Van Natta Timothy L, Parekh Kalpaj R, Reed Caitlin G, Shebrain Saad A, Omari Bassam O
Division of Cardiothoracic Surgery, Department of Surgery, Harbor-UCLA Medical Center, Torrance, California 90509, USA.
Ann Thorac Surg. 2008 Jan;85(1):322-5. doi: 10.1016/j.athoracsur.2007.07.069.
Acquired esophagobronchial fistula (EBF) is uncommon and its surgical remediation is challenging. Management depends on the cause, degree of pulmonary involvement, and existence of esophageal obstruction. We report management of two EBF cases representing extremes of the surgical spectrum. One patient with EBF secondary to mediastinal fungal infection underwent pulmonary resection and esophageal repair. Another, who was positive for human immunodeficiency virus, required esophageal resection and fistula closure, but no pulmonary resection. Successful outcome was achieved in both patients.
后天性食管支气管瘘（EBF）并不常见，其手术修复具有挑战性。治疗方法取决于病因、肺部受累程度以及食管梗阻的存在情况。我们报告了两例代表手术范围极端情况的EBF病例的治疗情况。一例因纵隔真菌感染继发EBF的患者接受了肺切除和食管修复。另一例人类免疫缺陷病毒检测呈阳性的患者需要进行食管切除和瘘管闭合，但无需进行肺切除。两例患者均取得了成功的治疗结果。
