Tracheoesophageal Fistula Due to Endotracheal Intubation; a case Report of Requiring Tracheal Reconstruction.
- Author:
Won Sun SHIN
1
;
Young Tae KWAK
;
Dae Hyeon MAENG
;
Dong Won KIM
;
Shin Yeong LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Tacheoesophageal fistula;
Tracheal injury
- MeSH:
Cardiopulmonary Resuscitation;
Diagnosis;
Female;
Fistula;
Humans;
Intubation;
Intubation, Intratracheal*;
Necrosis;
Peritonitis;
Sepsis;
Trachea;
Tracheoesophageal Fistula*;
Ulcer
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(6):636-639
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The common cause of tracheoesophageal fistula(T-E fistula) after tracheal intubation is ulceration and necrosis of the posterior wall of trachea by compression pressure generated by cuff. We experienced a young woman sustaining a T-E fistula which was found on the 12th day of intubation for cardiopulmonary resuscitation. Because spontaneous closure of the fistula is far uncommon, operative closure should be aimed for and should be done as soon as diagnosis is conformed. We delayed operative closure because of poor general condition of the patient. In spite of delayed reconstruction, the tracheal reconstruction itself was successful, but the patient died of peritonitis induced sepsis on the postoperative 41th day.
