A Case of Non-Anastomotic Tracheo-Thoracic Gastric Fistula.

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.