ArticleJournal of thoracic disease2020
The classification and treatment strategies of post-esophagectomy airway-gastric fistula.
Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 17 citations in OpenAlex.
- Late-onset thoracogastric airway fistula after esophagectomy for esophageal cancer: a narrative review.Journal of thoracic disease · 2026Review
- Staged Airway Stenting for Life-Threatening Tracheogastric Fistula (TGF) After Esophagectomy: A Case Report.Clinical case reports · 2026Article
- Conservative Management of a Rare Gastrobronchial Fistula Following Minimally Invasive Esophagectomy: A Case Report.Cureus · 2025Article
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- Surgical repair of benign thoracogastric airway fistula after esophagectomy using a pedicled myocutaneous flap.Journal of thoracic disease · 2024Article
- Unusual Surgical Repair of Bronchoesophageal Fistula Following Esophagectomy.Diagnostics (Basel, Switzerland) · 2024Article
- Efficiency and Complications of Esophageal Stenting in the Management of Postoperative Fistulas.Journal of clinical medicine · 2024Article
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- Treatment of Esophago-Airway Fistula after Esophageal Resection.Healthcare (Basel, Switzerland) · 2023Article
- Duodenal diversion surgery in management of intractable tracheobroncho-gastric fistula after esophagectomy.General thoracic and cardiovascular surgery cases · 2023Article
- Endoscopic Vacuum Therapy for Treating an Esophago-Pulmonary Fistula after Esophagectomy: A Case Report and Review of the Literature.Visceral medicine · 2023Article
- 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
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- Three-step operation for esophago-left bronchial fistula with respiratory failure after esophagectomy: a case report with literature review.BMC gastroenterology · 2021Review
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAirway-gastric fistulas (AGFs) are rare but life-threatening complications after esophagectomy for esophageal cancer. Their effective and reasonable management is challenging and still controversial. This study reports the classification and management strategies of post-esophagectomy AGF based on a retrospective analysis of 26 cases in two large volume centers in China.
methodsBetween January 2000 and December 2017, 6,316 consecutive patients with esophageal carcinoma underwent esophagectomy. AGF was verified in 26 patients. The patients with AGF were divided into two types based on the anatomic characteristics of the fistula. Type I was characterized by the presence of fistula orifices in digestive tract that were higher than those in the airway and were treated with conservative management. Type II had both fistula orifices located on the same horizontal plane and were treated with surgical management. Pearson Chi-Square (R software) was used to compare mortality rates.
resultsFrom January 2000 and December 2017, 26 cases occurred AGF in 6,316 consecutive patients with esophageal carcinoma underwent esophagectomy and the incidence of AGF was 0.4%. Ten of 12 patients with type I AGF survived. Nine of 14 patients with type II AGF died. There was a significantly difference in the mortality rates between patients with AGF type I and II, which was 16.7% (2/12) and 64.3% (9/14) (χ
conclusionsAGF may be classified into two types according to the anatomic characteristics. Type I patients may be cured by conservative management and type II patients, require surgical intervention with pedicled tissues flap wrapping of the airway.
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