Broncho-Esophageal Fistula: When Surgery and Endoscopy Fail, Consider Physiological Lung Exclusion

Maia, D; Tronchetti, J; D'Journo, X; Dutau, H

http://hdl.handle.net/10400.17/5004

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Abstract(s)

We discuss the case of an esophageal cancer patient treated by chemo and radiotherapy complicated by an esophageal stenosis and an iatrogenic broncho-esophageal fistula. This latter was managed with multiple palliative stenting procedures and colonic surgical bypass. Despite a long disease free survival but decreased quality of life and frailty, we came to the proposal of an extremely unusual form of treatment - physiological lung exclusion, with clinical benefit and so far without any drawbacks related to the procedure.

Keywords

Aged Bronchial Fistula* / diagnosis Bronchial Fistula* / etiology Esophageal Fistula* / diagnosis Esophageal Fistula* / etiology Esophageal Fistula* / therapy Esophageal Neoplasms* / diagnosis Esophageal Neoplasms* / surgery Esophageal Neoplasms* / therapy Esophageal Stenosis / diagnosis Esophageal Stenosis / etiology Esophageal Stenosis / surgery Esophageal Stenosis / therapy Lung / diagnostic imaging Male Stents HSM PNEU