Temes R T, Wong R S, Davis M, Kessler R M, Wernly J A
Department of Surgery, University of New Mexico School of Medicine, Albuquerque 87131, USA.
Ann Thorac Surg. 1995 Aug;60(2):440-2. doi: 10.1016/0003-4975(95)00004-5.
Fistula formation between the esophagus and airway in acquired immunodeficiency syndrome is extremely unusual. We report 2 cases, the first in a patient who did not undergo definitive surgical management and died shortly after diagnosis. The second patient was managed successfully for 5 months by insertion of a Celestin endoesophageal prosthesis. This procedure can be performed with low morbidity and mortality, and may become the treatment of choice for this complex problem.
获得性免疫缺陷综合征患者食管与气道之间形成瘘管极为罕见。我们报告2例病例,第一例患者未接受确定性手术治疗,诊断后不久死亡。第二例患者通过插入塞莱斯坦食管假体成功治疗了5个月。该手术可在低发病率和死亡率的情况下进行,可能成为解决这一复杂问题的首选治疗方法。