A case report of esophageal carcinoma developing esophago-brochial fistula successfully treated by esophageal bypass surgery
Nagahama, T.; Ando, M.; Fujiya, K.; Nakamura, M.; Takasaki, J.; Watayou, Y.; Amagasa, H.; Ganno, H.; Kurokawa, T.; Ami, K.; Fukuda, A.; Arai, K.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 38(12): 2405-2407
2011
ISSN/ISBN: 0385-0684 PMID: 22202396 Document Number: 652476
We have experienced a case of esophageal carcinoma developing esophago-bronchial fistula that was successfully treated by esophageal bypass surgery followed by chemo-radiation. A man aged 64 years old with developed esophago- bronchial fistula after initial chemo-radiation was undergone a gastric bypass surgery to separate esophagus and bronchus. Though closure of fistula was just 4 months after definitive chemo-radiation, an oral feeding was possible until the death of the patient. Stent placement for esophageal carcinoma was less invasive treatment though chemo-radiation after a stent placement was accompanied by high incidence of stent associated morbidity. Since esophageal bypass surgery can definitely separate airway from esophagus, chemo-radiation with oral feeding can be easily carried out. Esophageal bypass surgery was a treatment recommendation for the patient with esophageal carcinoma invading trachea or bronchus.