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KMID : 0364019960290010067
Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 1 p.67 ~ p.72
Surgical Treatment of Bonchoesophageal Fistula in Adult
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Abstract
Bronchoesophageal fistula is a rare clinical entity whether congenital or acquired in adult.
We experinced 8 cases of bronchoesophageal fistula and performed surgical correction from 1991 to 1994. Of the 8 patients, 5 patients were male and three were female aging from 21 to 61 years(mean 44.12¡¾14.62 years). Seven of 8 patients had
congenital
bronchesophageal fistula and the other one had acquired bronchoesophageal fistula. According to the classification of Braimbridge and Keith, 4 cases were belonged to type I and 3 cases were type II. The diagnosis was confirmed by esophagogram in
six
patients, by bronchoscopy and bronchogram in two patients, and in one patient, the fistula was discovered incidentally during operation.
All patients received fistulectomy and concomitant procedures were as follows; 4 diverticulectomy, 4 right lobectomy, l bilobectomy, l left lower lobectomy and 1 wedge resection of left lower lobe.
All but one patient were discharged without any complication and have been in good condition.
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