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Treatment of Airway-Esophageal Fistulas

  • Lutz FreitagEmail author
Chapter

Abstract

Esophago-respiratory fistulas are abnormal communications between the airways and the esophagus causing a spillover of saliva or gastric fluid into the lungs. More than 50 % are located in the trachea, followed by the stem bronchi (40 %), and a few connect directly to the parenchyma. The etiology is multifactorial. Pediatricians encounter congenital abnormalities that require immediate surgical corrections in the early days of life. It is estimated that 0.04 % of babies are born with such a defect. Most fistulas are acquired. Pulmonologists, gastroenterologists, and thoracic surgeons encounter such a clinical condition when they treat cancer patients. In the vast majority (77 %), the underlying disease is an advanced esophageal cancer. A quarter of all patients with esophageal cancer have abnormalities between the esophagus and the trachea, half of those develop a visible communication.

Keywords

Esophageal Cancer Percutaneous Dilatation Tracheostomy Advanced Esophageal Cancer Aspiration Pneumonitis Esophageal Stents 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Lungenklinik Hemer, Center for Pulmonary Medicine and Thoracic SurgeryHemerGermany

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