{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T15:42:37Z","timestamp":1770219757418,"version":"3.49.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2009,12,1]],"date-time":"2009-12-01T00:00:00Z","timestamp":1259625600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The development of a fistula between the tracheobronchial tree and the gastric conduit post esophagectomy is a rare and often fatal complication.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A 68 year old man underwent radical esophagectomy for esophageal adenocarcinoma. On postoperative day 14 the nasogastric drainage bag dramatically filled with air, without deterioration in respiratory function or progressive sepsis. A fiberoptic bronchoscopy was performed which demonstrated a gastro-bronchial fistula in the posterior aspect of the left main bronchus. He was managed conservatively with antibiotics, enteral nutrition via jejunostomy, and non-invasive respiratory support. A follow- up bronchoscopy 60 days after the diagnostic bronchoscopy, confirmed spontaneous closure of the fistula<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This is the first such case where a conservative approach with no surgery or endoprosthesis resulted in a successful outcome, with fistula closure confirmed at subsequent bronchoscopy. Our experience would suggest that in very carefully selected cases where bronchopulmonary contamination from the fistula is minimal or absent, there is no associated inflammation of the tracheobronchial tree and the patient is stable from a respiratory point of view without evidence of sepsis, there may be a role for a trial of conservative management.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2482-9-20","type":"journal-article","created":{"date-parts":[[2009,12,29]],"date-time":"2009-12-29T10:48:51Z","timestamp":1262083731000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Management of gastro-bronchial fistula complicating a subtotal esophagectomy: a case report"],"prefix":"10.1186","volume":"9","author":[{"given":"James D","family":"Martin-Smith","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John O","family":"Larkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Finbar","family":"O'Connell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narayanasamy","family":"Ravi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Vincent","family":"Reynolds","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2009,12,24]]},"reference":[{"key":"147_CR1","first-page":"71","volume":"10","author":"K Alanezi","year":"2004","unstructured":"Alanezi K, Urschel JD: Mortality secondary to esophageal anastomotic leaks. Ann Thorac Cardiovasc. 2004, 10: 71-75.","journal-title":"Ann Thorac Cardiovasc"},{"key":"147_CR2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ejcts.2004.09.018","volume":"27","author":"M Junemann-Ramirez","year":"2005","unstructured":"Junemann-Ramirez M, Awan MY, Khan ZM, Rahamim JS: Anastomotic leakage post-esophagogastrectomy for esophageal carcinoma: retrospective analysis of predictive factors, management and influence on long-term survival in a high volume centre. Eur J Cardiothorac Surg. 2005, 27: 3-7. 10.1016\/j.ejcts.2004.09.018.","journal-title":"Eur J Cardiothorac Surg"},{"key":"147_CR3","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1097\/01.sla.0000254367.15810.38","volume":"245","author":"JV Reynolds","year":"2007","unstructured":"Reynolds JV, Muldoon C, Hollywood D, Ravi N, Rowley S, O'Byrne K, Kennedy J, Murphy TJ: Long-term outcomes following neoadjuvant chemoradiotherapy for esophageal cancer. 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BMC Surg. 2005, 5: 16-10.1186\/1471-2482-5-16.","journal-title":"BMC Surg"},{"key":"147_CR6","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1055\/s-2002-26685","volume":"50","author":"PP Brega Massone","year":"2002","unstructured":"Brega Massone PP, Infante M, Valente M, Conti B, Carboni U, Cataldo I: Gastrobronchial fistula repair followed by esophageal leak - rescue by transesophageal drainage of the pleural cavity. Thorac Cardiovasc Surg. 2002, 50: 113-116. 10.1055\/s-2002-26685.","journal-title":"Thorac Cardiovasc Surg"},{"key":"147_CR7","doi-asserted-by":"publisher","first-page":"1036","DOI":"10.1016\/j.athoracsur.2007.04.043","volume":"84","author":"D Bona","year":"2007","unstructured":"Bona D, Sarli D, Saino G, Quarenghi M, Bonavina L: Successful conservative management of benign gastro-bronchial fistula after intrathoracic esophagogastrostomy. Ann Thorac Surg. 2007, 84: 1036-8. 10.1016\/j.athoracsur.2007.04.043.","journal-title":"Ann Thorac Surg"},{"key":"147_CR8","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1097\/01.sla.0000143122.76666.ae","volume":"240","author":"M H\u00fcnerbein","year":"2004","unstructured":"H\u00fcnerbein M, Stroszczynski C, Moesta KT, Schlag PM: Treatment of thoracic anastomotic leaks after esophagectomy with self-expanding plastic stents. 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