2020 Volume 71 Issue 3 Pages 264-269
We present the case of a 77-year-old woman with complaints of difficulty in swallowing. She was diagnosed with esophageal cancer (MtLt, cT4bN1M0, cStage IVa) and underwent chemotherapy. After one course of chemotherapy, she developed an esophago-mediastinal fistula and mediastinal abscess, so she underwent esophageal stenting and was discharged；however, after discharge, she was unable to eat and was referred to our hospital. CT showed that the esophago-mediastinal fistula remained and esophagography revealed that the stent was not effective. Therefore, we performed esophageal bypass surgery for oral intake and removed the stent in anticipation of radiotherapy. The postoperative course was good. She started oral intake from postoperative day 11 and was discharged home on postoperative day 52. The patient survived at least three months without complications, although postoperative radiotherapy was not performed. Considering indications of the esophageal bypass, this could be more effective surgery than stent placement in patients with fistula formation without stenosis.
