Postoperative thoracogastric necrosis associated with thoracogastric–tracheal fistula of an endoscopic McKeown-type resection of esophageal carcinoma

Abstract

Introduction: Postoperative thoracogastric necrosis (TGN) associated with thoracogastric-tracheal fistula (TGTF) of an endoscopic McKeown-type resection of esophageal carcinoma is rare and has a poor prognosis and high mortality. Few cases have been reported and successful treatment is rare. Surgery is the major treatment option.Patient concerns: A 71-year-old man was hospitalized in a local hospital for more than 2 months due to dysphagia. The patient was previously healthy and had no underlying diseases. Diagnosis: TGN associated with TGTF of an endoscopic McKeown-type resection of esophageal carcinoma. Intervention: Two-stage surgeries were performed. Outcome: The patient recovered well at the time of the follow-up examination on April 4, 2021 with an ECOG score of 0. Conclusion: Staging surgery can be an alternative treatment for TGN associated with TGTF of an endoscopic McKeown-type resection of esophageal carcinoma.