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The Annals of Thoracic Surgery, Vol 28, 378-383, Copyright © 1979 by The Society of Thoracic Surgeons
AR Spalding, DP Burney and RE Richie
In a twenty-year period we have seen 7 patients with acquired nonmalignant
bronchoesophageal fistulas at the Vanderbilt University Affiliated
Hospitals. There were 5 men and 2 women ranging from 24 to 82 years old.
Six patients were seen initially with a history of pulmonary inflammatory
disease with cough and fever or with an abnormal chest roentgenogram. One
patient had a traumatic fistula following blunt chest trauma. Six of the
patients were treated surgically with no operative mortality. Five were
repaired through a right-sided thoracotomy with division of the fistulous
tract and closure of the bronchus and esophagus. One patient required
esophageal resection and later reconstruction for permanent fistula
closure. The remaining patient was diagnosed at bronchoscopy and was not
treated surgically because of supervening complications following an
extensive abdominal operation. Once the diagnosis was established,
operative management resulted in complete closure of the fistulas, with no
mortality and no late recurrences in these patients.
ARTICLES
Acquired benign bronchoesophageal fistulas in the adult
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