{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:44:11Z","timestamp":1762508651876,"version":"3.37.3"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:00:00Z","timestamp":1638489600000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The incidence of congenital bronchoesophageal fistulas in adults is rare. Most fistulas discovered in adulthood are often small and can be repaired with a simple one-step method.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 46-year-old female patient complained of a 2-month history of chocking, coughing, and a 12\u00a0kg drop in weight. The bronchofiberscopy and gastroscopy showed a large fistula, which extended from the esophagus to the main bronchus on both sides, thus forming a special three-way channel which has never been reported. This case was challenging both to the anesthetists and surgeons. The patient was intubated with a sengstaken-blakemore tube, and then received segmental esophageal resection, anastomotic reconstruction, and double-flap repair with esophagus segment in situ.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>When the fistula in BEF is large or complicated, appropriate surgical methods should be meticulously designed according to the condition of the patient. The problem of anesthesia intubation should be solved first, to allow a smooth operation. Secondly, a double-layer repair of the airway fistula by using esophageal wall tissues as patch materials is proposed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-021-02033-8","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T09:03:33Z","timestamp":1638522213000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Repair of a three-way congenital bronchoesophageal fistula in an adult patient: a case report"],"prefix":"10.1186","volume":"21","author":[{"given":"Kun","family":"Fan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shan","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuo","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junke","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0888-5723","authenticated-orcid":false,"given":"Guangjian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,12,3]]},"reference":[{"issue":"10","key":"2033_CR1","doi-asserted-by":"publisher","first-page":"1358","DOI":"10.3748\/wjg.v17.i10.1358","volume":"17","author":"BS Zhang","year":"2011","unstructured":"Zhang BS, Zhou NK, Yu CH. Congenital bronchoesophageal fistula in adults. World J Gastroenterol. 2011;17(10):1358\u201361.","journal-title":"World J Gastroenterol"},{"issue":"11","key":"2033_CR2","doi-asserted-by":"publisher","first-page":"210","DOI":"10.21037\/atm.2018.05.25","volume":"6","author":"BJ Bibas","year":"2018","unstructured":"Bibas BJ, Cardoso PFG, Minamoto H, et al. Surgery for intrathoracic tracheoesophageal and bronchoesophageal fistula. Ann Transl Med. 2018;6(11):210.","journal-title":"Ann Transl Med"},{"key":"2033_CR3","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/S0022-5223(19)32677-7","volume":"39","author":"FT Lansden","year":"1960","unstructured":"Lansden FT, Falor WH. Congenital esophagorespiratory fistula in the adult. J Thorac Cardiovasc Surg. 1960;39:246\u201351.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"2033_CR4","doi-asserted-by":"publisher","first-page":"299","DOI":"10.4103\/0971-9784.101865","volume":"15","author":"RV Ranjan","year":"2012","unstructured":"Ranjan RV, Ramachandran TR, Veliath DG. Anesthetic management of congenital broncho-esophageal fistula in an adult. Ann Card Anaesth. 2012;15(4):299\u2013301.","journal-title":"Ann Card Anaesth"},{"issue":"2","key":"2033_CR5","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1016\/S0022-5223(19)34791-9","volume":"104","author":"D Azoulay","year":"1992","unstructured":"Azoulay D, Regnard JF, Magdeleinat P, et al. Congenital respiratory-esophageal fistula in the adult: report of nine cases and review of the literature. J Thorac Cardiovasc Surg. 1992;104(2):381\u20134.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"2033_CR6","first-page":"60","volume":"33","author":"P Saxena","year":"2006","unstructured":"Saxena P, Tam R. Late manifestation of a large congenital tracheoesophageal fistula in an adult. Tex Heart Inst J. 2006;33(1):60\u20132.","journal-title":"Tex Heart Inst J"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-021-02033-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-021-02033-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-021-02033-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T09:04:41Z","timestamp":1638522281000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-021-02033-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2033"],"URL":"https:\/\/doi.org\/10.1186\/s12876-021-02033-8","relation":{},"ISSN":["1471-230X"],"issn-type":[{"type":"electronic","value":"1471-230X"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"27 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 November 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 December 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written and signed consent for publication has been obtained from the patients involve in the case series.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"452"}}