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The classification and treatment strategies of post-esophagectomy airway-gastric fistula

文献类型：期刊论文

作者Wang, Changchun2,3; Li, Chengqiang1; Yang, Xun2,3; Mao, Weimin2,3; Jiang, Youhua2,3; Wu, Jie2,3; Zhao, Qiang2,3; Ji, Anqi1; Chen, Qixun2,3; Li, Hecheng1
刊名JOURNAL OF THORACIC DISEASE
出版日期2020-07-01
卷号12
关键词Airway-gastric fistula (AGF) esophagectomy esophageal cancer classification management strategy
ISSN号2072-1439
DOI10.21037/jtd-20-284
通讯作者Li, Hecheng(lihecheng2000@hotmail.com) ; Liu, Jinshi(liujinshi208@163.com)
英文摘要Background: Airway-gastric fistulas (AGFs) are rare but life-threatening complications after esophagectomy for esophageal cancer. Their effective and reasonable management is challenging and still controversial. This study reports the classification and management strategies of post-esophagectomy AGF based on a retrospective analysis of 26 cases in two large volume centers in China. Methods: Between January 2000 and December 2017, 6,316 consecutive patients with esophageal carcinoma underwent esophagectomy. AGF was verified in 26 patients. The patients with AGF were divided into two types based on the anatomic characteristics of the fistula. Type I was characterized by the presence of fistula orifices in digestive tract that were higher than those in the airway and were treated with conservative management. Type II had both fistula orifices located on the same horizontal plane and were treated with surgical management. Pearson Chi-Square (R software) was used to compare mortality rates. Results: From January 2000 and December 2017, 26 cases occurred AGF in 6,316 consecutive patients with esophageal carcinoma underwent esophagectomy and the incidence of AGF was 0.4%. Ten of 12 patients with type I AGF survived. Nine of 14 patients with type II AGF died. There was a significantly difference in the mortality rates between patients with AGF type I and II, which was 16.7% (2/12) and 64.3% (9/14) (chi(2)=6.003, P=0.014), respectively. Conclusions: AGF may be classified into two types according to the anatomic characteristics. Type I patients may be cured by conservative management and type II patients, require surgical intervention with pedicled tissues flap wrapping of the airway.
WOS关键词TRACHEOBRONCHIAL FISTULA ; BRONCHOESOPHAGEAL FISTULA ; MANAGEMENT
资助项目National Key Research and Development Program of China[2017YFC0113500] ; Medical and Health of Zhejiang Province Scientific Research Project[2014KYA101] ; Medical and Health of Zhejiang Province Scientific Research Project[2013KYA031] ; Zhejiang Provincial Natural Science -Mathematical Medicine Association Joint Fund[LSY19H160001]
WOS研究方向Respiratory System
语种英语
WOS记录号WOS:000553789500020
出版者AME PUBL CO
资助机构National Key Research and Development Program of China ; Medical and Health of Zhejiang Province Scientific Research Project ; Zhejiang Provincial Natural Science -Mathematical Medicine Association Joint Fund
源URL[http://ir.hfcas.ac.cn:8080/handle/334002/70892]  
专题中国科学院合肥物质科学研究院
通讯作者Li, Hecheng; Liu, Jinshi
作者单位1.Shanghai Jiao Tong Univ, Sch Med, Ruijin Hosp, Dept Thorac Surg, Shanghai, Peoples R China
2.Chinese Acad Sci, Inst Canc & Basic Med IBMC, Hangzhou, Peoples R China
3.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, Dept Thorac Surg, Hangzhou, Peoples R China
推荐引用方式
GB/T 7714		 Wang, Changchun,Li, Chengqiang,Yang, Xun,et al. The classification and treatment strategies of post-esophagectomy airway-gastric fistula[J]. JOURNAL OF THORACIC DISEASE,2020,12.
APA Wang, Changchun.,Li, Chengqiang.,Yang, Xun.,Mao, Weimin.,Jiang, Youhua.,...&Liu, Jinshi.(2020).The classification and treatment strategies of post-esophagectomy airway-gastric fistula.JOURNAL OF THORACIC DISEASE,12.
MLA Wang, Changchun,et al."The classification and treatment strategies of post-esophagectomy airway-gastric fistula".JOURNAL OF THORACIC DISEASE 12(2020).

入库方式： OAI收割

来源：合肥物质科学研究院

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