Anaesthetic management of malignant tracheo-oesophageal fistula.
The anaesthetic management is described, of a patient with malignant tracheo-oesophageal fistula undergoing palliative oesophageal bypass. The oesophagus was divided and closed at its upper end and replaced with a segment of colon. The fistula remained in situ and fundoplication was performed to allow drainage of the oesophageal remnant but prevent reflux of gastric contents. During a subsequent anaesthetic, gross intestinal distension occurred when gas that had passed through the fistula was unable to vent. The problems of dealing with patients with malignant tracheo-oesophageal fistula are discussed.
Grebenik
C R
CR
Department of Anaesthesia and Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.
D000368:Aged; D000768:Anesthesia, General; D000769:Anesthesia, Inhalation; D003106:Colon / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000150:complications*; D010166:Palliative Care; D013270:Stomach / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000601:surgery*