Advertisement

Thoracostomach–Airway (Trachea/Bronchus) Fistula

  • Kewei RenEmail author
  • Tengfei Li
  • Aiwu Mao
  • Bingyan Liu
Chapter

Abstract

For many years, earlier stages of esophageal cancer and cardiac cancers have been treated using extensive reconstruction. Reconstruction of the upper alimentary tract through the stomach is one of the most important procedures after reconstruction of the esophagus. In 1933, Ohsawa conducted surgery in which the stomach was used for the reconstruction of the resected esophagus. The stomach has become the favoured organ to use for reconstruction after extensive resection of the esophagus because it makes the operation much easier and results in lower mortality and complication rates. At present, in surgeries that involve the esophagus, extensive resection of the esophagus is widely accepted together with esophagogastrostomy above the aortic arch or at the neck. It is performed by pulling up the stomach to the post mediastinum in which the esophagus is located (Fig. 11.1). However, the blood supply and innervation of the thoracostomach are significantly changed after this surgery, and, in addition, tumor residue, recurrence, and injury caused by postoperative cancer can result in various thoracostomach complications.

References

  1. 1.
    Wu G, Zhao M, Han XW. Progress in treatment and diagnosis of thoracostomach -tracheal (principal bronchial) fistula. World Chin J Digestol. 2007;15(24):2572–8.Google Scholar
  2. 2.
    Jiang J, Zheng X, Yu Y, et al. Diagnosis and treatment experience of thoracostomach-bronchi fistula in 5 cases. Med J Natl Defend Forces Southwest China. 2013;23(7):734–5.Google Scholar
  3. 3.
    Han XW, Wu G, Zhao M, et al. Clinical manifestations and computed tomography diagnosis for thoracostomach-airway fistula. World Chin J Digestol. 2007;15(8):905–8.Google Scholar
  4. 4.
    Hui Z, Chen SX, Liu JK, et al. MSCT scanning after swallowing iodine solution and three-dimensional reconstruction in diagnosis of thoracogastric fistula after esophagectomy. Chin J Med Imag Technol. 2013;23(6):949–52.Google Scholar
  5. 5.
    Han X, Wu G, Gao X. The clinical manifestation of thoracostomach-airway fistula and its imaging diagnosis. J Med Res. 2007;36(3):31–2.Google Scholar
  6. 6.
    Han X, Li L, Zhao Y, et al. Individualized airway-covered stent implantation therapy for thoracogastric airway fistula after esophagectomy. Surg Endosc. 2017;31(4):1713–8.CrossRefGoogle Scholar
  7. 7.
    Ye L, Yang P, Zuo Y. Sealing of tracheoesophageal fistula using a Y stent through fiberoptic bronchoscope during general anesthesia under laryngeal mask airway. Int J Clin Exp Med. 2014;7(12):5913.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Fang Y, Li T, Han X, et al. The application of Y-shaped self-expandable covered metal stents in the thoracostomach-airway fistula: a single center, 11 years experiences. Chin J Tuberc Respir Dis. 2015;38(8):562.Google Scholar
  9. 9.
    Heng-Xiang MA, Han XW, Gang WU. Application of covered self-expandable hinged metallic stents in thoracostomach bronchial fistula. Chin Gen Pract. 2011;14:3826–2.Google Scholar
  10. 10.
    Zhang XQ, Liu CW, Dong G, et al. Metal endostents in treating malignant bronchial stenosis, thoracostomach-carina fistula and bronchial remnant fistula after lobectomy. J Interv Radiol. 2007;16(6):390–3.Google Scholar
  11. 11.
    Wang F, Yu H, Zhu MH, et al. Gastrotracheal fistula: treatment with a covered self-expanding Y-shaped metallic stent. World J Gastroenterol. 2015;21(3):1032.CrossRefGoogle Scholar
  12. 12.
    Fang Y, Tengfei LI, Han X. The integrated place of Y-shaped self-expandable covered metal stents (Y-shaped SECMS) in the management of complex thoraco-stomach-airway fistula: a clinical analysis of 10 cases. J Clin Radiol. 2015;34(7):1140–3.Google Scholar
  13. 13.
    Li ZM, Lu HB, Ren KW, et al. Thoracic stomach-right main bronchus fistula treated with dual Y-shaped covered airway stents. Clin Radiol. 2017;72(6):517.e511–6.CrossRefGoogle Scholar
  14. 14.
    Li TF, Duan XH, Han XW, et al. Application of combined-type Y-shaped covered metallic stents for the treatment of gastrotracheal fistulas and gastrobronchial fistulas. J Thorac Cardiovasc Surg. 2016;152(2):557–63.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Interventional RadiologyThe First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina
  2. 2.Department of Interventional RadiologyTong Ren Hospital Shanghai Jiao Tong University School of MedicineShanghaiChina

Personalised recommendations