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Ann Thorac Surg 2002;73:1298-1299
© 2002 The Society of Thoracic Surgeons

Case report

Histological confirmation of healing of gastrobronchial fistula using a muscle flap

Manabu Okuyama, MD*a, Reijiro Saito, MDa, Satoru Motoyama, MDa, Michihiko Kitamura, MDb, Jun-ichi Ogawa, MDa

a Second Department of Surgery, Akita University School of Medicine, Akita Japan
b Department of Surgery, Isawa Prefectural Hospital, Iwate, Japan

Accepted for publication July 31, 2001.

* Address reprint requests to Dr Okuyama, Second Department of Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan
e-mail: oku{at}doc.med.akita-u.ac.jp

We report a case of gastrobronchial fistula that developed after esophagectomy for esophageal cancer. The fistula was repaired successfully by transposing a pectoralis major muscle flap. Complete healing was confirmed histologically by epithelialization of the fistula site and at autopsy 12 months after surgery. Muscle flap transposition effectively repairs gastrobronchial fistula.




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