Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report

Abstract Background The incidence of congenital bronchoesophageal fistulas in adults is rare. Most fistulas discovered in adulthood are often small and can be repaired with a simple one-step method. Case presentation A 46-year-old female patient complained of a 2-month history of chocking, coughing,...

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Autores principales:	Kun Fan, Shan Gao, Rui Gao, Shuo Li, Junke Fu, Guangjian Zhang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Bronchoesophageal fistulas Double-layer repair Esophagus in situ Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/2cec6d54faba4b7eac247f12bf4ac2ff
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spelling	oai:doaj.org-article:2cec6d54faba4b7eac247f12bf4ac2ff2021-12-05T12:11:02ZRepair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report10.1186/s12876-021-02033-81471-230Xhttps://doaj.org/article/2cec6d54faba4b7eac247f12bf4ac2ff2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12876-021-02033-8https://doaj.org/toc/1471-230XAbstract Background The incidence of congenital bronchoesophageal fistulas in adults is rare. Most fistulas discovered in adulthood are often small and can be repaired with a simple one-step method. Case presentation A 46-year-old female patient complained of a 2-month history of chocking, coughing, and a 12 kg drop in weight. The bronchofiberscopy and gastroscopy showed a large fistula, which extended from the esophagus to the main bronchus on both sides, thus forming a special three-way channel which has never been reported. This case was challenging both to the anesthetists and surgeons. The patient was intubated with a sengstaken-blakemore tube, and then received segmental esophageal resection, anastomotic reconstruction, and double-flap repair with esophagus segment in situ. Conclusion When the fistula in BEF is large or complicated, appropriate surgical methods should be meticulously designed according to the condition of the patient. The problem of anesthesia intubation should be solved first, to allow a smooth operation. Secondly, a double-layer repair of the airway fistula by using esophageal wall tissues as patch materials is proposed.Kun FanShan GaoRui GaoShuo LiJunke FuGuangjian ZhangBMCarticleBronchoesophageal fistulasDouble-layer repairEsophagus in situDiseases of the digestive system. GastroenterologyRC799-869ENBMC Gastroenterology, Vol 21, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bronchoesophageal fistulas Double-layer repair Esophagus in situ Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Bronchoesophageal fistulas Double-layer repair Esophagus in situ Diseases of the digestive system. Gastroenterology RC799-869 Kun Fan Shan Gao Rui Gao Shuo Li Junke Fu Guangjian Zhang Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report
description	Abstract Background The incidence of congenital bronchoesophageal fistulas in adults is rare. Most fistulas discovered in adulthood are often small and can be repaired with a simple one-step method. Case presentation A 46-year-old female patient complained of a 2-month history of chocking, coughing, and a 12 kg drop in weight. The bronchofiberscopy and gastroscopy showed a large fistula, which extended from the esophagus to the main bronchus on both sides, thus forming a special three-way channel which has never been reported. This case was challenging both to the anesthetists and surgeons. The patient was intubated with a sengstaken-blakemore tube, and then received segmental esophageal resection, anastomotic reconstruction, and double-flap repair with esophagus segment in situ. Conclusion When the fistula in BEF is large or complicated, appropriate surgical methods should be meticulously designed according to the condition of the patient. The problem of anesthesia intubation should be solved first, to allow a smooth operation. Secondly, a double-layer repair of the airway fistula by using esophageal wall tissues as patch materials is proposed.
format	article
author	Kun Fan Shan Gao Rui Gao Shuo Li Junke Fu Guangjian Zhang
author_facet	Kun Fan Shan Gao Rui Gao Shuo Li Junke Fu Guangjian Zhang
author_sort	Kun Fan
title	Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report
title_short	Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report
title_full	Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report
title_fullStr	Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report
title_full_unstemmed	Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report
title_sort	repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2cec6d54faba4b7eac247f12bf4ac2ff
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Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report

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