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Gastrobronchial fistula repair followed by esophageal leak--rescue by transesophageal drainage of the pleural cavity.
Oncologic Thoracic Surgery Department, Istituto Nazionale Tumori, Milano, Italy. ppbm@virgilio.it
A gastrobronchial fistula (GBF) associated with bilateral aspiration pneumonia was diagnosed six years after an esophagectomy with gastric pull-up. After failed surgical repair, an uncontained esophagopleural leak developed. Fistula closure was attempted by implanting a Wilson-Cook endoprosthesis, which quickly became dislodged. Transesophageal drainage was positioned endoscopically through the suture-line defect and led to closure of the leak after 10 days.
PMID: 11981718 [PubMed - indexed for MEDLINE]
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Cited by 1 PubMed Central article