Takao NAKAGAWA, Hirokazu OKİTA, Tetsutaro YAHATA, Fujiko SOMEYA

A case of esophagorespiratory fistula found on videofluorography

Bu olgu bildirisinde, yemek sırasında tekrarlayan öksürme ve boğulma nöbetleri olan 59 yaşında bir kadın hasta sunulmuştur. Geçmişinde, mediastinal lenf bezlerinde metastatik tümör bulunması nedeniyle radyasyon ve kemoterapi tedavisi uygulanmış olup, ayrıca özofajiyal stent takılmıştır. Videofluorografide trake ve özofagus arasında özofagorespiratuar fistül olduğu görülmüştür. Bu komplikasyonun prevalansı, mediastinal bölgede malignitesi olan hastaların hayatta kalma sürelerinin uzaması ile artar. Kaplı stent takılması, bu hastaların yaşam kalitesini genelde artırdığından, bu tür fistüller mümkün olduğunca erken teşhis edilmelidir.

Videoflorografide saptanan bir özofagorespiratuar fistül olgusu

We report a 59-year-old woman who presented with recurrent episodes of coughing and choking while eating. She had a history of metastatic tumor in the mediastinal lymph nodes treated with radiation and chemotherapy. She had also undergone placement of an esophageal stent. Videofluorography demonstrated esophagorespiratory fistula between the trachea and esophagus. The prevalence of this complication increases with prolonged survival of patients with malignancy in the mediastinal region. Such fistulae should be diagnosed as early as possible, because insertion of a covered stent usually improves the quality of life for these patients.

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