Thoracoscopic treatment of a broncho-esophageal fistula: A case report

Ginesu, Giorgio Carlo; Feo, Claudio F.; Cossu, Maria Laura; Ruiu, Francesca; Addis, F; Fancellu, Alessandro; Fois, Alessandro Giuseppe; Paliogiannis, Panagiotis; Porcu, Alberto

doi:10.1016/j.ijscr.2016.09.013

Cited by 5 publications

(7 citation statements)

References 18 publications

(20 reference statements)

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“…For a physician, it can be a therapeutic challenge to diagnose due to its atypical presentation. Most common symptoms of BEF is cough after having oral fluid intake (Ono’s sign), dysphagia, recurrent pulmonary infections, malnutrition and sepsis 3 4. Barium esophagogram is the most reliable exam for detection of BEF 4.…”

Section: Descriptionmentioning

confidence: 99%

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Bronchoesophageal fistula: a rare complication of non-small cell carcinoma (NSCLC) invading the mediastinum

2019

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Section: Descriptionmentioning

confidence: 99%

“…Barium esophagogram is the most reliable exam for detection of BEF 4. Treatment includes thoracotomy, video-assisted thoracoscopic surgery, silicon prosthesis, sclerosing substance injection at fistula site via endoscopy, bare metal stent and self-expending metal stents 3 4…”

Section: Descriptionmentioning

confidence: 99%

Bronchoesophageal fistula: a rare complication of non-small cell carcinoma (NSCLC) invading the mediastinum

2019

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“…Symptomatic BEF often presents with bouts of cough and choking after eating, known as Ono’s sign, that is worse with liquids compared to solids. 7 The haemoptysis seen in this patient was likely the result of lung suppuration that resulted from the endograft infection. 8 BEF is rare in the adult and can be either acquired or congenital.…”

Section: Discussionmentioning

confidence: 75%

Bronchoesophageal fistula: a rare complication of aortic endograft infection

2018

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Endovascular aortic aneurysm repair is an increasingly common approach for aortic aneurysm repair. Infection of the prosthetic is a rare, but devastating complication which may result in the well-known aortoenteric or aortobronchial fistulae. Bronchoesophageal fistula resulting from an infected aortic endograft has not yet been reported in the literature. Early recognition of the symptoms and prompt imaging confirmation are essential for treating an otherwise highly morbid diagnosis.

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“…Eight patients in this series had esophageal tracheobronchial fistula for a duration of over 6 months, and they were converted to surgery because they had failed long-term gastroenteral nutritional support or repeated attempts of esophageal stent placement. It was also reported 20 that fistula repair under a thoracoscope might be an optimal minimally invasive approach for the treatment of esophageal tracheobronchial fistula. This, however, is limited to a few cases of congenital esophageal tracheobronchial fistula in which adhesion in the mediastinum is not severe.…”

Section: Discussionmentioning

confidence: 98%

Outcome and safety of tailored surgical treatments of nonmalignant esophagotracheobronchial fistula: report of fourteen patients

Guo

Zhang

Cui

et al. 2017

TCRM

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IntroductionAcquired benign esophageal tracheobronchial fistulae are clinically rare. In this paper, we summarize our experiences in surgical treatment of 14 consecutive patients with acquired benign esophageal tracheobronchial fistula.MethodsThis series included patients who underwent surgery between January 2002 and June 2015 at our institution. We retrieved and analyzed data on demographics, operative characteristics, and surgical outcome of the patients.ResultsBronchofiberscopy revealed the membranous trachea openings of fistulae and gastroendoscopy further showed lesions in the anterolateral wall of the esophagus. Thoracotomy, division of the fistulous tract, and closure of the esophagus and trachea and other procedures were performed. All operations were uneventful, and there was no perioperative and postoperative complication or death. Symptoms disappeared after surgery in patients. The median length of hospital stay was 53 (range 31–270) days. The patients were followed up for a median of 33.5 (range 15–168) months. No recurrence was reported.ConclusionOur results suggest that acquired benign esophageal tracheobronchial fistulae have a broad spectrum of anatomic pathologies and exhibit markedly varied clinical manifestations, and a surgical approach tailored to the condition of individual patients is recommended.

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Thoracoscopic treatment of a broncho-esophageal fistula: A case report

Abstract: HighlightsBroncho-Esophageal Fistula (BEF) in adults is rare.If left untreated, BEF may lead to fatal complications despite its benign nature.The most frequent approach is thoracotomy.Video Assisted Thoracoscopic Surgery (VATS) may be a minimally invasive approach.

Cited by 5 publications

References 18 publications

Bronchoesophageal fistula: a rare complication of non-small cell carcinoma (NSCLC) invading the mediastinum

Bronchoesophageal fistula: a rare complication of non-small cell carcinoma (NSCLC) invading the mediastinum

Bronchoesophageal fistula: a rare complication of aortic endograft infection

Outcome and safety of tailored surgical treatments of nonmalignant esophagotracheobronchial fistula: report of fourteen patients

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