关键词: 食管癌, 外科手术, 胸内消化道瘘

Abstract: 【Abstract】〓Objective〓To investigate the cause, diagnosis and treatment of thoracic gastrointestinal fistula after esophagus cancer operation. Methods〓Esophagectomy was performed in 427 patients with esophageal cancer from January 2007 to December 2013 in our hospital. Gastrointestinal fistula occurred post-operatively in 26 patients..Of them with gastrointestinal fistula,7 patients underwent reoperation and 19 cases received conservative treatment including gastrointestinal decompression, thoracic cavity washing,vomica and gastric juice drainage. Enteral nutrition support by duodenal nutrition tube were performed in all 26 patients. Results〓The rate of TGF was 6.09% (26/427), including 6 gastric remnant fistula and 20 gastroesophageal anastomotic fistula. Seven patients with reoperation were cured due to finding in 3 days. Fourteen cases were cured in 19 patients with conservative treatment and 5 died. Conclusion〓Esophageal reconstruction should be performed in the patients of early fistula which happens in 3 days after operation. Vomica drainage, adequate gastric juice drainage, thoracic cavity washing and active enteral nutrition support are necessary for treatment of thoracic gastrointestinal fistula after esophagus cancer operation.

Key words: Esophagus cancer, Operation, Thoracic gastrointestinal fistula