Gerstenberger P D, Pellegrini C A, Tierney L M
Am J Med. 1986 Oct;81(4):713-7. doi: 10.1016/0002-9343(86)90564-4.
Acquired fistulas between the esophagus and tracheobronchial tree are usually associated with malignancy of the esophagus, lung, or trachea. Less commonly, fistulas result from trauma or inflammation involving these structures. Untreated fistulas of any cause lead to fatal complications of aspiration. Although the prognosis in cases of malignant fistula is poor, the recognition and surgical management of nonmalignant fistulas may result in cure. An acquired esophagobronchial fistula resulting from a Barrett's ulcer of the esophagus, a previously unreported cause, is described, and the differential diagnosis and treatment of nonmalignant esophagorespiratory fistulas are discussed.
后天性食管与气管支气管树之间的瘘管通常与食管、肺或气管的恶性肿瘤相关。较少见的情况下，瘘管由涉及这些结构的创伤或炎症引起。任何原因导致的未治疗瘘管都会引发吸入性致命并发症。尽管恶性瘘管病例的预后很差，但非恶性瘘管的识别和手术治疗可能会治愈。本文描述了一例由食管巴雷特溃疡导致的后天性食管支气管瘘，这是一种此前未报道过的病因，并讨论了非恶性食管呼吸道瘘的鉴别诊断和治疗。
