支气管-食管瘘：当手术和内窥镜检查失败时，应考虑生理性肺排除。

IF 2.2 4区医学 Q3 RESPIRATORY SYSTEM

Respiratory Medicine and Research Pub Date : 2023-12-14 DOI:10.1016/j.resmer.2023.101080

Dionísio Maia , Julie Tronchetti , Xavier D'Journo , Hervé Dutau

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引用次数: 0

摘要

我们讨论的病例是一名接受化疗和放疗的食道癌患者，其并发症是食道狭窄和先天性支气管食道瘘。后者通过多次姑息性支架手术和结肠外科搭桥手术得到了控制。尽管无病生存期较长，但患者的生活质量下降，身体虚弱，因此我们提出了一种极不寻常的治疗方式--生理性肺排异，这种治疗方式不仅临床疗效显著，而且到目前为止还没有任何相关的弊端。

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Broncho-esophageal fistula: When surgery and endoscopy fail, consider physiological lung exclusion

We discuss the case of an esophageal cancer patient treated by chemo and radiotherapy complicated by an esophageal stenosis and an iatrogenic broncho-esophageal fistula. This latter was managed with multiple palliative stenting procedures and colonic surgical bypass. Despite a long disease free survival but decreased quality of life and frailty, we came to the proposal of an extremely unusual form of treatment - physiological lung exclusion, with clinical benefit and so far without any drawbacks related to the procedure.

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来源期刊

Respiratory Medicine and Research RESPIRATORY SYSTEM-

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

50 days