Congenital bronchoesophageal fistulas in adult patients

Kim, Joo Hyun; Park, Kay-Hyun; Sung, Sook Whan; Rho, Jeong Ok

doi:10.1016/s0003-4975(95)00326-6

Cited by 41 publications

(29 citation statements)

References 13 publications

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“…For example, the majority of patients with benign and congenital BEF have been found to present with a chronic cough lasting from 5 weeks to more than 30 years. 3,6,12 We found that 61%…”

Section: Discussionmentioning

confidence: 91%

Benign Bronchoesophageal Fistula in Adults: Endoscopic Closure as Primary Treatment

Ahn¹,

Jung²,

Choi³

et al. 2010

Gut Liver

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“…For example, the majority of patients with benign and congenital BEF have been found to present with a chronic cough lasting from 5 weeks to more than 30 years. 3,6,12 We found that 61%…”

Section: Discussionmentioning

confidence: 91%

Benign Bronchoesophageal Fistula in Adults: Endoscopic Closure as Primary Treatment

Ahn¹,

Jung²,

Choi³

et al. 2010

Gut Liver

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“…On the other hand, congenital BEFs are very rare. [2][3] Type 2 BEF (simple type), which may remain occult until adulthood, usually consists of a short tract running directly from the esophagus to the bronchus. [1] This type happens to be the most prevalent and comprises almost 90% of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…[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. Male and female patients are equally affected with the highest incidence occurring in the third decade of life.…”

Section: Discussionmentioning

confidence: 99%

“…[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. [4] Surgically, uncomplicated and easy dissection of the surrounding area of the fistula by the absence of inflammation suggests a congenital fistula.…”

Section: Discussionmentioning

confidence: 99%

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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.

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“…Repeated pulmonary aspiration and infection are usually highly suggestive of broncho-esophageal fistula, which further history inquiry and barium esophagography may reveal. [5][6][7] Fistulectomy or esophagectomy is the best treatment for broncho-esophageal fistula. 8 Covered endobronchial stent provides only palliation for restoring oral feeding and is indicated only in patients who are poor candidates for surgery, as was our patient.…”

Section: Discussionmentioning

confidence: 99%

Aspiration Via Congenital Broncho-esophageal Fistula After Lobectomy

Chen

Duan

et al. 2011

Respir Care

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Aspiration via a congenital broncho-esophageal fistula in an adult thoracotomy patient has not been previously reported. Repeated aspiration and subsequent respiratory failure if the fistula is not recognized could be life-threatening in these postoperative patients. We describe one such critical case, in which a broncho-esophageal fistula was discovered weeks after aspiration and the onset of respiratory failure after left lower lobectomy. This unusual case suggests that repeated localized pulmonary infections can indicate a broncho-esophageal fistula and that further investigations should be performed, including detailed history.

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Congenital bronchoesophageal fistulas in adult patients

Cited by 41 publications

References 13 publications

Benign Bronchoesophageal Fistula in Adults: Endoscopic Closure as Primary Treatment

Benign Bronchoesophageal Fistula in Adults: Endoscopic Closure as Primary Treatment

An incidentally diagnosed bronchoesophageal fistula in an adult

Aspiration Via Congenital Broncho-esophageal Fistula After Lobectomy

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