{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:14:17Z","timestamp":1768443257077,"version":"3.49.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T00:00:00Z","timestamp":1518480000000},"content-version":"vor","delay-in-days":43,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>An esophagorespiratory fistula (ERF) can cause severe pneumonia or a lung abscess which progresses to life-threatening sepsis. A case of a patient with esophageal cancer and an esophagopulmonary fistula (EPF) who underwent separation surgery with drainage tube-less (DRESS) esophagostomy and was promptly started on definitive chemoradiotherapy (CRT) is reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 79-year-old man visited a clinic with a month-long history of dysphagia. Esophageal cancer at the middle thoracic esophagus was detected, and invasion of the left main bronchus and lower lobe of the right lung was seen on contrast-enhanced computed tomography (CT). Three weeks later, the patient was transferred to our hospital. CT showed a lung abscess in the lower lobe of the right lung that continued into the adjacent esophageal cancer. Due to the EPF, the patient underwent emergency surgery that consisted of esophageal separation surgery and double bilateral esophagostomy and enterostomy. Definitive CRT for the esophageal cancer was started from postoperative day 25. At six-month follow-up, the patient achieved relapse-free survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Separation surgery with a DRESS esophagostomy provides good control of inflammation because of division of the respiratory tract from the alimentary tract, which allows prompt initiation of CRT. Alternatively, a DRESS esophagostomy allows patients to be free from any tube trouble.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Separation surgery with a DRESS esophagostomy for an ERF is a promising method to improve patient quality of life that is less invasive, controls inflammation, and facilitates subsequent definitive CRT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2018.02.013","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T17:59:19Z","timestamp":1518544759000},"page":"24-28","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula"],"prefix":"10.1097","volume":"44","author":[{"given":"Yukinori","family":"Tanoue","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Takeno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumiaki","family":"Kawano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kousei","family":"Tashiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rouko","family":"Hamada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyuki","family":"Miyazaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Nanashima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-7-20260114","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1002\/(SICI)1097-0142(19991015)86:8<1406::AID-CNCR4>3.0.CO;2-3","article-title":"Concurrent chemoradiotherapy for esophageal carcinoma patients with malignant fistulae","volume":"8","author":"Muto","year":"1999","journal-title":"Cancer"},{"key":"R2-7-20260114","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.athoracsur.2013.08.060","article-title":"Esophageal bypass operation prior to definitive chemoradiotherapy in advanced esophageal cancer with tracheobronchial invasion","volume":"97","author":"Hihara","year":"2014","journal-title":"Ann. Thorac. Surg"},{"key":"R3-7-20260114","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1148\/radiol.2321030733","article-title":"Esophagorespiratory fistula: long-term results of palliative treatment with covered expandable metallic stents in 61 patients","volume":"232","author":"Shin","year":"2004","journal-title":"Radiology"},{"key":"R4-7-20260114","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s10147-003-0356-2","article-title":"Development of severe complications caused by stent placement followed by definitive radiation therapy for T4 esophageal cancer","volume":"8","author":"Yakami","year":"2003","journal-title":"Int. J. Clin. Oncol"},{"key":"R5-7-20260114","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/s002680020060","article-title":"Role of esophagectomy in treatment of esophageal carcinoma with clinical evidence of adjacent organ invasion","volume":"25","author":"Matsubara","year":"2001","journal-title":"World J. Surg"},{"key":"R6-7-20260114","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1097\/SLE.0b013e3181ba796d","article-title":"Palliative management of esophagorespiratory fistula in esophageal malignancy","volume":"19","author":"Turkyilmaz","year":"2009","journal-title":"Surg. Laparosc. Endosc. Percutan. Tech"},{"key":"R7-7-20260114","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1016\/j.amjsurg.2006.07.023","article-title":"Esophageal bypass using a gastric tube and a cardiostomy for malignant esophagorespiratory fistula","volume":"193","author":"Seto","year":"2007","journal-title":"Am. J. Surg"},{"key":"R8-7-20260114","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1007\/BF02471583","article-title":"Bypass operation for advanced esophageal cancer-an analysis of 93 cases","volume":"19","author":"Hirai","year":"1989","journal-title":"Jpn. J. Surg"},{"key":"R9-7-20260114","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1016\/S0360-3016(03)00198-6","article-title":"Severe complications in advanced esophageal cancer treated with radiotherapy after intubation of esophageal stents: a questionnaire survey of the Japanese Society for Esophageal Diseases","volume":"56","author":"Nishimura","year":"2003","journal-title":"Int. J. Radiat. Oncol. Biol. Phys"},{"key":"R10-7-20260114","doi-asserted-by":"crossref","first-page":"221","DOI":"10.5761\/atcs.ra.11.01676","article-title":"Treatment of T4 esophageal cancer: definitive chemo-radiotherapy vs chemo-radiotherapy followed by surgery","volume":"17","author":"Makino","year":"2011","journal-title":"Ann. Thorac. Cardiovasc. Surg"},{"key":"R11-7-20260114","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00268-004-7590-2","article-title":"Esophagectomy: is it necessary after chemoradiotherapy for a locally advanced T4 esophageal cancer? Prospective nonrandomized trial comparing chemoradiotherapy with surgery versus without surgery","volume":"29","author":"Fujita","year":"2005","journal-title":"World J. Surg"},{"key":"R12-7-20260114","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/0003-4975(94)00727-O","article-title":"Can esophagectomy cure cancer of the thoracic esophagus involving major airways?","volume":"59","author":"Matsubara","year":"1995","journal-title":"Ann. Thorac. Surg"},{"key":"R13-7-20260114","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s10388-013-0407-3","article-title":"Esophagectomy and combined lobectomy with a covering latissimus dorsi muscle flap for an esophagopulmonary fistula due to advanced esophageal cancer: report of two cases","volume":"11","author":"Yamana","year":"2014","journal-title":"Esophagus"},{"key":"R14-7-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218300464?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218300464?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201844000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:12:00Z","timestamp":1768396320000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201844000-00007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":14,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2018.02.013","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}