Esophageal bypass surgery as a definitive repair of recurrent acquired benign bronchoesophageal fistula

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F19%3A10394561" target="_blank" >RIV/00064203:_____/19:10394561 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/19:10394561

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=kMZ7NYpR29" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=kMZ7NYpR29</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s13019-019-0902-2" target="_blank" >10.1186/s13019-019-0902-2</a>

Result language

angličtina

Original language name

Esophageal bypass surgery as a definitive repair of recurrent acquired benign bronchoesophageal fistula

Original language description

Background: Acquired benign bronchoesophageal fistula (BEF) is rare and develops as a complication of other diseases, mostly of inflammatory processes and traumas of the chest. The treatment of choice is a surgical repair, which is considered definitive and leads to successful outcomes. However, incidence of recurrence after the primary repair based on limited data is up to 10% and its treatment is challenging. We report a surgical case of a patient with recurrent acquired benign BEF after primary resection and ensuing successful definitive repair with esophageal bypass surgery after temporary esophageal stenting. Case report: A 46-year-old male was referred to our department with a symptomatic left-sided bronchoesophageal fistula as a complication of severe acute necrotizing mediastinitis that originated from odontogenic abscess. Previously, several cervicotomies and bilateral thoracotomy were performed at an external medical facility to manage the acute condition. We performed resection of the fistula through re-thoracotomy. Postprocedural esophagography demonstrated a recurrence of bronchoesophageal communication. Postinflammatory adhesions excluded further repair through thoracotomy, therefore a stent was introduced in the esophagus for 12 weeks. Thereafter, an esophageal bypass surgery using a substernaly interposed gastric conduit was performed and resulted in an excellent long-term outcome. Conclusions: Esophageal bypass surgery using a substernaly interposed gastric conduit may be considered if the standard surgical repair of acquired benign bronchoesophageal fistula is not successful or feasible.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2019

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Cardiothoracic Surgery

ISSN

1749-8090

e-ISSN

—

Volume of the periodical

14

Issue of the periodical within the volume

April

Country of publishing house

GB - UNITED KINGDOM

Number of pages

4

Pages from-to

73

UT code for WoS article

000464879900003

EID of the result in the Scopus database

2-s2.0-85064224634