Esophageal Ulcer with Esophagobronchial Fistula.
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Accession number;03A0146667
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| Title;Esophageal Ulcer with Esophagobronchial Fistula. |
| Author;
TAKAGI KUNIO
(Shiritsutoyonakabyoin Naishikyobu)
TSUKAHARA YASUO
(Shiritsutoyonakabyoin Naishikyobu)
FUKUSHIMA YUKIO
(Shiritsutoyonakabyoin Naishikyobu)
NAKAMURA TAKANARI
(Shiritsutoyonakabyoin Naishikyobu)
HIGASHIMOTO YOSHIFUMI
(Shiritsutoyonakabyoin Naishikyobu)
ICHIBA MAKOTO
(Shiritsutoyonakabyoin Naishikyobu)
INOUE SATOSHI
(Shiritsutoyonakabyoin Naishikyobu)
HIROTSU YOSHIFUMI
(Shiritsutoyonakabyoin Naishikyobu)
MORITA TETSUSHI
(Shiritsutoyonakabyoin Geka)
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Journal Title;Gastroenterol Endosc
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Journal Code:G0608B
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ISSN:0387-1207
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VOL.45;NO.2;PAGE.132-137(2003)
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| Figure&Table&Reference;FIG.8, TBL.2, REF.16 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We encountered a patient with esophagobronchial fistula accompanying benign esophageal ulcer in whom evident endoscopic findings could be obtained, and preservative treatment achieved healing. The patient was a 73 year-old female. After partial hepatectomy, upper digestive tract endoscopy revealed reflux esophagitis. Therefore, a protective factor-enhancing agent was administered at the outpatient clinic. However, about 1 year later, the patient was admitted for epigastric pain. Upper digestive tract endoscopy revealed esophageal ulcer. At the ulcer base, a fistula was detected. Endoscopy, esophageal fluoroscopy, and abdominal computed tomography (CT) suggested esophagobronchial fistula. Therefore, fasting and preservative treatment, including drip infusion and administration of H2 blockers, proton pump inhibitors (PPI), and antibiotics, were performed for about 1 month. As a result, the ulcer showed cicatrization, and the fistula was completely closed. The present case suggests that esophagobronchial fistula can be diagnosed by endoscopy when the fistula is present in the lower esophagus and air bubbles spout from the site with respiration. Furthermore, surgery is considered the first-choice treatment for esophagobronchial fistula. However, in some patients with benign ulcer-related esophagobronchial fistula, preservative treatment achieves healing. Initially, preservative treatment should be considered. (author abst.) |
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