Esophageal bypass using a gastric tube for a malignant tracheoesophageal/bronchoesophageal fistula: a report of 4 cases.

Tracheoesophageal/bronchoesophageal fistulas are often caused by locally advanced esophageal cancer and lung cancer, and result in life-threatening conditions such as severe cough and dyspnea due to pneumonia. We herein report the clinical characteristics of 4 patients with tracheoesophageal/bronchoesophageal fistulas. All patients were men, and ranged in age from 40-69 years. Three patients had esophageal cancer and 1 had lung cancer. All 4 underwent esophageal bypass using a gastric tube with tube drainage of the distal side of the esophagus. Three patients died at 3, 4, and 5 months after surgery. However, these patients were allowed to enjoy food orally up until the last few days of life. One patient who underwent esophageal bypass and chemoradiotherapy has remained well for 5 years without any evidence of recurrence. This bypass procedure is therefore considered to be a feasible treatment choice for patients with tracheoesophageal/bronchoesophageal fistulas.

[1]  D. Wigle,et al.  Surgical management of acquired nonmalignant tracheoesophageal and bronchoesophageal fistulae. , 2010, The Annals of thoracic surgery.

[2]  A. Turkyilmaz,et al.  Complications of Metallic Stent Placement in Malignant Esophageal Stricture and Their Management , 2010, Surgical laparoscopy, endoscopy & percutaneous techniques.

[3]  K. Sugio,et al.  Congenital tracheoesophageal fistula in an elderly patient with thoracic empyema , 2009, General thoracic and cardiovascular surgery.

[4]  B. Memon,et al.  Outcome of palliative esophageal stenting for malignant dysphagia: a retrospective analysis. , 2009, Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus.

[5]  Lei Liu,et al.  Comparative study of different treatments for malignant tracheoesophageal/bronchoesophageal fistulae. , 2009, Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus.

[6]  Y. Nishimura,et al.  Concurrent chemoradiotherapy for esophageal cancer with malignant fistula. , 2008, International journal of radiation oncology, biology, physics.

[7]  Y. Seto,et al.  Esophageal bypass using a gastric tube and a cardiostomy for malignant esophagorespiratory fistula. , 2007, American journal of surgery.

[8]  Y. Nishimura,et al.  Development of severe complications caused by stent placement followed by definitive radiation therapy for T4 esophageal cancer , 2003, International Journal of Clinical Oncology.

[9]  H. Tajiri,et al.  Concurrent chemoradiotherapy for esophageal carcinoma patients with malignant fistulae , 1999, Cancer.