Cabañero Alberto, Dronda Fernando, Saldaña David, Hermida José Manuel, Muñoz Gemma, Moreno Santiago
1 Department of Thoracic Surgery, University Hospital Ramón y Cajal, Madrid, Spain.
2 Department of Infectious Disease, University Hospital Ramón y Cajal, Madrid, Spain.
Asian Cardiovasc Thorac Ann. 2017 Mar;25(3):226-228. doi: 10.1177/0218492317696374. Epub 2017 Jan 1.
Despite the high frequency of gastrointestinal complications and opportunistic infections in HIV-1 infected patients, tracheoesophageal (TEF) and bronchoesophageal (BEF) fístulas are rare. Our objective is to comunicate an additional and unusual case of TEF in an HIV-1-infected patient whose immunologic status was good with complete suppression of viral replication, so although uncommon, TEF/BEF of an infectious origen should be considered in AIDS. Endoscopic treatment with tracheal/esophageal stents is not without morbidity and mortality. As long as the patient can undergo reconstructive surgery, this should be the technique of choice.
尽管HIV-1感染患者胃肠道并发症和机会性感染的发生率很高，但气管食管瘘（TEF）和支气管食管瘘（BEF）却很罕见。我们的目的是报告1例HIV-1感染患者发生的1例额外的、不寻常的TEF病例，该患者免疫状态良好，病毒复制得到完全抑制，因此，尽管罕见，但在艾滋病患者中应考虑感染源导致的TEF/BEF。气管/食管支架的内镜治疗并非没有发病率和死亡率。只要患者能够接受重建手术，这就应该是首选技术。
