Surgical management of acquired tracheo/bronchoesophageal fistula associated with esophageal diverticulum

Sun, Yifeng; Hao, Siguo; Yu, Yang; Guo, Xufeng; Ye, Bo; Zhang, Xiaobin; Li, Zhigang

doi:10.21037/jtd.2017.09.81

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…The manifestations of BEF are complicated and variable, which can remain asymptomatic for a long interval, as described in our patients. Chronic coughing related to swallowing is known as the common symptoms of BEF [ 11 ], which is consistent with our outcome. In our cohort, 52.9% (9/17) patients presented with choking following oral fluid intake, all of whom developed repeated pulmonary infections.…”

Section: Discussionsupporting

confidence: 92%

“…In general, these diverticula have no specific clinical manifestations and no intervention is necessary. Nevertheless, severe complications such as hemorrhage, perforation or fistulous formation with adjacent bronchi may occur due to chronic inflammation and tissue necrosis [ 7 , 11 ]. After the formation of fistula, some components will enter the lung parenchyma through the fistulous tract when the patient ingests non-solid food.…”

Section: Discussionmentioning

confidence: 99%

“…Bronchoscopy and gastroscopy offer a direct visualization of the BEF from different views, locating the position of the BEF, observing the mucosal changes around the fistula and taking sample for pathological analysis. Notably, the large fistula can be easily visualized by gastroscopy, but the accuracy is reduced if the fistula is hidden between the esophageal mucosal folds [ 5 , 6 , 11 ]. In our study, no definite fistulas were found in 3 of 11 cases that underwent upper gastrointestinal endoscopy, which might be caused by the above factors.…”

Section: Discussionmentioning

confidence: 99%

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MSCT study for adult esophageal diverticulum with secondary broncho-esophageal fistula

Dong,

Pan,

Duan

et al. 2024

J Cardiothorac Surg

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Background Broncho-esophageal fistula (BEF) secondary to esophageal diverticulum is a rare clinical condition, which is often misdiagnosed for a long time. The aim of our study is to summarize and clarify the advantages of MSCT in diagnosing BEF secondary to esophageal diverticulum. Methods We retrospectively analyzed patients clinically diagnosed with BEF from January 2005 to January 2022 at Jilin University First Hospital. Only those patients with BEF secondary to esophageal diverticulum and complete clinical data met our enrolled standard. All patients’ clinicopathologic characteristics and MSCT features were systemically evaluated. Results 17 patients were eligible for our cohort study, including male 10 and female 7. The patient’s mean age was 42.3 ± 12.5. The chronic cough occurred in all seventeen patients and bucking following oral fluid intake was documented in nine patients. MSCT distinctly suggested the fistulous tract between the bronchi and the esophagus in all patients. The mean diameter of the orifices in the wall of the esophagus was 4.40 ± 1.81 mm. The orifice in the midthoracic esophagus side was 15 cases and 2 cases at the lower thoracic esophagus. The involved bronchus included 13 cases at the right lower lobe bronchus, 1 at the right middle lobe bronchus and 3 at the left lower lobe bronchus. The contrast agent was observed in the pulmonary parenchyma in 10 of 13 patients who underwent esophagogram. No definite fistula was observed in 3 of 11 who underwent gastroscopy, while the intra-operative findings supported the existence of fistula. Conclusions BEF secondary to esophageal diverticulum tends to occur between the midthoracic esophagus and the right lower lobe bronchus. Compared with esophagography and gastroscopy, MSCT shows more comprehensive information about the fistulous shape, size, course and lung involvement, which are helpful for establishing diagnosis and guiding subsequent treatment.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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MSCT study for adult esophageal diverticulum with secondary broncho-esophageal fistula

Dong,

Pan,

Duan

et al. 2024

J Cardiothorac Surg

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“… 1 , 2 The BEF caused by esophageal diverticulum was rarely reported and there were 5 reports in literatures till now. 4 The methods to diagnose BEF are esophagography and bronchoscopy or esophagogastroduodenoscopy. 5 Surgical repair remains the treatment of choice and the most frequent approach is thoracotomy.…”

Section: Commentmentioning

confidence: 99%

“…Surgical repair for BEF caused by esophageal diverticulum has been especially rare. 4 In this article, we report a case of successful repair of BEF, which is associated with esophageal diverticulum, through uniportal video-assisted thoracoscopic surgery (VATS).…”

Section: Introductionmentioning

confidence: 99%

Successful Repair of Bronchoesophageal Fistula Through Uniportal Video-Assisted Thoracoscopic Surgery

Kang

Heo

et al. 2021

Journal of Investigative Medicine High Impact Case Reports

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This report describes a case of successful repair of bronchoesophageal fistula through uniportal video-assisted thoracoscopic surgery. A 79-year-old female patient presented with persistent cough and aspiration pneumonia. Chest computed tomography and esophagography showed a bronchoesophageal fistula at right side wall of mid to lower esophagus. Esophagogastroduodenoscopy confirmed a fistula in the esophageal diverticulum. Surgical treatment was planned. The operation was performed through uniportal video-assisted thoracoscopic surgery. The patient was discharged 6 days postoperatively without any complication. No recurrence has been observed during 3 months follow-up in the outpatient clinic to date.

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Esophageal Diverticula

2021

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Surgical management of acquired tracheo/bronchoesophageal fistula associated with esophageal diverticulum

Abstract: Tracheo/bronchoesophageal fistula (TEF/BEF); esophagus diverticulum; acquired.

Cited by 5 publications

References 17 publications

MSCT study for adult esophageal diverticulum with secondary broncho-esophageal fistula

MSCT study for adult esophageal diverticulum with secondary broncho-esophageal fistula

Successful Repair of Bronchoesophageal Fistula Through Uniportal Video-Assisted Thoracoscopic Surgery

Esophageal Diverticula

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