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Case Reports
. 2022 Nov;38(6):648-650.
doi: 10.1007/s12055-022-01381-8. Epub 2022 Jun 14.

Combined pneumonectomy and esophagectomy for radiation-associated broncho-esophageal fistula

Edden Slomowitz  1   2 , Vladimir Tverskov  1 , Ory Wiesel  1
Affiliations
Case Reports

Combined pneumonectomy and esophagectomy for radiation-associated broncho-esophageal fistula

Edden Slomowitz et al. Indian J Thorac Cardiovasc Surg. 2022 Nov.

Abstract

Radiation therapy for broncho-pulmonary malignancies can lead to fistula formation between the digestive and respiratory tracts. Treatment options have been largely palliative in nature. Here, we report a combined pneumonectomy and esophagectomy, followed by staged retrosternal gastric pull-up esophageal reconstruction, for treatment of a broncho-esophageal fistula with good functional outcomes following reconstruction.

Keywords: Bronchial stents; Esophageal injury/perforation; Esophagectomy; Pneumonectomy; Tracheo-esophageal fistula.

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Conflict of interest statement

Conflict of interestThe authors have no financial or proprietary interests in any material discussed in this article.

Figures

Fig. 1
Fig. 1
A Esophageal opening of the broncho-esophageal fistula at 28 cm from the incisors. Arrow pointing to the fistula. B Fistula at the proximal left main stem bronchus covered by bronchial stent
Fig. 2
Fig. 2
Axial computed tomography image. Arrow pointing to the fistula
See this image and copyright information in PMC

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