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find Keyword "?Esophageal-tracheal/bronchial fistula" 1 results
  • Surgical Treatment for Non-malignant Esophageal-tracheal/bronchial Fistula

    ObjectiveTo investigate clinical characteristics and surgical treatment of patients with non-malignant esophageal-tracheal/bronchial fistula.?Methods?We retrospectively analyzed clinical data of 12 patients with non-malignant esophageal-tracheal/bronchial fistula who underwent surgical repair in Peking Union Medical College Hospital from January 2002 to October 2011. There were 6 males and 6 females with a mean age of 49.8 years (ranging from 32 to 72 years). There were 7 patients with esophagotracheal fistula,1 patient with esophagobronchial fistula,2 patients with gastro-bronchial fistula after esophagectomy for esophageal cancer,and 2 patients with esophageal diverticulum bronchial fistula. Nine patients underwent surgical repair via right thoracotomy approach,and 3 patients via left thoracotomy approach. Seven patients underwent esophageal fistula and tracheal fistula repair,1 patient underwent esophageal fistula and bronchial fistula repair,2 patients underwent gastric fistula and bronchial fistula repair,1 patient underwent esophagectomy, gastroesophageal anastomosis and left lower lobectomy, and 1 patient underwent esophageal diverticulum repair and left lower lobectomy.?Results?All the patients recovered well from surgery with no perioperative complication or in-hospital death,and resumed oral intake 7-10 days after surgery. Three months to 1 year postoperatively, regular examinations including upper gastroenterography and fibrobronchoscopy found no sign of tracheal/bronchial stenosis or esophageal stenosis,and no patients needed stent implantation or dilatation treatment. All the patients were followed up from 3 months to 10 years and had a good quality of life during follow-up.?Conclusion?Excluding malignant etiology and determining the exact fistula location are key points of clinical diagnosis for esophageal-tracheal/bronchial fistula. Adequate preoperative nutritional support and 1-stage surgical repair can lead to satisfactory clinical outcomes.

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
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