1998 Volume 59 Issue 10 Pages 2550-2554
We experienced a case of esophagobronchial fistula secondary to mediastinitis caused by endoscopic perforation. A 53-year-old woman was admitted to the our hospital because of chest pain and cough. 7 months after the perforation, we cut off the fistula, but it was not closed. Then an endoscopic therapy was tried using fibrin bond and histoacryl, but the fistula did not closed. 7 weeks after the first operatin, the second operation was performed and the esophagobronchial fistula was cured by removing the primary side of fistula after cut off the fistula. We discussed the therapies of esophagobronchial fistula from our experience with the case as well as from a review of the literature. It is thought that we should not stick to conservative treatment but select operation primarily for esophagobronchial fistula, because the disease often intractable by medical treatment. And in case of operatin, we surgions have to confirm the fistula exactly and the fistula should be removed at a border with the esophagus in principle.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
