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Updated: May 29, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
A Case of Non-Anastomotic Tracheo-Thoracic Gastric Fistula
Wei He1, Ting Wu2, Qiang Huang2
1Department of Respiratory and Critical Care Medicine The First Affiliated Hospital of Chongqing Medical University Chongqing People's Republic of China.
Abstract:
Tracheo-thoracic gastric fistula (TTGF) is a rare but serious complication following oesophageal cancer surgery, involving an abnormal connection between the thoracic gastric cavity and the bronchial tree. We report a case of TTGF that developed 3 years post-esophagectomy, identified through bronchoscopy. The patient was treated using a multidisciplinary approach, which included the placement of a bronchial covered stent, insertion of a jejunostomy feeding tube, and gastrointestinal decompression. The intervention resulted in a marked improvement in the patient's respiratory distress and fever, leading to a successful discharge. This case highlights the necessity for individualised treatment strategies for TTGF and underscores the crucial role of multidisciplinary management in enhancing patient outcomes.
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