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Ann Thorac Surg 1994;57:1337-1338
© 1994 The Society of Thoracic Surgeons

Articles

Late esophageal fistula after pneumonectomy

Jibah Eng, FRCS, Sabaratnam Sabanathan, FRCS*, Alan J. Mearns, FRCS

Department of Thoracic Surgery, Bradford Royal Infirmary, Bradford, England

Accepted for publication July 31, 1993.

* Address reprint requests to Mr Sabanathan, Department of Thoracic Surgery, Bradford Royal Infirmary, Duckworth Lane Bradford, West Yorkshire, BD9 6RJ, England.

Esophageal fistula formation after pulmonary resection is rare. We present a case of esophagocutaneous fistula 9 years after left pneumonectomy for squamons cell carcinoma of the bronchus. This was confirmed on barium swallow and endoscopy. The fistula was sealed successfully with monomeric n-butyl-2-cyanoacrylate tissue adhesive. The simplicity and effectiveness of this method of management is discussed and the multitude of surgical options considered.




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 Ann. Thorac. Surg.Home page
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