title: Double lumen esophagus: a rare complication of gastroesophageal reflux disease.
abstract: Double lumen esophagus or esophagogastric fistula is a very rare endoscopic finding. Approximately 11 cases have been reported in the past. Formation of an esophagogastric fistula is predisposed by previous esophagogastric surgery, persistent gastroesophageal reflux, esophageal ulcer or esophageal carcinoma. Dysphagia and odynophagia are common symptoms. Endoscopy is the procedure of choice for diagnosis. Symptomatic management is the mainstay of treatment. Early diagnosis andmanagement of gastroesophageal reflux is essential to prevent reflux-related fistulas. We report the case of a 48-year-old man with a history of dysphagia who was found to have esophagogastric fistula on endoscopy. He was treated conservatively with proton pump inhibitors leading to symptomatic improvement.
authors: Department of Gastroenterology, University of Medicine & Dentistry of New Jersey - New Jersey Medical School, Newark, USA.
authors: Sami
authors: S
authors: Samiullah
authors: Fatima
authors: F
authors: Samad
authors: Ying Margie
authors: YM
authors: Tang
authors: Neelofar
authors: N
authors: Abdullah
authors: Marium
authors: M
authors: Marium
authors: Zahf
authors: Z
authors: Shaikh
authors: Zamir
authors: Z
authors: Brelvi
authors: Weizheng
authors: W
authors: Wang
mesh_terms: D001706:Biopsy; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D004937:Esophageal Fistula / Q000150:complications* / Q000175:diagnosis; D005500:Follow-Up Studies; D005747:Gastric Fistula / Q000150:complications* / Q000175:diagnosis; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed
keywords: deglutition disorder; esophagogastric fistula; esophagus; fistula; fundoplication; gastroesophageal reflux