Las fistulas traqueo-esofagicas adquiridas no neoplasicas. A proposito de cinco casos

Canto, A.; Moya, J.; Aguilo, R.; Hussein, M.; Saumench, J.; Ferrer, G.; Morera, R.; Pujol, R.

doi:10.1016/S0300-2896(15)31902-5

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Archivos de Bronconeumología

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Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

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Vol. 23. Issue 6.

Pages 280-284 (November - December 1987)

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Pages 280-284 (November - December 1987)

DOI: 10.1016/S0300-2896(15)31902-5

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Las fistulas traqueo-esofagicas adquiridas no neoplasicas. A proposito de cinco casos

Acquired non neoplasic tracheo-oesophageal fistula. Report of five cases

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A. Canto, J. Moya, R. Aguilo, M. Hussein, J. Saumench, G. Ferrer, R. Morera, R. Pujol

Servicio de Cirugía Torácica. Hospital de Bellvitge Prínceps d’Espanya. L’Hospitalet de Llobregat. Barcelona

C. Martin*

* Departamento de Anestesiología. Hospital de Bellvitge Prínceps d’Espanya. L’Hospitalet de Llobregat. Barcelona

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Las fístulas traqueoesofágicas no son muy frecuentes. Durante los siete últimos años se han diagnosticado y tratado quirúrgicamente, en nuestro Servicio de Cirugía Torácica, cinco casos de fístulas adquiridas de origen no neoplásico. De éstos, uno era de posible origen infeccioso y los otros cuatro de origen traumático yatrógeno. Tres fueron de porción cervical y se repararon por dicha vía y las otras dos, de tráquea mediastínica, se trataron por toracotomía derecha. Se comenta la sintomatología, etiología, su diagnóstico, tratamiento y resultados.

Tracheo-eosophageal fístula is an uncommon condition. Five cases of tracheoeosophageal fístula of non-neoplasic origin have been diagnosed and surgically treated in our thoracic surgery services over the last seven years. One of these cases was possibly infectious in origin while the other four were induced by iatrogenic injuries. Three patients showed a fístula of the cervical oesophagus and surgical repair was done by using a cervical approach. In the other two patients, the fistula was located in the mediastinal trachea and a right thoracotomy was performed for repairment. The symptoms, etiology, diagnosis and treatment of this condi-tion as well as the results obtained are discussed.

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Bibliografía

[1.]

A.R. Wychulis, F.H. Ellis, H.A. Andersen.

Acquired nonmalignant esophagotracheobronchial fístula Report of 36 cases.

JAMA, 196 (1966), pp. 117-122

Medline

[2.]

R.P. Anderson, D.C. Sabiston.

Acquired bronchoesophageal fístula of benign origin.

Surg Gyn Obstet, 121 (1965), pp. 261-266

[3.]

D.R. Judd, T. Dubuque.

Acquired benign esophagotracheobronchial fístula.

Dis Chest, (1968), pp. 237-240

[4.]

H.C. Grillo.

Postintubation tracheo-esophageal fístula.

International trends in general thoracic surgery, 2 (1987), pp. 61-68

[5.]

W.F. Obrecht, J.E. Richter, G.A. Olympio, D.W. Gelfand.

Tracheoesophageal fistula: a serious complication of infectious esophagitis.

Gastroenterol, 87 (1984), pp. 1.174-1.179

[6.]

R.P. Green, H.F. Biller, A. Sicular, M. Wright.

Cervical tracheoesophageal fistula.

Laryngoscope, 93 (1983), pp. 364-369

Medline

[7.]

H.C. Grillo.

Tracheal surgery.

Scand J Thorac Cardiovasc Surg, 17 (1983), pp. 67-77

Medline

[8.]

Y. Maruyama, J.R. Pettet, C.P. Green.

Acquired esophagotracheal fístula secondary to a foreign body in the esophagus.

New Eng J Med, 260 (1959), pp. 126-127

http://dx.doi.org/10.1056/NEJM195901152600305 | Medline

[9.]

E. Ancona, G. Zaninotto, M. Rossi, R. Bardini.

Traitement des fistules oesophago-trachéobronchiques consécutives à l’ingestion de caustiques: nouvelle technique d’exclusion de 1’oesophage associée à l’oesophago-coloplastie rétrosternale. A propos de deux cas.

Ann Chir, 38 (1984), pp. 23-25

Medline

[10.]

A. Cantó, J. Moya, J. Saumench, et al.

Desinserción y avulsión laringo-traqueal de origen traumático Presentación de dos casos, uno de ellos complicado a fístula esofágica.

Arch Bronconeumol, 22 (1986), pp. 88-91

[11.]

F.P. Coleman.

Acquired non-malignant esophagorespiratory fistula.

Amer J Surg, 93 (1957), pp. 321-325

Medline