Iatrogenic esophagobronchial fistula arising in irradiated Barrett's esophagus

Int J Gastrointest Cancer. 2001;30(3):161-3. doi: 10.1385/IJGC:30:3:161.

Abstract

A 47-yr-old male underwent a right upper lobectomy for stage IIB bronchoalveolar carcinoma followed by 4600 Gy of irradiation. One year later a fistula formed from an ulcerated region of Barrett's esophagus into the left main bronchus. Bronchotomy repair with onlay patch intercostal muscle flap and esophageal repair with serratus anterior muscle flap plus postoperative esophageal stent placement for stricture resulted in good functional results.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Bronchiolo-Alveolar / complications
  • Adenocarcinoma, Bronchiolo-Alveolar / radiotherapy*
  • Adenocarcinoma, Bronchiolo-Alveolar / surgery
  • Barrett Esophagus / complications
  • Barrett Esophagus / pathology*
  • Bronchial Fistula / etiology*
  • Bronchial Fistula / surgery*
  • Esophageal Fistula / etiology*
  • Esophageal Fistula / surgery*
  • Humans
  • Iatrogenic Disease*
  • Lung Neoplasms / complications
  • Lung Neoplasms / radiotherapy*
  • Lung Neoplasms / surgery
  • Lymph Node Excision
  • Male
  • Middle Aged
  • Pneumonectomy
  • Radiotherapy / adverse effects
  • Stents
  • Treatment Outcome