Post-Intubation Tracheoesophageal Fistula: A Nine-Year Experience

Daneshvar Kakhki, Abolghasem and Sheikhi, Kambiz and Saghebi, Seyed Reza and Pejhan, Saviz and Sadegh Beigee, Farahnaz and Shadmehr, Mohammad Behgam and Karimi, Hasti and Abbasidezfouli, Azizollah (2017) Post-Intubation Tracheoesophageal Fistula: A Nine-Year Experience. Journal of Cardio-Thoracic Medicine, 5 (3). pp. 177-180.

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Abstract

Introduction: Tracheoesophageal fistula (TEF) is a rare condition, which could be life-threatening if diagnosed late or mismanaged. Post-intubation TEF is the most common form of acquired, non-malignant TEF and is usually associated with tracheal stenosis, which makes the treatment more challenging. Here, we present our experience of managing 21 patients with post-intubation TEF. Materials & Methods: Twenty one patients including seven women and fourteen men with mean age of 38.05 years, who had post-intubation TEF were managed in our center (Massih Daneshvari Hospital, Tehran, Iran) during 2004-2013. None of the patients were operated before weaning from mechanical ventilation. Single division and closure of the fistula was performed in one patient who did not have accompanying tracheal stenosis. One-stage surgical repair including tracheal resection, anastomosis, primary closure of the esophageal defect, and muscle flap Interposition was the main treatment method in all other cases. Patients were followed up for at least two years. Results: Excellent and good results achieved in 85.7% of our patients. Major complications including permanent vocal cord paralysis and recurrence of tracheal stenosis necessitating T-tube insertion occurred in two patients (9.5%). Severe cachexia and sepsis secondary to sputum retention resulted in one mortality (4.8%). Conclusion: Surgery might provide the best treatment results along with low mortality and morbidity rates in post-intubation TEFs if performed within the proper time.

Item Type: Article
Subjects: WO Surgery
Divisions: Journals > J Cardio-Thoracic Medicine
Depositing User: jctm jctm
Date Deposited: 13 Sep 2017 12:42
Last Modified: 13 Sep 2017 12:43
URI: http://eprints.mums.ac.ir/id/eprint/259

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