Barrett 溃疡穿孔导致危及生命的食管支气管瘘。

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

作者信息

Nigro John J, Bremner Ross M, Fuller Clark B, Theisen Jörg, Ma Yanling, Starnes Vaughn A

机构信息

Department of Cardiothoracic Surgery, University of Southern California Keck School of Medicine, Los Angeles 90033, USA.

出版信息

Ann Thorac Surg. 2002 Jan;73(1):302-4. doi: 10.1016/s0003-4975(01)02757-6.

DOI:10.1016/s0003-4975(01)02757-6

PMID:11834036

Abstract

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.

摘要

良性溃疡穿孔是巴雷特食管非常罕见的并发症。本报告介绍了一名患有巴雷特溃疡的患者的治疗情况，该溃疡穿透至左主支气管，导致危及生命的支气管食管瘘。通过采用分期手术方法成功处理了这一罕见并发症，该方法结合了治疗良性食管气管瘘和巴雷特溃疡穿孔所采用的原则。