• Title/Summary/Keyword: Esophageal fistula

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Hypertrophic Pyloric Stenosis Occurring in Fasting State with Gastrostomy After Surgery for Esophageal Atresia with Tracheoesophageal Fistula (선천성 식도 폐쇄 환자에서 출생 후 위루관 삽입술과 계속적인 금식상태에서 근본수술 후 발생한 비후성 유문 협착증 - 1예 보고 -)

  • Jung, Eun-Young;Choi, Soon-Ok;Park, Woo-Hyun
    • Advances in pediatric surgery
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    • v.17 no.1
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    • pp.88-92
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    • 2011
  • The onset of hypertrophic pyloric stenosis in the postoperative course of esophageal atresia with tracheoesophageal fistula is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed since birth. The infant presented with an increased amount of orogastric tube drainage and consistently distended gastric air on simple abdominal X-ray. Abdominal ultrasonography showed hypertrophic thick pyloric muscle. The diagnosis of pyloric stenosis was confirmed d is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed. The infant presented with uring surgery, After pyloromyotomy, the patient's condition improved.

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A Large T-E Fistula Following Blunt Chest Trauma -A Case Report- (흉부둔상에 의한 기관식도루의 치험 1례)

  • 김보영
    • Journal of Chest Surgery
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    • v.27 no.1
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    • pp.68-71
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    • 1994
  • A tracheo-esophageal fistula following from blunt chest trauma is one of less common lesion and few guidelines are available to direct its optimal management. Herein, we report a 24-year-old man injured in a motor vehicular accident sustained a nonpenetrating double blowout injury of the thorax and large tracheoesophageal fistula occurred. Tracheal defect required resection and reconstruction, of which the membranous portion underwent closure with borrowed adjacent esophageal wall primarily and substernal left colon interposition was performed 4 weeks later.

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Congenital esophageal atresia with tracheoesophageal fistula -Report of one case- (선천성 식도폐쇄 및 기관식도루 -1예 보고)

  • 김종진
    • Journal of Chest Surgery
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    • v.19 no.2
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    • pp.358-362
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    • 1986
  • Esophageal atresia and tracheoesophageal fistula may occur as separate entities but usually occur in combination. Recently we were experienced a case of esophageal atresia with distal tracheoesophageal fistula in infant patient who presented the symptoms of projectile vomiting and dyspnea. The diagnosis was made by the esophagography and the Haight`s operation was performed transpleurally through 4th intercostal space after gastrostomy. Operative patient tolerated all the operative procedures well in spite of postoperative respiratory complication and recovered uneventfully, permitted feeding on 10th postoperative day. On follow up study after 5th months, Patient reveals good health without other problem.

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Congenital bronchoesophageal fistula without esophageal atresia in adults-report of 5 cases- (성인에서 발생된 선천성 식도기관지루 수술 치험: 5례 보고)

  • 김주현
    • Journal of Chest Surgery
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    • v.16 no.3
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    • pp.381-385
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    • 1983
  • Congenital bronchoesophageal fistula without esophageal atresia is very rare and often has an insidious clinical course that occasionally persists into adult life. Here are presented five cases of congenital bronchoesophageal fistula without esophageal atresia in adults treated successfully in the Seoul National University Hospital. The patients included two women and three men in the range of 16 and 45 years old. [mean age: 32 years old] Three of five cases could be diagnosed preoperatively by esophagogram and bronchogram but two of them could only be found in operative field. Cineesophagogram is recommended, on review of the literature, to be the most rewarding diagnostic procedure.

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Successful Management of Atrio-Esophageal Fistula after Cardiac Radiofrequency Catheter Ablation

  • Shim, Hun Bo;Kim, Chilsung;Kim, Hong-Kwan;Sung, Kiick
    • Journal of Chest Surgery
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    • v.46 no.2
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    • pp.142-145
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    • 2013
  • An increase in cardiac radiofrequency catheter ablation for treating refractory atrial fibrillation has resulted in an increased prevalence of complications. Among numerous complications of radiofrequency catheter ablation, atrio-esophageal fistula, although rare, is known to have fatal results. We report a case of successful management of an atrio-esophageal fistula as a complication of cardiac radiofrequency catheter ablation.

Palliative Intubation in Advanced Esophageal Cancer [including esophagorespiratory fistulas] Using Celestin Tube - Report of 6 Cases - (Celestin Tube 를 이용한 진행된 식도암환자에서의 고식적 수술치료 - 6례보고-)

  • Han, Jae-Jin;Jo, Jae-Il;Sim, Yeong-Mok
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.315-320
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    • 1989
  • Dysphagia is common symptom in patients with advanced esophageal cancer, which is not to be resected surgically. Especially when esophagorespiratory fistula is complicated, it leads to rapid deterioration and death due to pulmonary infection. Esophageal intubation relieves dysphagia as simple surgical execution and offers rapid effectiveness. For six patients with inoperable esophageal cancer including three esophago-respiratory fistulas, the palliative esophageal intubation was performed in Korea Cancer Center Hospital, in 1988. Traction technique via high gastrotomy with Celestin tube was used. Adequate palliation of dysphagia was achieved in 5 patients, but wound infection was developed in 2 patients, tube migration in 2 patients, and 2 died in hospital due to sepsis on the 16th and 42nd postoperative day, respectively. In 3 patients with esophagorespiratory fistula complicated after radiation therapy, the intubation was performed urgently and the result was satisfactory in 2 of them that the fistula was occluded successfully and aspiration or pulmonary infection was prevented.

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Fistulas between the Esophagus and Adjacent Vital Organs in Esophageal Cancer

  • Cho, Sukki
    • Journal of Chest Surgery
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    • v.53 no.4
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    • pp.211-216
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    • 2020
  • Esophageal fistulas may occur in an advanced stage or as a potentially life-threatening complication of treatment. They can be divided into esophageal-respiratory and esophageal-aorta fistulas. The diagnosis is confirmed with fluoroscopy using dilute barium oral contrast, followed by thin-section computed tomography, which defines the precise location and extent of the fistula. Flexible esophagoscopy and bronchoscopy are required for confirmation and anatomic assessment of the suspected fistula and provide additional information for treatment planning. Contamination is traditionally controlled by surgical exclusion, along with a jejunal feeding tube. Currently, fully covered self-expanding metal stents are the primary treatment option.

Congenital Bronchoesophageal Fistula in Adult - Report of a case - (성인의 선천성 기도-기관지루: 1례 보고)

  • 표현인
    • Journal of Chest Surgery
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    • v.24 no.8
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    • pp.824-829
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    • 1991
  • We have experienced a case of 42-year-old woman with congenital broncho-esophageal fistula. The patient had productive coughing since childhood. A barium-swallowing examination showed a lower esophageal diverticulum communicating via a fistula with posterior basal segment of right lower lobe. Bronchography showed bronchiectasis in right middle and lower lobes. At thoracotomy resection of the diverticulum, bronchoesophageal fistula, and right middle and lower lobe of lung were performed. The postoperative course was uneventful.

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Congenital Esophago-Bronchial Fistula in the Adult - Report of a Case - (성인의 선천성 식도기관지루 - 1례 보고 -)

  • 정언섭
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.880-883
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    • 1989
  • Congenital esophagobronchial fistula without esophageal atresia is rare, usually has an insidious clinical course, so it usually diagnosed in adulthood. A esophagogram showed a esophagobronchial fistula between diverticulum at the middle third of the esophagus and just proximal site of apical segmental bronchus of left lower lobar bronchus. It belonged to type I of Braimbridges classification for congenital esophago-bronchial fistula. Esophageal diverticulectomy, fistulectomy and left lower lobectomy were done and postoperative course was uneventful.

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Suryical Treatment of Congenital Esophayeal Atresia without Tracheoesophageal Fistula -A Case Report of Staged Operation- (기관 식도루가 없는 선천성 식도 폐쇄)

  • 김영대
    • Journal of Chest Surgery
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    • v.27 no.12
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    • pp.1052-1055
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    • 1994
  • Congenital esophageal atresia without tracheoesophageal fistula which called isolated esophageal atresia is a very rare entity and the neonate classified as category C by Waterston`s classification has high mortality rate. We experienced a case of isolated esophageal atresia. This patient was a male with 1,750gm in body weight and had been suffered from bilateral pneumonia. The patient was managed with staged operation. Feeding gastrostomy was made as the first intervention and delayed primary anastomosis was performed 3 months later. The postoperative course was uneventful and he was discharged on the 22nd postoperative day.

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