title: Perforating Barrett's ulcer resulting in a life-threatening esophagobronchial fistula.
abstract: Perforating benign ulcer is a very rare complication of Barrett's esophagus. This report presents the management of a patient with a Barrett's ulcer that penetrated into the left mainstem bronchus resulting in a life-threatening bronchial esophageal fistula. This rare complication was successfully managed by using a staged surgical approach, which combined the principles used for treating benign esophagorespiratory fistulas and perforating Barrett's ulcers.
authors.affiliation: Department of Cardiothoracic Surgery, University of Southern California Keck School of Medicine, Los Angeles 90033, USA. jnigro@hsc.usc.edu
authors.forename: John J
authors.initials: JJ
authors.lastname: Nigro
authors.forename: Ross M
authors.initials: RM
authors.lastname: Bremner
authors.forename: Clark B
authors.initials: CB
authors.lastname: Fuller
authors.forename: Jörg
authors.initials: J
authors.lastname: Theisen
authors.forename: Yanling
authors.initials: Y
authors.lastname: Ma
authors.forename: Vaughn A
authors.initials: VA
authors.lastname: Starnes
mesh_terms: D000368:Aged; D001471:Barrett Esophagus / Q000150:complications*; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications*; D008297:Male; D010437:Peptic Ulcer / Q000150:complications*