Universität zu Köln

Brunner, S., Bruns, C. J. and Schroeder, W. (2021). Esophagotracheal and esophagobronchial fistulas. Chirurg, 92 (6). S. 577 - 589. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0385

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Abstract

Esophagobronchial and esophagotracheal fistulas are rare but complex diseases with a heterogeneous spectrum of underlying etiologies. Common causes are locally advanced tumors of the esophagus and larynx, traumatic perforation from the esophageal or tracheal side as well as postoperative fistulas. The management of esophagotracheal and esophagobronchial fistulas always involves different health care providers and in most cases patients require a multidisciplinary treatment on the intensive care unit. The therapeutic concept primarily depends on the underlying cause, localization and size of the fistula but decision making is also influenced by the severity of the course of sepsis and the extent of the respiratory dysfunction. Endoscopic management with esophageal and/or tracheobronchial stenting is the most common treatment. Surgical reconstructive procedures are predominantly reserved for patients with a treatment refractory fistula or a septic multiple organ failure. The prognosis is particularly influenced by the underlying disease.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Brunner, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, C. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schroeder, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-561708
DOI:	10.1007/s00104-021-01370-4
Journal or Publication Title:	Chirurg
Volume:	92
Number:	6
Page Range:	S. 577 - 589
Date:	2021
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0385
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56170