Management of Nonmalignant Tracheo- and Bronchoesophageal Fistula after Esophagectomy.
Daniel PalmesLinus KebschullRalf BahdeNorbert SenningerAndreas PascherMike G LaukötterAnn-Kathrin EichelmannPublished in: The Thoracic and cardiovascular surgeon (2020)
Fistula appearance was similar in all patients. Implementation of esophageal stents cannot be recommended because of possibility of TBF at a later time point. Surgery is usually required and should preferably be performed when the patient's condition has been optimized at a single-stage repair. Esophageal diversion can only be recommended in patients with persisting mediastinitis. The key element for successful treatment of TBF, however, is control over sepsis; otherwise, outcome of TBF is devastating.