Jougon J, Couraud L
Service de chirurgie thoracique. Pr. J.F. VELLY, Hôpital du Haut-Lévêque, Bordeaux, PESSAC, France.
Eur J Cardiothorac Surg. 1998 Oct;14(4):431-3. doi: 10.1016/s1010-7940(98)00226-7.
We herein report a case of unsuturable tracheoesophageal fistula developed after chemotherapy of a mediastinal lymphoma. Esophageal exclusion was primary performed to prevent continued contamination of the respiratory tract. In a second stage procedure the fistula was patched with the esophageal posterior wall and the digestive tract was restored by a substernal colic bypass. This case leads to discuss the management of extrinsic tumoral tracheal compression and reminds us of an old reported procedure for the cure of large tracheoesophageal fistula.
我们在此报告一例纵隔淋巴瘤化疗后发生的无法缝合的气管食管瘘病例。首先进行食管旷置以防止呼吸道持续受到污染。在第二阶段手术中，用食管后壁修补瘘口，并通过胸骨后结肠旁路恢复消化道连续性。该病例引发了对外源性肿瘤性气管压迫治疗的讨论，并使我们想起了一种曾报道过的治疗大型气管食管瘘的手术方法。
