Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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5 Cases of Congenital Esophagobronchial Fistula in Adult

성인에서 발견된 선천성 식도기관지루 5예

  • Lim, Chang-Young (Department of Infernal Medicine, Inje University, College of Medicine) ;
  • Choi, Soo-Jeon (Department of Infernal Medicine, Inje University, College of Medicine) ;
  • Lee, Bong-Chun (Department of Infernal Medicine, Inje University, College of Medicine) ;
  • Kim, Dong-Soon (Department of Infernal Medicine, Inje University, College of Medicine) ;
  • Jeon, Woo-Ki (Department of Radiology, Inje University, College of Medicine) ;
  • Kim, Joung-Sook (Department of Radiology, Inje University, College of Medicine) ;
  • Lee, Shin-Yeong (Department of Thoracic Surgery, Inje University, College of Medicine) ;
  • Oh, Sang-Joon (Department of Thoracic Surgery, Inje University, College of Medicine) ;
  • Kwak, Young-Tae (Department of Thoracic Surgery, Inje University, College of Medicine) ;
  • Kim, Chang-Ho (Department of Thoracic Surgery, Inje University, College of Medicine)
  • 임창영 (인제대학교 의과대학 내과학교실) ;
  • 최수전 (인제대학교 의과대학 내과학교실) ;
  • 이봉춘 (인제대학교 의과대학 내과학교실) ;
  • 김동순 (인제대학교 의과대학 내과학교실) ;
  • 전우기 (인제대학교 의과대학 방사선과학교실) ;
  • 김정숙 (인제대학교 의과대학 방사선과학교실) ;
  • 이신영 (인제대학교 의과대학 흉부외과학교실) ;
  • 오상훈 (인제대학교 의과대학 흉부외과학교실) ;
  • 곽영태 (인제대학교 의과대학 흉부외과학교실) ;
  • 김창호 (인제대학교 의과대학 흉부외과학교실)
  • Published : 1993.02.28
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Abstract

Congenital esophagobronchial fistula presented in adult life is rare and usual1y manifests as recurrent pneumonias or other chronic suppurative complications such as bronciectasis. Most of congenital esophagobronchial fistula can be diagnosed by esophagography and can be cured by fistulectomy and/or resection of destroyed pulmonary lobes. We recently experienced 5 cases (2 female and 3 male patients) of congenital esophagobronchial fistula (all of them were Braimbridge type I). Mean age of the patients at the time of diagnosis of esophagobronchial fistula was 53.8 year-old (44-70 year-old) and mean duration of symptoms and complications such as cough after swallowing water, recurrent pneumonias and bronchiectasis was 29 years (12-50 years). 4 patients were treated by fistulectomy and resection of destroyed lobes with abolition of symptoms. So we report 5 cases of congenital esophagobronchial fistula with review of literatures.

성인에서의 선천적 식도기관지루는 매우 드문 질환이지만 반복되는 폐렴의 병력과 물이나 유동식을 섭취할 때 발작적인 기침이 동반되는 경우 그 가능성을 의심하여야 하며 대개 식도조영술로 누관의 존재를 확인할 수 있으며 누관의 절제와 동반하는 폐의 기관지확장증 및 폐화농으로 인해 손상된 폐엽의 절제에 의해 치유될 수 있다. 저자들은 반복되는 폐렴 및 폐화농으로 발견되어 선천성 식도기관지루로 사료된 5예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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