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

• Author(s): Maia, D ; Tronchetti, J ; D'Journo, X ; Dutau, H
• Date: 2024
• Persistent ID: http://hdl.handle.net/10400.17/5004
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): 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
• Document Type: Journal article
• Language: English
• Contributor(s): Repositório da Unidade Local de Saúde São José

Description

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.