Table 1. Cases series of AGF.
No. | Sex | Age | Operation | Occurrence time | Location of fistula orifice on airway | Location of fistula orifice on digestive track | Initial symptom(s) | Results | Fistula orifices at the same horizontal |
---|---|---|---|---|---|---|---|---|---|
1 | M | 65 | McKeown | POD 18 | Above carina 1 cm | Thoracic stomach | Coughing after swallowing | Died of aspiration pneumonia after 3 months | No |
2 | M | 58 | Ivor-Lewis | POD 20 | Left main bronchus | – | Coughing after swallowing | Cured in 4 weeks | No |
3 | M | 51 | Ivor-Lewis | POD 11 | Left main bronchus | Esophagogastric anastomosis | Cough & fever | Cured in 4 weeks | No |
4 | M | 55 | Ivor-Lewis | POM 3 | Above carina 0.5 cm | Thoracic stomach | Coughing after swallowing | Cured in 8 weeks | No |
5 | M | 58 | Ivor-Lewis | POD 11 | Above carina 0.8 cm | Esophagogastric anastomosis | Cough & dyspnea | Cured in 4 weeks | No |
6 | M | 73 | Ivor-Lewis | POD 19 | Above carina 1.5 cm | Esophagogastric anastomosis | Coughing after swallowing | Cured in 5 weeks | No |
7 | M | 67 | Ivor-Lewis | POD 7 | Right main bronchus | Esophagogastric anastomosis | Failure of NGT to create negative pressure | Cured in 8 weeks | No |
8 | M | 57 | Ivor-Lewis | POD 5 | Right main bronchus | Esophagogastric anastomosis | Failure of NGT to create negative pressure | Cured in 8 weeks | No |
9 | M | 55 | Ivor-Lewis | POD 7 | Above carina 1 cm | Esophagogastric anastomosis | Failure of NGT to create negative pressure | Cured in 4 weeks | No |
10 | M | 59 | McKeown | POD 9 | Right middle bronchus | Esophagogastric anastomosis | Failure of NGT to create negative pressure | Cured in 6 weeks | No |
11 | M | 62 | Ivor-Lewis | POD 12 | Left main bronchus | Esophagogastric anastomosis | Cough & excessive phlegm | Cured in 4 weeks | No |
12 | M | 61 | McKeown | POD 8 | Right main bronchus | Esophagogastric anastomosis | Cough & excessive phlegm | Died of aspiration pneumonia in 3 months | Yes |
13 | M | 64 | Ivor-Lewis | POD 24 | Left main bronchus | Thoracic stomach | Hemoptysis & dyspnea | Died of hemoptysis on day 10 | Yes |
14 | M | 67 | Ivor-Lewis | POD 4 | Apex of right lung | Esophagogastric anastomosis | Failure of NGT to create negative pressure | Died of aspiration pneumonia after 9 months | Yes |
15 | M | 64 | Ivor-Lewis | POD 8 | Above carina 2 cm | Thoracic stomach | Failure of NGT to create negative pressure | Fistula recurred on day 4, died of aspiration pneumonia on day 9 | Yes |
16 | M | 67 | Ivor-Lewis | POY 4 | Right main bronchus | Thoracic stomach | Coughing after swallowing | Fistula recurred on week 4, died of aspiration pneumonia | Yes |
17 | M | 60 | Ivor-Lewis | POD 15 | Right main bronchus | Thoracic stomach | Cough & excessive phlegm | Cured in 2 weeks | Yes |
18 | F | 57 | McKeown | POD 9 | Above carina 2 cm | Thoracic stomach | Failure of NGT to create negative pressure | Cured in 2 weeks | Yes |
19 | M | 58 | Ivor-Lewis | POD 45 | Right middle bronchus | Thoracic stomach | Cough & excessive phlegm | Cured in 8 weeks | Yes |
20 | M | 63 | McKeown | POD 22 | Above carina 1 cm | Esophagogastric anastomosis | Fever | Cured in 3 weeks | Yes |
21 | M | 67 | Ivor-Lewis | POD 9 | – | – | Sudden conscious lessness | Died of aspiration pneumonia on day 23 | Yes |
22 | M | 65 | Sweet | POY 14 | Left main bronchus | Thoracic stomach | Coughing after swallowing | Fistula recurred on day 7, died of massive hemoptysis | Yes |
23 | F | 54 | Ivor-Lewis | POD 12 | – | Esophagogastric anastomosis | Fever & dyspnea | Died of aspiration pneumonia on day 14 | No |
24 | M | 64 | McKeown | POD 15 | Above carina 3 cm | Esophagogastric anastomosis | Fever & dyspnea | Died of aspiration pneumonia on day 50 | Yes |
25 | F | 59 | Ivor-Lewis | POD 16 | Above carina 3.5 cm | Thoracic stomach | Fever & dyspnea | Died of aspiration pneumonia on day 20 | Yes |
26 | M | 58 | Ivor-Lewis | POD 12 | Above carina 1.5 cm | Thoracic stomach | Coughing after swallowing | Cured in 7 weeks | Yes |
AGF, airway-gastric fistula; POD, postoperative day; POM, postoperative month; POY, postoperative year; NGT, nasogastric tube.