Repair of massive stent-induced tracheoesophageal fistula

Double patch technique. A, The long and short patches with the fistula in between. B, The short patch was sutured full-thickness to the left edges. C, The fistula was closed with the short patch. D, The short patch was covered with the long esophageal wall patch.

Bronchoscopic and intraoperative photographs of a 38-year-old male patient. TEF occurred 2 months after stent placement for esophageal rupture caused by a traffic accident. A, Bronchogram showed a large fistula in the membranous tracheal wall. B, Computed tomographic scan showed TEF with esophageal stent. C, The esophagus was opened, the fistula defect was found, and the stent was moved. D, Two esophageal patches were made and the fistula defect was exposed. E, Bronchogram 10 days after the operation showed that the defect was nicely repaired.