Repair of massive stent-induced tracheoesophageal fistula

J Thorac Cardiovasc Surg. 2009 Apr;137(4):813-7. doi: 10.1016/j.jtcvs.2008.07.050. Epub 2009 Jan 18.

Abstract

Objective: The purpose of this report was to discuss a new surgical procedure in treating esophageal stent related large tracheoesophageal fistula without tracheal resection.

Methods: Clinical records of 5 patients with esophageal stent-related large tracheoesophageal fistulas treated in this hospital between 1997 and 2006 were reviewed.

Result: All patients had insertion of a covered self-expanding esophageal stent, 1 for benign esophageal stricture and 4 for esophageal perforation resulting from various causes. A double patch technique, in which the esophageal wall was used as a protective patch repairing the defect on the trachea, was performed with an esophagectomy and gastric replacement. No significant complications occurred in the perioperative period. All patients recovered uneventfully.

Conclusions: Use of the adjacent esophageal wall as a patch to close a defect on the trachea is a safe procedure with a favorable outcome. It should therefore be recommended as a reliable surgical procedure in treating massive stent-induced tracheoesophageal fistulas and other complicated tracheoesophageal fistulas that tracheal resection could not safely address. However, the esophagus was damaged to a certain degree.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Esophageal Perforation / therapy
  • Esophageal Stenosis / therapy
  • Esophagectomy
  • Esophagus / injuries
  • Esophagus / transplantation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Stents / adverse effects*
  • Stomach / transplantation
  • Trachea / surgery
  • Tracheoesophageal Fistula / etiology
  • Tracheoesophageal Fistula / surgery*
  • Young Adult