McNamee C J, Paradis R
Walter Mackenzie Health Sciences Centre, Edmonton, Canada.
Dis Esophagus. 1997 Oct;10(4):276-8. doi: 10.1093/dote/10.4.276.
Bronchoesophageal fistula are commonly caused by a lung or esophageal malignancy eroding into the neighboring structure. Benign forms of bronchoesophageal fistula are less common and may have a congenital nature. Congenital bronchoesophageal fistula usually present in adult life with chronic symptoms of lung suppuration. We present a case of congenital bronchoesophageal fistula in an octogenarian and review the literature on this subject. We also suggest an extrapleural approach to the fistula to lessen the possibility of postoperative empyema.
支气管食管瘘通常由肺部或食管恶性肿瘤侵蚀邻近结构引起。良性支气管食管瘘较为少见，可能具有先天性。先天性支气管食管瘘通常在成年期出现肺部化脓的慢性症状。我们报告一例八旬老人先天性支气管食管瘘病例，并回顾该主题的文献。我们还建议采用胸膜外途径处理瘘管，以降低术后脓胸的可能性。
