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Chinese expert consensus on interventional diagnosis and management of acquired digestive-respiratory tract fistulas (second edition)
Authors: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
Institution:1. Center for Respiratory Disease, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China;2. Department of Respiratory Medicine, PLA General Hospital, Beijing, China;3. Department of Respiratory Medicine, 900 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Fuzhou, China;4. Department of Respiratory Medicine, Tangdu Hospital, Air Force Medical University, China;5. Department of Respiratory Medicine, Xiamen Second Hospital, Xiamen, China;6. Department of Respiratory Medicine, Shanghai Chest Hospital, Shanghai, China;7. Department of Respiratory Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China;8. Department of Respiratory Medicine, Fujian Provincial Hospital, Fuzhou, China;9. Department of Respiratory Medicine, Emergency General Hospital, Beijing, China;10. Department of Respiratory Medicine, Tianyou Hospital Affiliated to Tongji University, Shanghai, China;11. Department of Respiratory Medicine, Shandong Provincial Chest Hospital, Jinan, China;12. Department of Respiratory Medicine, Shandong Provincial Hospital, Jinan, China;13. Department of Respiratory Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China;14. Department of Respiratory Medicine, Shanghai Tenth People's Hospital, Shanghai, China;15. Department of Respiratory Medicine, The First Affiliated Hospital of Shanxi Medical University, Taiyuan, China;16. Department of Respiratory Medicine, Xinjiang Chest Hospital, Wulumuqi, China;17. Department of Thoracic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China;18. Department of Thoracic Surgery, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China;19. Department of Thoracic Surgery, The Third Affiliated Hospital of Xuzhou Medical University, China;20. Department of Thoracic Surgery, Shanghai Lung Hospital, Shanghai, China;21. Department of Oncology, Cancer Hospital of Chinese Academy of Medical Sciences, Beijing, China;22. Department of Oncology, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing, China;23. Department of Oncology, Emergency General Hospital, Beijing, China;24. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou Medical University, Zhengzhou, China;25. Department of Interventional Radiology, Emergency General Hospital, Beijing, China;26. Department of Gastroenterology, PLA General Hospital, Beijing, China;27. Department of Gastroenterology, Emergency General Hospital, Beijing, China;28. Department of Gastroenterology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China;29. Department of Radiology, Beijing Cancer Hospital Affiliated to Peking University, Beijing, China
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.
Keywords:acquired digestive-respiratory tract fistulas  consensus  diagnosis  interventional therapy  management
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