title: Surgical management of huge tracheo-oesophageal fistula with oesophagus segment in situ as replacement of the posterior membranous wall of the trachea.
abstract: Tracheo-oesophageal fistula (TEF) is an uncommon and potentially life-threatening complication of blunt chest trauma. We describe our surgical experience in a patient with huge TEF (5.6 cm in diameter) and evaluate the short-term results of surgical management by oesophageal exclusion (cervical gastro-oesophagostomy) and show that the use of oesophagus segment in situ as replacement of the posterior membranous wall of the trachea is feasible. Improving the nutrition status and controlling the lung infection were critical in the perioperation period.
authors.affiliation: Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, Guangdong Province, PR China. drjianxing.he@gmail.com
authors.forename: Jianxing
authors.initials: J
authors.lastname: He
authors.forename: Manyin
authors.initials: M
authors.lastname: Chen
authors.forename: Wenlong
authors.initials: W
authors.lastname: Shao
authors.forename: Daoyuan
authors.initials: D
authors.lastname: Wang
mesh_terms: D001999:Bronchoscopy; D002648:Child; D004946:Esophagostomy / Q000379:methods*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000000981:diagnostic imaging / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications