| Title |
Management of acquired benign tracheoesophageal fistula in adults: a twelve-year experience / |
| Another Title |
Įgytos tracheoezofaginės jungties gydymas: dvylikos metų patirtis. |
| Authors |
Šileika, Nerijus ; Jovaišas, Vytautas ; Jagelavičius, Žymantas ; Janilionis, Ričardas |
| DOI |
10.15388/LietChirur.2013.4.2845 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2013, t. 12, nr. 4, p. 196-203.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
tracheoesophageal fistula ; surgical closure ; tracheal resection ; nonmalignant fistula |
| Abstract [eng] |
Background / Objectives Acquired nonmalignant tracheoesophageal fistula (TEF) in adult patients develops in a variety of conditions, the predominant being postintubation. Several management options have been suggested, while the optimal strategy remains controversial. The aim of this review is to present our clinical experience and to find the optimal management for TEF. Methods This study is a retrospective review of all patients who underwent management for benign TEF at the Vilnius University Hospital between January 2000 and December 2012. Results Seven patients (three female and four male) with a benign TEF were referred to the Department of General Thoracic Surgery of the Vilnius University Hospital from January 2000 to December 2012. Their mean age was 48.3 ± 11.4 years. Postintubation TEF accounted for six fistulas (85.7%), while one patient (14.3%) suffered from injury during percutaneous dilational tracheostomy. Five patients underwent TEF closure (71.4%). Four patients underwent a simple repair of the fistula, while one patient required tracheal resection and reconstruction. Endoscopic management with tracheal dilation and T tube placement was performed to one (14.3%) and additional jejunostomy was done also to one patient (14.3%). Four patients (57.1%) had postoperative complications. Two postoperative deaths occurred (28.6%). Conclusions Single-stage surgical repair with or without tracheal resection and reconstruction can be successfully performed after the weaning from mechanical ventilation in patients with acquired nonmalignant TEF. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2013 |
| CC license |
|
