| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 52, 759-765, Copyright © 1991 by The Society of Thoracic Surgeons
DJ Mathisen, HC Grillo, JC Wain and AD Hilgenberg
Acquired, nonmalignant tracheoesophageal fistula is an uncommon and
difficult problem to manage. The most common cause is a complication of
endotracheal or tracheostomy tubes. Most are diagnosed while patients still
require mechanical ventilation. We use a conservative approach until
patients are weaned from ventilation. A tracheostomy tube is placed so that
the balloon rests below the fistula, if possible, to prevent contamination
of the tracheobronchial tree. A gastrostomy tube is placed for drainage and
a separate jejunostomy tube for nutrition. Single-stage repair is done
after the patient is weaned from mechanical ventilation. Esophageal
diversion is rarely required. We have performed 41 operations on 38
patients. Simple division and closure of the fistula was done in 9 patients
and tracheal resection and reconstruction in the remainder. The esophageal
defect was closed in two layers and a viable strap muscle interposed
between the two suture lines. There were four deaths (10.9%). There were
three recurrent fistulas and one delayed tracheal stenosis. All were
successfully managed. Of the 34 surviving patients, 33 aliment themselves
orally and 32 breathe without the need for a tracheal appliance.
ARTICLES
Management of acquired nonmalignant tracheoesophageal fistula
Department of Surgery, Massachusetts General Hospital, Boston 02114.
This article has been cited by other articles:
|
|
 |
|
  C.-M. Yeh and C.-M. Chou Early Repair of Acquired Tracheoesophageal Fistula Asian Cardiovasc Thorac Ann, August 1, 2008; 16(4): 318 - 320. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. L. Chappell and H. A. Heck Jr Repair of Large, Iatrogenic, Tracheo-Esophageal Fistulae Ann. Thorac. Surg., February 1, 2007; 83(2): 705 - 706. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Rathinam, M. Kanagavel, B. S. Tiruvadanan, R. Santhosam, and S. M. Chandramohan Dysphagia due to tuberculosis Eur. J. Cardiothorac. Surg., December 1, 2006; 30(6): 833 - 836. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Rampado, G. Battaglia, G. Zaninotto, A. Ruol, G. Portale, and E. Ancona Erosion of an Esophageal Endoprosthesis Into the Trachea Ann. Thorac. Surg., December 1, 2006; 82(6): 2278 - 2280. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J E Heffner Management of the chronically ventilated patient with a tracheostomy Chronic Respiratory Disease, July 1, 2005; 2(3): 151 - 161. [Abstract] [PDF]
|
|
|
|
|
|
I. A. Kouerinis, A. E. Loutsidis, P. A. Hountis, E. E. Apostolakis, and I. P. Bellenis Treatment of Iatrogenic Injury of Membranous Trachea With Intercostal Muscle Flap Ann. Thorac. Surg., November 1, 2004; 78(5): e85 - e86. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. H. Meyer, T. Krueger, D. Lepori, M. Dusmet, J.-D. Aubert, P. Pasche, and H.-B. Ris Closure of large intrathoracic airway defects using extrathoracic muscle flaps Ann. Thorac. Surg., February 1, 2004; 77(2): 397 - 404. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Fiala, S. Cernohorsky, J. Cermak, J. Patek, E. Krepela, and M. Mouckova Tracheal stenosis complicated with tracheoesophageal fistula Eur. J. Cardiothorac. Surg., January 1, 2004; 25(1): 127 - 130. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. S. Kalkat, J.M. Parmar, and F. J. Collins Management of giant acquired tracheo-oesophageal fistula in a neonate using an oesophageal patch Interactive CardioVascular and Thoracic Surgery, December 1, 2003; 2(4): 633 - 635. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Bardini, V. Radicchi, P. Parimbelli, S. M. Tosato, and S. Narne Repair of a recurrent benign Tracheoesophageal fistula with a Gore-Tex membrane Ann. Thorac. Surg., July 1, 2003; 76(1): 304 - 306. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. C. Grillo Development of tracheal surgery: a historical review. Part 2: treatment of tracheal diseases Ann. Thorac. Surg., March 1, 2003; 75(3): 1039 - 1047. [Full Text] [PDF]
|
|
|
|
|
|
H. C. Grillo Development of tracheal surgery: a historical review. Part 1: techniques of tracheal surgery Ann. Thorac. Surg., February 1, 2003; 75(2): 610 - 619. [Full Text] [PDF]
|
|
|
|
|
|
A. A. Mangi, H. A. Gaissert, C. D. Wright, J. S. Allan, J. C. Wain, H. C. Grillo, and D. J. Mathisen Benign broncho-esophageal fistula in the adult Ann. Thorac. Surg., March 1, 2002; 73(3): 911 - 915. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Mathisen The trachea Ann. Thorac. Surg., June 1, 2001; 71(6): 2075 - 2076. [Full Text] [PDF]
|
|
|
|
 |
|
 P. Macchiarini, J.-P. Verhoye, A. Chapelier, E. Fadel, and P. Dartevelle EVALUATION AND OUTCOME OF DIFFERENT SURGICAL TECHNIQUES FOR POSTINTUBATION TRACHEOESOPHAGEAL FISTULAS J. Thorac. Cardiovasc. Surg., February 1, 2000; 119(2): 268 - 276. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Galan, V. Tarrazona, J. Soliveres, V. Calvo, and F. Paris Tracheoplasty in a large tracheoesophageal fistula Ann. Thorac. Surg., September 1, 1999; 68(3): 1071 - 1072. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Massard, C. Rouge, A. Dabbagh, R. Kessler, J.-G. Hentz, N. Roeslin, J.-M. Wihlm, and G. Morand Tracheobronchial Lacerations After Intubation and Tracheostomy Ann. Thorac. Surg., May 1, 1996; 61(5): 1483 - 1487. [Abstract] [Full Text]
|
|
|
|
|
|
C.-H. Marty-Ane, M. Prudhome, J.-M. Fabre, J. Domergue, M. Balmes, and H. Mary Tacheoesophagogastric Anastomosis Fistula: A Rare Complication of Esophagectomy Ann. Thorac. Surg., September 1, 1995; 60(3): 690 - 693. [Abstract] [Full Text]
|
|
|
|
|
|
H. C. Grillo, D. M. Donahue, D. J. Mathisen, J. C. Wain, and C. D. Wright Postintubation tracheal stenosisTreatment and results J. Thorac. Cardiovasc. Surg., March 1, 1995; 109(3): 486 - 493. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
