Esophageal-Tracheal/Bronchial Fistula

  • Hongwu Wang
  • Huibin Lu
  • Xinwei Han
  • Yonghua Bi


Esophageal-tracheal (bronchial) fistula, a pathological disease, is secondary to congenital alloplasia or diseases where abnormal sinuses exist between the esophagus and trachea. These abnormal sinuses can result in food or digestive liquid flowing into the airway cavity, leading to inhibition of inhalation, severe coughing, refractory lung infection, poor quality of life, and rapid deterioration. The vast majority of adult esophageal-tracheal (bronchial) fistula cases are often secondary to acquired pathological damage, and advanced esophageal carcinoma is the most common cause. This chapter mainly describes the adult-acquired esophageal-tracheal (bronchial) fistula and the application of coated metal stent implantation in the treatment of esophageal-tracheal fistulas.


  1. 1.
    Hürtgen M, Herber SC. Treatment of malignant esophageal-tracheal fistula. Thorac Surg Clin. 2014;24(1):117–27.CrossRefGoogle Scholar
  2. 2.
    Teerakanok J, DeWitt JP, Juarez E, Thein KZ, Warraich I. Primary esophageal diffuse large B cell lymphoma presenting with esophageal-tracheal fistula: a rare case and review. World J Gastrointest Oncol. 2017;9(10):431–5.CrossRefGoogle Scholar
  3. 3.
    Abugroun A, Ahmed F, Singh N, Nadiri M. Late onset chemo/radiation induced tracheoesophageal fistula in squamous cell cancer of the lung. World J Oncol. 2017;8(5):171–3.CrossRefGoogle Scholar
  4. 4.
    Jha VK, Jain SK. Unusual case of esophageal-tracheal fistula caused by impacted denture. J Thorac Cardiovasc Surg. 2017;154(6):e119–21.PubMedGoogle Scholar
  5. 5.
    Simões CA, Ribeiro IT, De Souza Medeiros JF, et al. Tracheoesophageal fistula diagnosis during open tracheostomy. Lung India. 2018;35(2):187–9.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Nakahara Y, Takachi K, Tsujimura N, et al. Eight cases of esophagus and tracheobronchial stenting for advanced esophageal cancer. Gan To Kagaku Ryoho. 2017;44(12):1161–3.PubMedGoogle Scholar
  7. 7.
    Jaiswal P, Yap JE, Attar BM, Wang Y, Kotwal V. Gastrointestinal: tracheoesophageal fistula secondary to pressure necrosis from tracheostomy tube balloon cuff. J Gastroenterol Hepatol. 2018;33(3):561.CrossRefGoogle Scholar
  8. 8.
    Muniappan A, Wain JC, Wright CD, et al. Surgical treatment of nonmalignant esophageal-tracheal fistula: a thirty-five year experience. Ann Thorac Surg. 2013;95(4):1141–6.CrossRefGoogle Scholar
  9. 9.
    Wang H, Tao M, Zhang N, et al. Airway covered metallic stent based on different fistula location and size in malignant tracheoesophageal fistula. Am J Med Sci. 2015;350(5):364–8.CrossRefGoogle Scholar
  10. 10.
    Herth FJ, Peter S, Baty F, Eberhardt R, Leuppi JD, Chhajed PN. Combined airway and oesophageal stenting in malignant airway-oesophageal fistulas: a prospective study. Eur Respir J. 2010;36(6):1370–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Hongwu Wang
    • 1
  • Huibin Lu
    • 2
  • Xinwei Han
    • 2
  • Yonghua Bi
    • 2
  1. 1.Department of Respiratory MedicineChina Meitan General HospitalBeijingChina
  2. 2.Department of Interventional RadiologyThe First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina

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