Postpneumonectomy oesophagopleural fistula

Patients with oesophagopleural fistula after a pneumonectomy present a difficult therapeutic problem. There are two types of presentation, early and late. We report three cases in addition to the 49 previously published. All three patients developed their fistulae after right-sided pneumonectomy (on...

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Bibliographic Details
Published in:Thorax 1980-11, Vol.35 (11), p.865-868
Main Authors: Van Den Bosch, J M, Swierenga, J, Gelissen, H J, Laros, C D
Format: Article
Language:English
Subjects:
Adult
Esophageal Fistula - etiology
Female
Fistula - etiology
Humans
Male
Pleural Diseases - etiology
Pneumonectomy - adverse effects
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Summary:Patients with oesophagopleural fistula after a pneumonectomy present a difficult therapeutic problem. There are two types of presentation, early and late. We report three cases in addition to the 49 previously published. All three patients developed their fistulae after right-sided pneumonectomy (one month, four years, and 21 years respectively) and presented with the features of an empyema. The existence of an oesophagopleural fistula can be demonstrated by the discovery of food particles in the pleural aspirate, by direct visualisation during oesophagoscopy after instilling methylene blue into the pleural cavity, by barium swallow, or by identification of helium in the pleural space after swallowing a mouthful of helium. After the initial treatment of empyema we believe that surgical repair of the oesophagopleural fistula is the treatment of choice.
ISSN:0040-6376
1468-3296
DOI:10.1136/thx.35.11.865