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艾滋病患者气管食管瘘的管理

Management of a tracheoesophageal fistula in a patient with AIDS.

作者信息

Cabañero Alberto, Dronda Fernando, Saldaña David, Hermida José Manuel, Muñoz Gemma, Moreno Santiago

机构信息

1 Department of Thoracic Surgery, University Hospital Ramón y Cajal, Madrid, Spain.

2 Department of Infectious Disease, University Hospital Ramón y Cajal, Madrid, Spain.

出版信息

Asian Cardiovasc Thorac Ann. 2017 Mar;25(3):226-228. doi: 10.1177/0218492317696374. Epub 2017 Jan 1.

Abstract

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.

摘要

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。

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