1/2. Gastrobronchial fistula: an unusual complication of Nissen fundoplication.Gastrobronchial fistula is a rare complication of antireflux surgery. Presentation can be subacute, with only productive cough. endoscopy often fails to visualize these fistulae. barium in the bronchial tree during postoperative upper gastrointestinal series is diagnostic, but can be confused with that appearing due to aspiration. Every case reported after antireflux surgery has followed intrathoracic Nissen fundoplication.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
2/2. Enterobronchial fistula.Enterobronchial fistula is a rare condition. The authors describe a 47-year-old man who had a fistula between the small bowel and tracheobronchial tree, 8 years after resection of an adrenal carcinoma. The report illustrates the difficulties in diagnosis and the surgical treatment. In particular, the use of hyperosmolar, water-soluble contrast medium in radiologic investigations is to be avoided and the use of a double-lumen endotracheal tube is mandatory if a general anesthetic must be given. Despite its rarity, enterobronchial fistula can be diagnosed through a carefully taken history, confirmed safely by roentgenography and cured surgically.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |