[Esophagorespiratory tract fistula treated by primary suture. Apropos of 2 cases of esophago-pleural fistula and 2 cases of esophagobronchial fistula].
We describe two oesophago-pleural fistulas arriving respectively 40 months and 15 years after pneumonectomia, and two oesophago-bronchial fistulas due to perforated oesophageal diverticula. We evaluate diagnostic methods and discuss etiology of these oesophageal fistulas. Pleural fistulas treatment associate thoracic drainage, direct surgical treatment of the fistula with primary suturing of oesophagus. For oesophago-bronchial fistula treatment, we have made pneumonectomia one time and primary bronchial suturing another. In these two cases, oesophagus was only sutured without pleural or muscular flap. Transient alimentary gastrostomy was made. No fistula recidive of postoperative complication occurred. There is no operative mortality.
Service de Chirurgie Cardio-vasculaire et Thoracique, Cliniques Universitaires UCL de Mont-Godinne, Yvoir, Belgique.
C
C
Faber
A
A
Kartheuser
M
M
Buche
Y
Y
Louagie
J C
JC
Schoevaerdts
R
R
Ponlot
C
C
Chalant
D000328:Adult; D000368:Aged; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D004322:Drainage; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D005402:Fistula; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects; D011859:Radiography; D013536:Suture Techniques
Fistules oesophago-respiratoires traitées par suture primaire. A propos de deux observations de fistules oeso-pleurales et de deux observations de fistules oeso-bronchiques.