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June 1937


Author Affiliations

From the Division of Medicine and the Section on Peroral Endoscopy, the Mayo Clinic.

Arch Otolaryngol. 1937;25(6):689-692. doi:10.1001/archotol.1937.00650010783009

Esophagobronchial fistula is a relatively infrequent anomaly or accident associated with a distressing train of symptoms. In the great majority of cases life expectancy is short and death ensues as a result of aspiration pneumonia, pulmonary abscess or gangrene. Many conditions may give rise to this distressing anomaly, but carcinoma, especially of the esophagus, tuberculosis and developmental defects are by far the most common causes. Vinson and Sutherland,1 Pape2 and Lebsche3 have called attention to the fact that patients live for many years with broncho-esophageal fistula and survive recurrent attacks of pulmonary suppuration. Because of the comparative rarity of this complication, it is deemed worth while to report two cases in which the patient survived for many years.

REPORT OF CASES  Case 1.—A woman aged 31 had enjoyed excellent health until eight years before her examination at the Mayo Clinic, when she first had noticed that after eating she might

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