General thoracic and cardiovascular surgery cases · 2023Article
- Covered SEMS failed to cure airway fistula closed by an amplatzer device.BMC pulmonary medicine · 2023Article
- Article
- Adequate Management of Postoperative Complications after Esophagectomy: A Cornerstone for a Positive Outcome.Cancers · 2022Review
- The clinical characteristics, treatments and prognosis of post-esophagectomy airway fistula: a multicenter cohort study.Translational lung cancer research · 2022Article
- Article
- Case Report: Differential lung ventilation with jet ventilationFrontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracogastric airway fistula (TGAF) is a serious complication of esophagectomy for esophageal cancer. We conducted a systematic review of the appropriate therapeutic options for acquired TGAF.
methodsWe performed a literature search to identify relevant studies from PubMed, EMBASE, and Web of Science using the search terms "gastric airway fistula", "gastrotracheal fistula", "gastrobronchial fistula", "tracheogastric fistula", "bronchogastric fistula", "esophageal cancer", and "esophagectomy".
resultTwenty-four studies (89 patients) were selected for analysis. Cough was the main clinical presentation of TGAF. The main bronchus was the most common place for fistulas (53/89), and 29 fistulas occurred in the trachea. Almost 73% (65/89) of patients underwent non-surgical treatment of whom 87.7% (57/65) received initial fistula closure. Twenty-three patients underwent surgery, including 19 (82.6%) with initial closure. The 1-, 2-, 3-, 6-, and 9-month survival rates in patients who underwent surgical repair were 95.65%, 95.65%, 82.61%, 72.73%, and 38.10%, respectively, and the equivalent survival rates in patients with tracheal stent placement were 91.67%, 86.67%, 71.67%, 36.96%, and 13.33%, respectively.
conclusionTGAF should be suspected in patients with persistent cough, especially in a recumbent position or associated with food intake. Individualized treatment should be emphasized based on the general condition of each patient.
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