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Endoscopic Treatment with a Cuffed Prosthesis for Esophago-tracheal Fistula without Esophageal Stricture in a Patient with Malignant Lymphoma

Other Title
악성 림프종 환자의 비협착성 식도-기관기 누공에 대한 Cuffed 인공식도관 삽입술
Authors
이, 광재; 김, 진홍; 박, 영숙; 홍, 사준; 김, 영수; 함, 기백; 조, 성원; 이, 상인
Citation
Taehan Sohwagi Naesigyŏng Hakhoe chi, 16(3):414-420, 1996
Journal Title
Taehan Sohwagi Naesigyŏng Hakhoe chi; The Korean journal of gastrointestinal endoscopy; 대한소화기내시경학회지
ISSN
1225-7001
Abstract
Bronchobiliary fistula (BBF) is a rare disorder, defined as opening of a passage between the bronchial tree and the biliary tract and presence of bile in the sputum (biloptysis). BBF usually occurs either in the congenital form or following multiple causes, including mainly thoracoabdominal trauma, liver abscess, parasitic liver disease, choledocholithiasis, and post operative biliary stenosis. The cardinal clinical features were respiratory symptoms, jaundice, and cholangitis. Management of fistula is often very difficult and can be associated with high morbidity and mortality rates. Early recognition and proper management are essential to avoid a fatal outcome. To date, surgery has been favored as the most efficient therapeutic option, although percutmeous approaches, and more recently, endoscopic sphincterotomy and stent insertion, have succeeded in resolving certain kind of BBF. We are reporting a case of BBF secondary to hepatic resection of hepatocelluar carcinoma which was managed by endoscopic retrograde biliary stenting for keeping optimal bile drainage and surgical operation for resection of recurred tumor and removal of subphrenic abscess, (Korean J Gastrointest Endosc 17: 220-224, 1997)
Keywords
Esophago-tracheal fistulaCuffed prosthesisMalignant lymphoma
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
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