Abstract
An operative technique is presented for acquired tracheosophageal fistula including cervical esophagostomy, division and closure of the distal esophagus, and use of the cervical and thoracic esophageal segment as a patch to close the posterior trachea wall. Later coloesophagoplasty is used to establish gastrointestinal continuity. An external negative-pressure ventilator (Drinker-Collins iron lung) is used in combination with a conventional positive-pressure ventilator to diminish airway pressure after the tracheal repair.
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