[Tracheoesophageal fistula in an intubated patient. Treatment through exclusion and esophageal patch].
Currently, acquired benign tracheoesophageal fistulas are mainly iatrogenic lesions produced by prolonged tracheal intubation. Their occurrence in intubated patients is infrequent but devastating and their therapeutic resolution is highly complex. We present the case of a patient with an extensive tracheoesophageal fistula following tracheal intubation that was surgically treated through esophageal exclusion (cervical esophagostomy and suture-stapling of the distal esophagus) and closure of the tracheal defect using the posterior esophageal wall.
de Castro
Gonzalo
G
Servicio de Cirugía General y Aparato Digestivo, Complejo Hospitalario Universitario Xeral-Cíes, Vigo, Pontevedra, Spain.
Iribarren
Mauricio
M
Rivo
Eduardo
E
Meléndez
Reyes
R
Nóvoa
Eduardo
E
Cañizares
Miguel
M
Gil
Pedro
P
D000368:Aged; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D014138:Tracheoesophageal Fistula / Q000209:etiology* / Q000601:surgery