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Ann Thorac Surg 1988;45:449-450
© 1988 The Society of Thoracic Surgeons

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Articles

Tracheoesophageal fistula associated with Barrett's ulcer: The importance of reflux control

From the Department of Cardiothoracic Surgery, New England Medical Center and Tufts University School of Medicine, Boston, MA, USA

Accepted for publication August 14, 1987.

^_* Address reprint requests to Dr. Diehl, Department of Cardiothoracic Surgery, New England Medical Center and Tufts University School of Medicine, 750 Washington St, Boston, MA 02111, USA

A benign tracheoesophageal fistula occurring as a complication of Barrett's ulcerative esophagitis is described. Surgical control of gastroesophageal reflux resulted in healing of the fistula, obviating the need for a resective procedure or esophageal exclusion. Although Barrett's ulcer has been reported as a cause of acquired esophagorespiratory fistula, to our knowledge, the important role of reflux control in the management of this difficult problem has not been discussed.

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