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The Annals of Thoracic Surgery, Vol 45, 449-450, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

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

JT Diehl, L Thomas, MB Bloom, AR Dresdale, P Harasimowicz, BD Daly and RJ Cleveland
Department of Cardiothoracic Surgery, New England Medical Center, Boston, MA 02111.

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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J. J. Nigro, R. M. Bremner, C. B. Fuller, J. Theisen, Y. Ma, and V. A. Starnes
Perforating Barrett's ulcer resulting in a life-threatening esophagobronchial fistula
Ann. Thorac. Surg., January 1, 2002; 73(1): 302 - 304.
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P. G. Guillem, H. L. Porte, A. Saudemont, P. A. Quandalle, and A. J. Wurtz
Perforation of Barrett's ulcer: a challenge in esophageal surgery
Ann. Thorac. Surg., June 1, 2000; 69(6): 1707 - 1710.
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