title: Congenital bronchoesophageal fistula in adults.
abstract: OBJECTIVE
  To study the clinical characteristics, diagnosis and surgical treatment of congenital bronchoesophageal fistulae in adults.
  
  
  METHODS
  Eleven adult cases of congenital bronchoesophageal fistula diagnosed and treated in our hospital between May 1990 and August 2010 were reviewed. Its clinical presentations, diagnostic methods, anatomic type, treatment, and follow-up were recorded.
  
  
  RESULTS
  Of the chief clinical presentations, nonspecific cough and sputum were found in 10 (90.9%), recurrent bouts of cough after drinking liquid food in 6 (54.6%), hemoptysis in 6 (54.6%), low fever in 4 (36.4%), and chest pain in 3 (27.3%) of the 11 cases, respectively. The duration of symptoms before diagnosis ranged 5-36.5 years. The diagnosis of congenital bronchoesophageal fistulae was established in 9 patients by barium esophagography, in 1 patient by esophagoscopy and in 1 patient by bronchoscopy, respectively. The congenital bronchoesophageal fistulae communicated with a segmental bronchus, a main bronchus, and an intermediate bronchus in 8, 2 and 1 patients, respectively. The treatment of congenital bronchoesophageal fistulae involved excision of the fistula in 10 patients or division and suturing in 1 patient. The associated lung lesion was removed in all patients. No long-term sequelae were found during the postoperative follow-up except in 1 patient with bronchial fistula who accepted reoperation before recovery.
  
  
  CONCLUSIONS
  Congenital bronchoesophageal fistula is rare in adults. Its most useful diagnostic method is esophagography. It must be treated surgically as soon as the diagnosis is established.
authors: Department of Cardio-thoracic Surgery, First Affiliated Hospital of Chinese PLA General Hospital, Beijing, China.
authors: Bao-Shi
authors: BS
authors: Zhang
authors: Nai-Kang
authors: NK
authors: Zhou
authors: Chang-Hai
authors: CH
authors: Yu
mesh_terms: D000328:Adult; D000368:Aged; D001464:Barium / Q000494:pharmacology; D001980:Bronchi / Q000473:pathology; D001983:Bronchial Fistula / Q000151:congenital* / Q000628:therapy*; D001999:Bronchoscopy / Q000379:methods; D004937:Esophageal Fistula / Q000151:congenital* / Q000628:therapy*; D004945:Esophagoscopy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D001464:Barium