Evans J P
Thorax. 1972 Nov;27(6):674-7. doi: 10.1136/thx.27.6.674.
The complication of oesophagopleural fistula is described in eight of 1,389 patients (0·5%) who underwent pneumonectomy for carcinoma of the bronchus. All the patients had a right pneumonectomy performed and seven of the eight patients developed a bronchopleural fistula before developing an oesophageal fistula. The complication appeared between two weeks and 22 months after pneumonectomy. All the fistulae occurred on the right side; three were at the level of the bronchial stump and five were within 5 cm below the stump. The cause of the fistula was thought to be the development of a peribronchial abscess which ruptured into the oesophagus. The complication was diagnosed by the presence of food particles on the dressings in those patients with chest drains It was confirmed by Gastrografin swallow. The size of the fistulae varied between 3 and 8 mm. Successful immediate surgical closure of the fistula was accomplished in three patients. Feeding was continued using a gastrostomy. Five patients unfit for surgery and treated by palliative measures died.
在1389例因支气管癌接受肺切除术的患者中，有8例（0.5%）出现了食管胸膜瘘并发症。所有患者均接受了右肺切除术，8例患者中有7例在发生食管瘘之前出现了支气管胸膜瘘。该并发症出现在肺切除术后两周至22个月之间。所有瘘管均发生在右侧；3例位于支气管残端水平，5例在残端下方5厘米以内。瘘管的原因被认为是支气管周围脓肿形成并破裂进入食管。对于有胸腔引流管的患者，通过敷料上出现食物颗粒来诊断该并发症。通过吞咽泛影葡胺得以确诊。瘘管大小在3至8毫米之间。3例患者立即成功进行了瘘管手术闭合。通过胃造口术继续进行喂养。5例不适合手术并接受姑息治疗的患者死亡。
