title: A procedure for management of acquired tracheoesophageal fistula in ventilator patients.
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.
mesh_terms: D005260:Female; D006801:Humans; D007384:Intermittent Positive-Pressure Breathing; D008722:Methods; D008875:Middle Aged; D010288:Parenteral Nutrition; D011182:Postoperative Care; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000150:complications / Q000178:diet therapy / Q000503:physiopathology; D012306:Risk; D013997:Time Factors; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000503:physiopathology / Q000601:surgery*