title: Sealing of a tracheoesophageal fistula using a Sengstaken-Blakemore tube for mechanical ventilation during general anesthesia.
abstract: A 78-yr-old man was admitted to our hospital because of repeated episodes of pneumonia. Both fiberoptic bronchoscopy and esophagoscopy revealed a large tracheoesophageal fistula and protrusion of the metal stent from the esophagus into the trachea. Placement of a Dumon stent was planned for sealing this fistula under general anesthesia. Anesthetic management is difficult because of the care needed to prevent aspiration of esophageal contents and diversion of oxygen through the fistula into the stomach from the trachea when patients are under mechanical ventilation. Our method of sealing a large tracheoesophageal fistula with a Sengstaken-Blakemore tube was performed successfully.
authors: Department of Anesthesiology, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa, Nagoya 464-8681, Japan. jn@aichi-cc.jp
authors: Junya
authors: J
authors: Nakada
authors: Sayo
authors: S
authors: Nagai
authors: Masao
authors: M
authors: Nishira
authors: Renko
authors: R
authors: Hosoda
authors: Tatsuya
authors: T
authors: Matsura
authors: Yoshimi
authors: Y
authors: Inagaki
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D001999:Bronchoscopy; D004945:Esophagoscopy; D006801:Humans; D007440:Intubation / Q000379:methods; D008297:Male; D011014:Pneumonia / Q000209:etiology; D012121:Respiration, Artificial / Q000379:methods*; D015607:Stents; D014138:Tracheoesophageal Fistula / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome