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September 19, 1966

Bronchoesophageal Fistula Secondary to Hodgkin's Disease

Author Affiliations

From the departments of surgery and medicine, Veterans Administration Hospital, and University of Cincinnati College of Medicine, Cincinnati. Dr. Duffey is now in Tucson, Ariz.

JAMA. 1966;197(12):1035-1037. doi:10.1001/jama.1966.03110120141039

THE DEVELOPMENT of a bronchoesophageal fistula is a life-threatening complication to which patients readily succumb because of continuous pulmonary aspiration of food and saliva.1 Spontaneous closure of the fistula cannot be expected to occur, since the passage of food and saliva tends to keep the fistulous tract inflamed and patent. Because of a better prognosis, most of the interest in the management of these fistulas has been focused upon those secondary to infection or trauma.2 Bronchoesophageal fistula resulting from carcinoma is usually a terminal manifestation and not amenable to curative therapy.1 Hodgkin's disease is a rare cause of bronchoesophageal fistula; however, the general improvement in the therapy for this disease may warrant a more aggressive therapeutic approach than that generally recognized.

The present case report outlines a therapeutic approach which was used in the management of a patient with

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