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Korean Journal of Head & Neck Oncology 2010;26(1):30-32.
Published online May 30, 2010.
Tracheogastric Fistula:A Rare Complication of Total Laryngopharyngoesophagectomy with Gastric Pull-up Procedure
Seung Jae Baek;In Kyu Park;Choong-Bai Kim;Eun Chang Choi
기관-위 샛길:전인두후두식도 절제술후 위를 이용한 재건 후 발생한 드문 합병증 1예
백승재;박인규;김충배;최은창
Abstract
Tracheo-gastric fistula is a very rare late complication of total laryngopharyngoesophagectomy with gastric pull-up procedure. It usually occurs after transhiatal esophagectomy, but it has only rarely been reported after total laryngopharyngoesophagectomy with gastric pull-up procedure. Chronic irritation and gastric ulcer may be the cause of tracheogastric fistula. To prevent fistula formation, active management of gastric ulcer and avoidance of mucosal irritation are necessary. We report a case of a tracheogastric fistula which occurred two years after total laryngopharyngoesophagectomy with gastric pull-up procedure that maybe occurred by chronic irritation and gastric ulcer.
Key Words: Hypopharyngeal carcinoma, Gastric pull-up procedure, Tracheogastric fistula
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