Korean Journal of Gastrointestinal Endoscopy 1998;18(1): 66-70.
증례 : 식도 위장관 ; 인공식도관 삽입으로 치료한 결핵에 의한 식도-기관지누공 환자 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Tuberculous Esophagorespiratory Fistula Managed by Silicone - Covered Self - Expendable Metal Stent )
이창형, 조재현, 조창민, 권혁만, 김대현, 권영오, 김성국, 최용환, 정준모 (Chang Hyeong Lee, Jae Hyun Cho, Chang Min Cho, Hyeog Man Kwon, Dae Hyun Kim, Young Oh Kweon, Sung Kook Kim, Yong Hwan Choi and Joon Mo Chung)
Abstract
Esophagorespiratory fistulas resulting from Mycobacterium tuberculosis infection are rare. Whereas most esophagorespiratory fistulas are absolute indication for direct surgical closure, this may not be necessary in the case of those of tuberculous origin. If diagnosed early, the infection and the complicating fistula could be treated effectively with anti- tuberculous chemotherapy without the need for surgical intervention. Despite the sugges- tion of a trend away from direct surgical closure in recent years, it seems that anti tuberculous chemotherapy may not result in healing of the fistula in all patients. So we report a case of tuberculous esophagorespiratory fistula that has severe aspiration pneumorua and effectively treated with implantation of silicone-covered self-expandable metal stent and antituberculous chemotherapy. (Karean J Gastrointest Endosc 18: 66- 70, 1998)
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