title: Tracheoesophageal Fistula following Endotracheal Intubation for Organophosphorus Poisoning.
abstract: Tracheoesophageal fistula (TEF) is an abnormal communication between the trachea and esophagus. Iatrogenic TEF can be due to endotracheal intubation, rigid bronchoscopy or tracheostomy. Tracheostomy tube cuff volumes and pressures require constant monitoring to avoid tracheal injury. Acquired TEF which occurs after prolonged intubation, usually develops after 15-200 days of mechanical ventilation. We report a case of a large TEF secondary to endotracheal intubation for organophosphorus poison-induced respiratory failure. Patient presented with dysphagia and recurrent aspiration pneumonia after extubation. She underwent trachea-esophageal fistulectomy and closure with a sternocleidomastoid muscle flap.
authors.affiliation: Associate Professor, Department of Medicine.
authors.forename: Shailaja V
authors.initials: SV
authors.lastname: Rao
authors.affiliation: Associate Professor, Department of Surgery.
authors.forename: Ajay K
authors.initials: AK
authors.lastname: Boralkar
authors.affiliation: Associate Professor.
authors.forename: Prabhakar S
authors.initials: PS
authors.lastname: Jirvankar
authors.affiliation: Professor, Department of Medicine.
authors.forename: Mangala V
authors.initials: MV
authors.lastname: Sonavani
authors.affiliation: Professor and Head, Department of Radiology.
authors.forename: Varsha Rotte
authors.initials: VR
authors.lastname: Kaginalkar
authors.affiliation: Chief Resident, Department of Medicine, Government Medical College, Aurangabad, Maharashtra.
authors.forename: Chimu
authors.initials: C
authors.lastname: Chinte
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D062025:Organophosphate Poisoning / Q000628:therapy*; D014138:Tracheoesophageal Fistula / Q000209:etiology*