Acquired benign tracheo‑oesophageal fistula secondary to oesophageal stenting for post lye ingestion stenosis: A case report.
acquired fistula
esophageal stenting
high frequency jet ventilation
lye ingestion
stenosis
trachea-esophageal fistula
Journal
Experimental and therapeutic medicine
ISSN: 1792-1015
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
13
09
2021
accepted:
13
10
2021
entrez:
23
12
2022
pubmed:
24
12
2022
medline:
24
12
2022
Statut:
epublish
Résumé
Acquired benign trachea-oesophageal fistula is a rare benign pathological entity with varying aetiologies that most often occurs post-intubation. This case report presents the case of a female patient, 31 years old, admitted to the emergency room with sepsis syndrome following bilateral aspiration pneumonia caused by a large trachea-oesophageal fistula. The fistula was the result of intra-tracheal migration of an oesophageal stent placed for post lye ingestion stenosis. Esophageal diversion and partial resection with oesophageal patch to repair the tracheal defect, under general anaesthesia with ventilation using rigid bronchoscopy and high frequency jet ventilation (HFJV), followed at a later date by esophageal replacement with colic graft were the procedures performed with a view to curing the patient. In conclusion, complex cases always require a tailored approach. It is important to note that HFJV may be applied for a longer period of time and the oesophagus can be used as patch for the posterior tracheal wall in selected cases. Staged surgery is also an option when the patients' poor health status does not permit major surgery.
Identifiants
pubmed: 36561632
doi: 10.3892/etm.2022.11714
pii: ETM-25-1-11714
pmc: PMC9748660
doi:
Types de publication
Case Reports
Langues
eng
Pagination
15Informations de copyright
Copyright © 2020, Spandidos Publications.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
Gastrointest Endosc. 2010 Oct;72(4):712-20
pubmed: 20883848
Chest Surg Clin N Am. 2003 May;13(2):271-89
pubmed: 12755313
Cir Esp. 2005 Apr;77(4):230-2
pubmed: 16420923
Ann Thorac Surg. 2019 Mar;107(3):e207-e208
pubmed: 30179624
Curr Opin Anaesthesiol. 2020 Feb;33(1):55-63
pubmed: 31833867
World J Surg. 2019 Nov;43(11):2874-2884
pubmed: 31332491
Ann Thorac Surg. 1995 Aug;60(2):250-9; discussion 259-60
pubmed: 7646083
Lung India. 2017 Jan-Feb;34(1):76-78
pubmed: 28144066
Eur J Cardiothorac Surg. 2009 Sep;36(3):600-2
pubmed: 19616964
Interact Cardiovasc Thorac Surg. 2021 Jan 22;32(2):291-297
pubmed: 33313777
Interact Cardiovasc Thorac Surg. 2009 Jan;8(1):62-5; discussion 65
pubmed: 18842702
Ir J Med Sci. 2013 Sep;182(3):477-80
pubmed: 23397501