Acquired Tracheoesophageal Fistula Research Articles

Difficult Airway Management with Awake Fiberoptic Intubation and Cross Table Ventilation in a Case of Acquired TEF with Severe Subglottic Stenosis

We report a case of 30-year male who presented with Acquired Tracheoesophageal Fistula with subglottic stenosis and Aspiration Pneumonitis. Patient was managed with Feeding Jejunostomy, Tracheoesophageal Fistula repair and Tracheoplasty, after which patient recovered well. Difficult airway was managed by Awake Fiberoptic Intubation and cross-table ventilation through flexometallic tube intraoperatively during TEF repair.

Acquired Tracheoesophageal Fistula in Patient on Ventilator Is Better Managed Surgically

Acquired Tracheoesophageal Fistula in Patient on Ventilator Is Better Managed Surgically

S2063 Acquired Tracheoesophageal Fistula Unamenable to Endoscopic and Surgical Management

S2063 Acquired Tracheoesophageal Fistula Unamenable to Endoscopic and Surgical Management

Stapled Repair of Benign Acquired Tracheoesophageal Fistula: Description of Novel Technique and Assessment of Outcomes.

Compared to less invasive measures, surgical repair is the most effective modality for managing benign acquired tracheoesophageal fistula (TEF). Traditionally, this involves dismantling of the fistula and suture repair of tracheal and esophageal defects using a lateral or direct approach. However, the best approach remains a subject of debate. We describe a novel and simple technique for dismantling a benign acquired TEF with the use of an endo-stapler and interposition with sternocleidomastoid (SCM) muscle flap. Eleven TEF patients underwent repair using this stapled repair technique. Retrospectively, the perioperative and long-term outcomes were assessed in these patients. There were no cases of procedure-related mortality or airway-related complications. Two patients developed transient vocal cord palsy and one developed esophageal leak. At a mean follow-up of 21.4 months, no fistula recurrence, dysphagia, or tracheal stenosis was observed. Hence stapled dismantling and SCM muscle interposition is a simple and safe technique for repair of benign acquired TEF.

Acquired Tracheoesophageal Fistula in Infancy and Childhood

Acquired tracheoesophageal fi stula in infancy and childhood is a very rare condition with no epidemiological data available in the literature for it. There is a huge similarity of the condition to the congenital acquired tracheoesophageal fi stula. Management of children with this condition can be diffi cult with a high risk of complication. To provide a successful management of the condition, there are some points that need to be addressed about acquired tracheoesophageal fi stula. In this report, the author presents fourteen different cases of acquired TEF with diff erent etiologies over 11 years (2006 - January 2017) who were referred for management to tertiary care hospital in Jeddah, KSA; all patients had removal of the foreign body followed bysurgical repair of the fi stula. This report describes the detailed steps of our surgical repair, including the approach to the fi stula and the type of repair pointing out the importance of removal of the scar tissue anduse of interposition vascular grafts with suture lines separation. This study presents our experience in management and surgical repair of the acquired tracheoesophageal fistula.

Acquired Tracheoesophageal Fistula Due to Battery Ingestion

Acquired Tracheoesophageal Fistula Due to Battery Ingestion

Management of Acquired Tracheoesophageal Fistula Complicating Endoscopic Management for Corrosive Esophageal Stricture

Management of Acquired Tracheoesophageal Fistula Complicating Endoscopic Management for Corrosive Esophageal Stricture

Gaseous Bowel Distention: An Atypical Sign of Acquired Tracheoesophageal Fistula (TEF)

Gaseous Bowel Distention: An Atypical Sign of Acquired Tracheoesophageal Fistula (TEF)

Occurrence of Acquired Tracheoesophageal Fistula Due to Excess Endotracheal Tube Cuff Volumes - A Case Report -

Occurrence of Acquired Tracheoesophageal Fistula Due to Excess Endotracheal Tube Cuff Volumes - A Case Report -

Acquired Tracheoesophageal Fistula During Treatment for Pediatric Acute Lymphoblastic Leukemia

Management of pediatric malignancy can result in disruption of the integrity of the gastrointestinal mucosa through a variety of mechanisms. We describe a pediatric oncology patient who developed a tracheoesophageal fistula as a complication of treatment for acute lymphoblastic leukemia.

Acquired Tracheoesophageal Fistula in Infancy: Communication is Key to Successful Outcome

Acquired Tracheoesophageal Fistula (TEF) is a life threatening condition and usually occurs secondary to trauma or invasion of anatomic structures in the mediastinum by neoplasm. It is uncommon for infants to ingest articles large enough to produce esophageal damage. Failure to diagnose foreign body ingestion in a timely manner can allow time for erosion into the wall of the esophagus with subsequent profound injury to the esophagus, the trachea or both. We present a case of plastic lollipop ring ingestion in a 10-month-old infant resulting in acquired TEF.The importance of communication between the surgeons and the anesthesiologists prior to definitive operative procedure as well as during repair of a traumatic injury to the trachea is stressed. Acquired TEF in an infant can be a life threatening emergency and the anatomic relationships and plans for the worst-case scenario should be reviewed prior to taking the infant to the operating room.

Early Repair of Acquired Tracheoesophageal Fistula

We report early direct repair of a cuff-related tracheoesophageal fistula in a 30-year-old alcoholic man with diabetic ketoacidosis who fell unconscious and was ventilated via an endotracheal tube. He was successfully weaned from the ventilator 1 week after the operation.

Acquired Tracheoesophageal Fistula Observed after Ventilatory Care

Tracheoesophageal fistula (TEF) is a rare disease, which develops as a result of congenital or acquired causes. Moreover, TEF can be caused by an overinflated cuff during respiratory care with a ventilator in the ICU. So, a low pressure high volume cuff is being used to prevent injury of the tracheal mucosa by the endotracheal tube. The use of a low pressure high volume cuff has decreased respiratory complications, but TEF is still being reported. This case concerns a 78-year-olds woman with heart failure. She was hospitalized for hemiarthroplasty because of a right femur fracture. On the day after admission, she had apnea due to heart failure, but recovered on receiving respiratory care by using a ventilator in the ICU. Thereafter, she began to show symptoms such as paroxysmal coughing, vomiting, and aspiration. We investigated using computed tomography, bronchoscopy and esophagography. We observed a 2-3 cm sized fistula along the posterior wall of the trachea. It was located about 10cm upper side from the carina on bronchoscopy, perfomed was found in the ICU. She was found to have a TEF and was treated surgically. After her symptoms had improved, she was given hemiarthroplasty under epidural anesthesia. However, 4 days after the operation, the TEF relapsed, but was not as severe as it had been previously. She was alert, but ambulation was not possible because of a general weakness due to long-term hospitalization. Even with the danger of aspiration pneumonia, she left the hospital upon her guardian's request. We report upon this clinical experience and include a brief review of the literature.

Acquired Tracheoesophageal Fistula Observed during Anesthetic Induction: A case report

Acquired Tracheoesophageal Fistula Observed during Anesthetic Induction: A case report

Acquired Tracheoesophageal Fistula in a Premature Infant

A fatality from an acquired tracheoesophageal fistula (TEF) in a very low birthweight premature infant is presented. Neonatal tracheal and esophageal injuries related to endotracheal (ET) intubation are discussed. The infant had important risk factors for the development of subglottic stenosis: birthweight less than 1000 gm, prolonged positive pressure ventilation, and repeated ET intubation. The pathologic examination was consistent with acquired fistula formation resulting from a combination of preexisting subglottic stenosis and prolonged and repeated ET intubation. The recognition of clinical signs of an acquired TEF, as observed in our patient, followed by expeditious diagnostic testing may be lifesaving.