The Clinical Respiratory Journal (May 2023)

Chinese expert consensus on interventional diagnosis and management of acquired digestive‐respiratory tract fistulas (second edition)

  • Hongwu Wang,
  • Wen Li,
  • Zikai Wang,
  • Liangan Chen,
  • Guoxiang Lai,
  • Faguang Jin,
  • Mingyao Ke,
  • Jiayuan Sun,
  • Jie Zhang,
  • Baosong Xie,
  • Nan Zhang,
  • Wangping Li,
  • Hongmei Zhou,
  • Xiaoping Wang,
  • Dianjie Lin,
  • Yunzhi Zhou,
  • Huaping Zhang,
  • Dongmei Li,
  • Changhui Wang,
  • Xiaolian Song,
  • Juan Wang,
  • Shiman Wu,
  • Junyong Yang,
  • Lei Zhang,
  • Meimei Tao,
  • Yiming Zeng,
  • Heng Zou,
  • Hui Li,
  • Fujie Song,
  • Zhengbu Sha,
  • Qiang Tan,
  • Minghua Cong,
  • Hanping Shi,
  • Zhina Wang,
  • Xinwei Han,
  • Lingfei Luo,
  • Hongming Ma,
  • Gang Wu,
  • Zhiqiang Wang,
  • Xiaochuan Liu,
  • Weiping Wu,
  • Lishan Zhang,
  • Yongan Ye,
  • Guangying Zhu

DOI
https://doi.org/10.1111/crj.13607
Journal volume & issue
Vol. 17, no. 5
pp. 343 – 356

Abstract

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Abstract Acquired digestive‐respiratory tract fistulas occur with abnormal communication between the respiratory tract and digestive tract caused by a variety of benign or malignant diseases, leading to the alimentary canal contents in the respiratory tract. Although various departments have been actively exploring advanced fistula closure techniques, including surgical methods and multimodal therapy, some of which have gotten good clinical effects, there are few large‐scale evidence‐based medical data to guide clinical diagnosis and treatment. The guidelines update the etiology, classification, pathogenesis, diagnosis, and management of acquired digestive‐respiratory tract fistulas. It has been proved that the implantation of the respiratory and digestive stent is the most important and best treatment for acquired digestive‐respiratory tract fistulas. The guidelines conduct an in‐depth review of the current evidence and introduce in detail the selection of stents, implantation methods, postoperative management and efficacy evaluation.

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