Elamurugan Elamaran, Ranganadin Pajanivel, Velraj Jaya, Ram Duvuru, Panchanatheeswaran Karthik
Department of Cardiothoracic and Vascular Surgery, Mahatma Gandhi Medical College and Research Institute, Pillayarkuppam, Pondicherry, 607403 India.
Department of Pulmonary Medicine, Mahatma Gandhi Medical College and Research Institute, Pillayarkuppam, Pondicherry, 607403 India.
Indian J Thorac Cardiovasc Surg. 2019 Jan;35(1):62-63. doi: 10.1007/s12055-018-0692-5. Epub 2018 Aug 1.
Congenital bronchoesophageal fistula (CBEF) is a rare entity in adults. Patients with CBEF present with cough and recurrent respiratory tract infection. Diagnosis is confirmed by barium esophagogram and contrast-enhanced computed tomography. Management is by surgical ligation of the fistula and repair. Concomitant lung resection procedures will be required for any coexisting lung pathology. Thoracoscopic approach can be considered in young, healthy adults where the adhesions are less.
先天性支气管食管瘘(CBEF)在成人中是一种罕见的病症。CBEF患者表现为咳嗽和反复呼吸道感染。通过钡剂食管造影和增强计算机断层扫描确诊。治疗方法是手术结扎瘘管并进行修复。对于任何并存的肺部病变,都需要进行同期肺切除手术。对于粘连较少的年轻健康成年人,可以考虑采用胸腔镜手术方法。