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John J. Nigro
Ross M. Bremner
Clark B. Fuller
Vaughn A. Starnes
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Ann Thorac Surg 2002;73:302-304
© 2002 The Society of Thoracic Surgeons

Case report

Perforating Barrett’s ulcer resulting in a life-threatening esophagobronchial fistula

John J. Nigro, MD, MS*a, Ross M. Bremner, MD, PhDa, Clark B. Fuller, MDa, Jörg Theisen, MDb, Yanling Ma, MDc, Vaughn A. Starnes, MDa

a Department of Cardiothoracic Surgery, University of Southern California Keck School of Medicine, Los Angeles California, USA
b Department of General Surgery, University of Southern California Keck School of Medicine, Los Angeles, California, USA
c Department of Pathology, University of Southern California Keck School of Medicine, Los Angeles California, USA

Accepted for publication April 5, 2001.

* Address reprint requests to Dr Nigro, Department of Cardiothoracic Surgery, University of Southern California Keck School of Medicine, 1510 San Pablo St, Suite 415, Los Angeles, CA 90033, USA
e-mail: jnigro{at}hsc.usc.edu

Perforating benign ulcer is a very rare complication of Barrett’s esophagus. This report presents the management of a patient with a Barrett’s ulcer that penetrated into the left mainstem bronchus resulting in a life-threatening bronchial esophageal fistula. This rare complication was successfully managed by using a staged surgical approach, which combined the principles used for treating benign esophagorespiratory fistulas and perforating Barrett’s ulcers.






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Copyright © 2002 by The Society of Thoracic Surgeons.