[Benign Esophageal-Respiratory Fistulae. The Surgical Treatment and Results of 10 Cases]

Minerva Chir. 1993 Apr 15;48(7):311-6.
[Article in Italian]

Abstract

Benign esophago-respiratory fistula is a relatively rare condition of great surgical interest because of its potential total curability. The ratio of benign to malignant fistula is around 1:5. Sometimes the diagnosis is difficult because of the non specific nature of presenting symptoms. This report concern 10 cases of benign esophagorespiratory fistulas observed during a period of twenty years. There were 6 esophago-tracheal fistulas and 4 esophagobronchial fistulas. In 4 cases the fistulas were congenital, in 1 the fistula was due to perforation of esophageal diverticulum and in 3 patient the fistula developed after prolonged intubation. All patient underwent surgical treatment consisted of division of the fistula and suture of both esophageal and respiratory defect. In 4 cases we performed pulmonary parenchyma resection because of irreversible inflammatory lesions. There were no perioperative death. One young patients with tubercular fistula developed a dehiscence of esophageal suture successfully treated with pleural drainage and several application of fibrin glue. All patient were considered to have very good results.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bronchial Fistula / diagnosis
  • Bronchial Fistula / etiology
  • Bronchial Fistula / surgery*
  • Chronic Disease
  • Esophageal Fistula / diagnosis
  • Esophageal Fistula / etiology
  • Esophageal Fistula / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Remission Induction
  • Tracheoesophageal Fistula / diagnosis
  • Tracheoesophageal Fistula / etiology
  • Tracheoesophageal Fistula / surgery*