Congenital esophagobronchial fistula with esophageal diverticulum in the adult; report of three cases.

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Three patients, a 49-year-old male, a 58-year-old female, and a 72-year-old, had had intermittent cough and fever for one to 12 years. In their infancy, two of them had had paroxysmal coughing after drinking water. Barium esophagograms revealed that a fistula with an esophageal diverticulum was connected with the right bronchus. At surgery all three fistulas were considered to be congenital, because they had no adhesions or inflammatory features, and exposure was easy. Pathological examination showed that the fistulas and the diverticulum had normal esophageal muscular and mucosal layers without any inflammatory changes. In the former two cases, the fistulectomies and diverticulectomies with the resection of corresponding pulmonary lobes were carried out. The third patient underwent only the fistulectomy and diverticulectomy with no recurrence of aspiration pneumonia.<BR>In conclusion, the fistulectomy and diverticulectomy without any pulmonary resection is recommended as a less invasive surgical treatment.
特定非営利活動法人日本呼吸器外科学会の論文