Acquired Bronchoesophageal Fistula of Benign Origin
Anderson, R.P.; Sabiston, D.C.
Surgery Gynecology and Obstetrics 121: 261-266
1965
ISSN/ISBN: 0039-6087 PMID: 14320372 Document Number: 8194
A review of acquired, benign bronchoesophageal fistulas including a newly reported group of 4 patients indicates that this abnormality, although uncommonly encountered and frequently difficult to detect, is potentially curable by direct surgical closure. The close anatomic relationship between the esophagus and tracheobronchial system predisposes to the development of abnormal communications through a variety of traumatic and infectious factors. The characteristic symptom of this disorder is paroxysmal cough, particularly following the ingestion of liquids or solids. There is considerable variability in the prominence of this symptom and it may be completely obscured in periods of acute illness, unless specifically sought. Once suspected, the diagnosis may be established by the demonstration of the communication between the esophagus and tracheobronchial system by means of roentgenographic techniques. Cineroentgenography has been found particularly useful in establishing a precise localization of small fistulas. Bronchoscopy and esophagoscopy are helpful in confirming the site and extent of the lesion and in obtaining material for bacteriologic and pathologic examination. Direct exposure and interruption of the communication between the esophagus and respiratory system is highly satisfactory in permanently obliterating the communication and is the recommended method of management.
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