Congenital bronchoesophageal fistula

Risher, William H.; Arensman, Robert M.; Ochsner, John L.

doi:10.1016/0003-4975(90)90274-a

Cited by 69 publications

(55 citation statements)

References 7 publications

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“…Male and female patients are equally affected with the highest incidence occurring in the third decade of life. [4] Our patient had a type 2 BEF between the right lower lobe and lower third of the esophagus with typical localization that was hidden until the fistula was triggered by mechanical ventilation. Pathologically, congenital BEF is suggested by the absence of surrounding inflammation [3] and adherent lymph nodes along with the presence of a mucosa and a definitive muscularis mucosa within the fistulous tract.…”

Section: Discussionmentioning

confidence: 71%

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An incidentally diagnosed bronchoesophageal fistula in an adult

Fındıkçıoğlu¹

2012

Turk Gogus Kalp Dama

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Doğuştan bronkoözofageal fistüller (BEF) genellikle yenidoğan döneminde tespit edilir. Sadece basit tip (tip 2) fistüller erişkin çağa kadar tanı konulmadan kalabilir. Doğuştan BEF'ler, fistül ağzının membran ile kapalı olduğunda ya da bronşiyal orifis seviyesi özofageal orifisin üzerinde olması gibi durumlarda uzun zaman gizli kalabilir. Bronkoözofageal fistüller tanı konulduktan sonra derhal cerrahi girişim ile tedavi edilmelidir. Doğuştan BEF'ler, iyi huylu olsalar da masif hemoptizi gibi hayatı tehdit eden komplikasyonlara da yol açabilirler. Bu yazıda 55 yaşında, doğuştan bronkoözofageal fistülü olan bir kadın hasta sunuldu. Bronkoözofageal fistül şüphesi, ilk kez kasık fıtığı ameliyatı sırasında gelişti. Hastanın önceden hafif olan semptomları tanısal işlemler sonrasında kötüleşmeye başladı. Daha sonra sağ torakotomi ile fistülektomi ve sağ alt lobektomi ameliyatı yapıldı.Anah tar söz cük ler: Bronkoözefageal fistül; hemoptizi; lobektomi; torakotomi.Congenital bronchoesophageal fistulas (BEFs) are usually diagnosed during the neonatal period. Only simple types (type 2) may remain undiagnosed until adulthood. Congenital BEFs may remain hidden if the orifice of the fistula is closed with a permanent membrane, and/or the esophageal orifice is below the level of the bronchial orifice. Bronchoesophageal fistulas should be treated as soon as the diagnosis is confirmed with early surgical intervention. Despite their benign nature, congenital BEFs may lead to fatal complications, for example massive hemoptysis. In this article, we present a 55-year-old female patient with a congenital BEF. The fistula was first suspected during an inguinal hernia operation. Her mild symptoms became worse following the diagnosis, and hemoptysis developed. A fistulectomy using a right thoracotomy and right lower lobectomy were then performed.

show abstract

Section: Discussionmentioning

confidence: 71%

“…[1] This type happens to be the most prevalent and comprises almost 90% of the cases. [4] Fistulas are three times more common on the right side. [3] The most frequent localization of the simple type is a connection between the right lower lobe and the lower third of the esophagus.…”

Section: Discussionmentioning

confidence: 99%

An incidentally diagnosed bronchoesophageal fistula in an adult

Fındıkçıoğlu¹

2012

Turk Gogus Kalp Dama

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show abstract

“…1 Congenital bronchoesophageal fistula in adults is most commonly reported in the 40 -60 years age group. 2 There 4 types of congenital bronchoesophageal fistula:…”

Section: Discussionmentioning

confidence: 99%

“…The eventual location of the fistula with respect to the bronchus depends on the degree of tracheoesophageal separation that occurs before the caudal migration of the trachea. 2 Fistulas are more common on the right side, mainly to the right lower lobe bronchus. 1 The absence of inflammation and adherent lymph nodes around the fistulous track and the histologic confirmation of mucosa and muscularis mucosa suggest a congenital etiology for the fistula.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Pneumonia in a 51-Year-Old Woman Due to Congenital Bronchoesophageal Fistula

2011

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“…Other features may include haemoptysis, restrosternal pain, vague gastrointestinal symptoms and halitosis [4]. The duration of symptom can vary from six months to thirty years [5]. The long silent interval until adult-hood has been explained due to an occlusive valve like mucosal flap, a fistulous tract running upwards from the oesophagus into the bronchus that may close during swallowing, spasm of the muscular layer occluding the lumen and possibly even varying symptom tolerance.…”

Section: Case Reportmentioning

confidence: 99%