Acquired esophago-respiratory fistulae in adults

Bixby, Billie; Maddock, Sean D.; Reddy, Chakravarthy; Iravani, Aidin; Ansari, Sikandar

doi:10.21037/shc.2019.11.06

Cited by 8 publications

(16 citation statements)

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“…Congenital fistulas arise from esophageal abnormalities in the fourth week of embryonic development and account for 0.04% of all live births. Congenital fistulas are usually associated with esophageal atresia at birth [ 2 ]. Acquired esophageal respiratory fistula can be due to malignant and non-malignant etiologies.…”

Section: Discussionmentioning

confidence: 99%

“…The pathophysiology behind malignancies causing esophageal respiratory fistula includes direct invasion of the tumor or as a side effect of the treatment modalities specifically radiotherapy. The use of antiangiogenic drugs such as bevacizumab has also been reported to cause esophageal respiratory fistula [ 2 ]. Non-malignant etiologies include postoperative, radiation induced, intubation associated, related to granulomatous disease including tuberculosis and histoplasmosis, history of tracheal and esophageal stents, blunt trauma, pseudodiverticulum of the esophagus, Crohn’s disease or foreign body ingestion [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, barium is preferred over Gastrografin and aspiration of small amounts of barium seems to have little clinical relevance. Bronchoscopy and esophageal endoscopy also play a role in diagnosis and treatment plan [ 2 ]. In this case a CT scan with and without contrast was done due to the suspicion of fistula and the diagnosis was confirmed with fluoroscopy esophagram, which showed that the esophageal fistula communicated directly with the right lower lobe parenchyma.…”

Section: Discussionmentioning

confidence: 99%

“…If left untreated the quality of life is severely affected and most people die of respiratory complications and poor nutritional status. The goals of treatment for successful fistula management are treatment of pulmonary sepsis, prevention of complications like aspiration pneumonia [ 2 ] and to improve the nutritional status and performance score. Treatment modalities include endoscopic stenting and/or surgical repair and pulmonary support rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

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Unique Communication: A Case Report of Acquired Esophageal Pulmonary Fistula

et al. 2021

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Esophageal respiratory fistula represents a connection between esophagus and the respiratory system. Esophageal tracheal and esophageal bronchial fistulas are common whereas esophageal pulmonary fistula is rarely seen. We report a case of esophageal pulmonary fistula in a middle aged African American male with a history of bronchoesophageal fistula who presented with pneumonia. The diagnosis was confirmed with fluoroscopy esophagram. Management with endoscopic stent placement was planned however the patient refused treatment. A diagnosis of esophageal pulmonary fistula should be kept in mind for patients with pulmonary symptoms and dysphagia. Early diagnosis and treatment are required to prevent complications and improve quality of life in these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Unique Communication: A Case Report of Acquired Esophageal Pulmonary Fistula

et al. 2021

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“…A bronchoesophageal-pleural fistula (BEPF) is an abnormal tract between the oesophagus, a major bronchus, and the pleural space [1]. Very few case reports have been published describing such a connection.…”

Section: Introductionmentioning

confidence: 99%

A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer

Gaine¹,

Danish²,

Binalialsharabi³

et al. 2022

Cureus

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Bronchoesophageal-pleural fistula (BEPF) is a very rare entity that can present as a late manifestation of oesophageal malignancy. Here, we describe the case of an elderly farmer with no past medical history of note who presented with acute respiratory failure associated with a five-month history of dysphagia and weight loss.Computerised tomography of the thorax showed a connection between the oesophagus, bronchus and pleural space: a bronchoesophageal-pleural fistula. Ultrasound-guided thoracentesis was followed by chest drain insertion into an empyema containing food debris. Histopathological analysis of endoscopic biopsies confirmed an eroding squamous cell carcinoma (SCC) of the oesophagus. An oesophageal stent was inserted to seal off the fistula and broad-spectrum antibiotics were maximised. Ultimately, after four weeks in hospital, palliative therapy was initiated.BEPF remains a very rare and devastating complication of oesophageal malignancy. Endoscopic stenting may provide symptomatic relief.

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Aero-Digestive Fistulas: Endoscopic Approach

Rodríguez

Díaz-Jiménez

2023

Interventions in Pulmonary Medicine

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Acquired esophago-respiratory fistulae in adults

Cited by 8 publications

References 0 publications

Unique Communication: A Case Report of Acquired Esophageal Pulmonary Fistula

Unique Communication: A Case Report of Acquired Esophageal Pulmonary Fistula

A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer

Aero-Digestive Fistulas: Endoscopic Approach

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