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KMID : 0361420110350030436
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 3 p.436 ~ p.440
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Acquired Tracheoesophageal Fistula through Esophageal Diverticulum in Patient Who Had a Prolonged Tracheostomy Tube - A Case Report -
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Jung Jae-Hwan
Kim Ji-Sung
Kim Yong-Kyun
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Abstract
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Acquired tracheoesophageal fi stula through esophageal diverticulum is infrequent. We report tracheoesophageal fi stula through esophageal diverticulum in a 55-year-old male who had a prolonged tracheostomy tube during 6 months, and a NG tube during 18 months. He suff ered from recurrent pneumonia. He complained of a cough associated with eating, and production of sputum mixed with food. To help evaluate the aspiration to the lung and the cause of aspiration, he was tested using gastrointestinal scintigraphy (gastric emptying study), a chest CT scan (pre & post contrast), and esophagoduodenoscopy. The chest CT scan revealed an acquired tracheoesophageal fi stula through esophageal diverticulum, and esophagoduodenoscopy revealed a 3 mm sized fi stula that was located ?33 cm from the upper incisor. We treated the tracheoesophageal fi stula by clipping under esophagoduodenoscopy. Th e symptoms of fever, cough, and aspiration were no long observed after the clipping was completed.
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KEYWORD
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Tracheoesophageal fi stula, Diverticulum, Tracheostomy
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