• Journal of Chest Surgery
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• v.27 no.7
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• pp.631-633
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• 1994

Congenital bronchoesophageal fistula is a rare anomaly that can appear in adult uncommonly. Especially sick sinus syndrome with bronchoesophageal fistula is very uncommon.The patient was 53 years old male who admitted for chronic coughing recurrent lobar pneumonia on RLL since few years ago. And he had familial history of sick sinus syndrome.We confirmed the fistula by barium swallow examination and performed ligation of the fistula and pacemaker implantation.

• Journal of Chest Surgery
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• v.26 no.7
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• pp.579-582
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• 1993

We experienced a case of acquired benign bronchoesophageal fistula associated esophageal diverticulum which was treated successfully by division of ~stulous tract and esophageal diverticulectomy.Benign bronchoesophageal fistulas associated with esophageal diverticulum are very rare. This presentation is characterized by paroxysmal cough especially after drinking liquids and is easily diagnosed by esophagogram. We report a case with review of literatures.

• Journal of Chest Surgery
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• v.28 no.5
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• pp.525-529
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• 1995

We have experienced three cases of congenital bronchoesophageal fistula which is rare and usually has an insidious clinical course. The patients included a thirty year old man and thirty six, thirty eight year old women respectively. Bronchiectatsis was found in all three cases, and bronchoesophageal fistula was found in one case preoperatively by esophagography and esophagoscopy, and other two cases operative field. The fistula was found between right lower esophagus and right lower lobe in all cases and esophageal diverticulum in one case. So they belonged to type I[1 case , II[2 cases of Braimbridge and Keith`s classification of congenital bronchoesophageal fistula . The fistulectomy was performed in all cases and concomitant lobectomy [2 cases and bilobectomy [1 case were done. There were toxic hepatitis in two cases and prolonged air leakage in one case postoperatively. They were discharged on recovered state and have continued to do well.

• Korean Journal of Bronchoesophagology
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• v.3 no.2
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• pp.332-337
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• 1997

Congenital bronchoesophageal fistula is rare and usually has an incidious clinical course. We experienced a case of congenital bronchoesophageal fistula in adult. A 53 years old male patient visited our hospital for respiratory arrest following sudden dyspnea. He had experienced chronic coughing after swallowing and recurrent pneumonia since childhood. we could confirm the bronchoesophageal fistula preoperatively by barium swallow examination and performed right pneumonectomy and repair of the fistula. The postoperative course was uneventful.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.1 no.1
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• pp.115-119
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• 1998

Congenital bronchoesophageal fistula associated esophageal atresia usually presents in the newborn period or infancy but those without esophageal atresia are more insidious in disease process. Symptoms which include cough, hemoptysis, choking on swallowing liquids, uncommonly dysphagia, and epigastric discomfort may not begin until adult life. Most of the cases are curative unless there are serious underlying conditions. The diagnosis is usually made by gastroesophagoscopy, esophagogram, bronchogram and bronchoscopy. And the most of the cases can be cured by fistulectomy and resection of involved pulmonary lobes. We experienced one case of congenital bronchoesophageal fistula which occurred in a 13- year-old girl who complained of paroxysmal cough and intermittent hematemesis for 3 years.

• Journal of Chest Surgery
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• v.37 no.2
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• pp.197-200
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• 2004

Although the formation of fistula between esophagus and adjacent organ is a known complication of the self-expanding esophageal stent, only a few cases of surgically treated bronchoesophageal fistula have been reported. Increasing application of endoscopic stent for benign esophageal strictures increases the chance for this type of delayed complication. We experienced a case of bronchoesophageal fistula caused by esophageal stent for which we performed fistulectomy and Ivor Lewis operation simultaneously. To the best of our knowledge, this is the first report on the successful surgical treatment of this complication in Korea.

• Journal of Chest Surgery
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• v.25 no.2
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• pp.194-199
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• 1992

Two patients with congenital bronchoesophageal fistula were treated with surgical division. The first case was a 56-year-old female patient complaining of aggravated coughing, fever and chest pain since 10 days before the visit. The above symptoms were mild and occurred intermittently since 17 years ago. After the fistula was confirmed on the eso-phagogram, it was treated with coil embolization. The coil had dislodged and couldn`t be found two months later on follow up chest film. The patient underwent a surgical division of the fistula and has been in good condition The bronchoesophageal fistula belongs to type II in Braimbridge`s classification. The second case was a 5 year-old-female patient who suffered with cough intermittently since 2 years old and had history of recurrent pneumonia in infancy. An esophagogram revealed a fistula between the esophagus and the right lower lobe of the lung. An aortogram showed an abnormal systemic arterial supply to the right lower lobe of the lung. The sequestrated rigth lower lobe was resected and the fistula was divided. This case may be the first case of type IV bronchoesophageal fistula in Korea. This case also had good operative result.

• Journal of Chest Surgery
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• v.16 no.3
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• pp.381-385
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• 1983

Congenital bronchoesophageal fistula without esophageal atresia is very rare and often has an insidious clinical course that occasionally persists into adult life. Here are presented five cases of congenital bronchoesophageal fistula without esophageal atresia in adults treated successfully in the Seoul National University Hospital. The patients included two women and three men in the range of 16 and 45 years old. [mean age: 32 years old] Three of five cases could be diagnosed preoperatively by esophagogram and bronchogram but two of them could only be found in operative field. Cineesophagogram is recommended, on review of the literature, to be the most rewarding diagnostic procedure.

• Tuberculosis and Respiratory Diseases
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• v.43 no.5
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• pp.812-817
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• 1996

There were so many causes of chronic coughing including postnasal drip, pneumonia, nasal polyp, asthma, interstinal lung disease etc. Congenital bronchoesophageal fistula was not usually thought as cause of chronic coughing. A 46-year-old female patient suffered from chronic coughing without usual causes. Her chest X-ray viewed normally. She coughed especially after swallowing foods. So we recommended her esophagogram and it revealed broncho-esphageal fistula. She underwent surgical resection of broncho-esophageal fistula. She was well without cough after the surgery. We reported a case of congenital broncho-esphageal fistula that had caused chronic coughing without any evidence of pneumonia, malignancy, tuberculosis, bronchiectasis, inflammation, asthma, nasal polyp, etc. So we should suspect the bronchoesophageal fistula when patients cough chronically with eating, and recommend the esophagogram.

• Journal of Chest Surgery
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• v.35 no.1
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• pp.68-72
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• 2002

Congenital bronchoesophageal fistula is a rare anomaly that may cause fatal complications if it goes unnoticed for many years. This anomaly may have various symptoms such as respiratory infections, coughing bouts when eating or drinking and even hemoptysis. Surgical resection is the treatment of choice and is definitive in almost cases. We report a case of type I congenital bronchoesophageal fistula misdiagnosed as chronic empyema thoracis with literature review.