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Article: Post-oesophagectomy anastomotic-bronchial fistula

TitlePost-oesophagectomy anastomotic-bronchial fistula
Authors
KeywordsAnastomosis
Esophagectomy
Postoperative complications
Surgical
Issue Date2011
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2011, v. 17 n. 4, p. 325-327 How to Cite?
AbstractAnastomotic leakage after oesophagectomy is a dreaded complication. It has a wide range of presentations ranging from the patient being totally asymptomatic to septic with multiorgan failure. From the literature, in general, cervical anastomoses have a higher leakage rate than those that are intra-thoracic, but leaks from the latter confer greater morbidity. Cervical anastomotic leaks that are truly confined to the neck can be managed conservatively, but can extend into the mediastinum and result in more serious complications. Herein, we report on a patient with an oesophago-gastric anastomosis constructed in the neck but with extension into the mediastinum. Subsequently, the patient developed a fistulous erosion into the tracheobronchial tree, which was successfully managed endoscopically.
Persistent Identifierhttp://hdl.handle.net/10722/139737
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorTong, DKHen_HK
dc.contributor.authorLaw, Sen_HK
dc.date.accessioned2011-09-23T05:55:00Z-
dc.date.available2011-09-23T05:55:00Z-
dc.date.issued2011en_HK
dc.identifier.citationHong Kong Medical Journal, 2011, v. 17 n. 4, p. 325-327en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139737-
dc.description.abstractAnastomotic leakage after oesophagectomy is a dreaded complication. It has a wide range of presentations ranging from the patient being totally asymptomatic to septic with multiorgan failure. From the literature, in general, cervical anastomoses have a higher leakage rate than those that are intra-thoracic, but leaks from the latter confer greater morbidity. Cervical anastomotic leaks that are truly confined to the neck can be managed conservatively, but can extend into the mediastinum and result in more serious complications. Herein, we report on a patient with an oesophago-gastric anastomosis constructed in the neck but with extension into the mediastinum. Subsequently, the patient developed a fistulous erosion into the tracheobronchial tree, which was successfully managed endoscopically.en_HK
dc.languageengen_US
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press.-
dc.subjectAnastomosisen_HK
dc.subjectEsophagectomyen_HK
dc.subjectPostoperative complicationsen_HK
dc.subjectSurgicalen_HK
dc.subject.meshAnastomosis, Surgical - adverse effects-
dc.subject.meshBronchial Fistula - etiology-
dc.subject.meshEsophageal Neoplasms - surgery-
dc.subject.meshEsophagectomy - adverse effects-
dc.subject.meshPostoperative Complications - surgery-
dc.titlePost-oesophagectomy anastomotic-bronchial fistulaen_HK
dc.typeArticleen_HK
dc.identifier.emailLaw, S: slaw@hku.hken_HK
dc.identifier.authorityLaw, S=rp00437en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.pmid21813903-
dc.identifier.scopuseid_2-s2.0-80052948444en_HK
dc.identifier.hkuros192225en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80052948444&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue4en_HK
dc.identifier.spage325en_HK
dc.identifier.epage327en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridTong, DKH=8670837000en_HK
dc.identifier.scopusauthoridLaw, S=7202241293en_HK

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