Technical Approach to Repair of Tracheogastric Conduit Fistula Following Minimally Invasive Esophagectomy: A Case Report

09 January 2026 : Case report Thailand

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease

Wongsakorn Chaochankit

^{ABCDEFG 1*}, Srila Samphao^{AB 1}, Voravit Chittithavorn^{CD 2}, Chutida Sungworawongpana^{EFG 3}

DOI: 10.12659/AJCR.950499

Am J Case Rep 2026; 27:e950499

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Table 1 Postoperative course and key events.

Postoperative day	Event	Management
7	Cervical anastomotic leak detected	Conservative management with IV antibiotics
14–30	Cervical abscess formation	Percutaneous drainage performed
54	Persistent cough; TGCF detected by esophagography	Reintubation and surgical planning
56	Right thoracotomy, primary repair with intercostal flap	Leak test confirmed airtight repair
108	Recurrent pneumonia and septic shock	Died from multiorgan failure

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