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KMID : 0364019920250060581
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 6 p.581 ~ p.587
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Surgical Repair of Tracheal Stenosis with Tracheoesophageal Fistula Induced by Prolonged Endotracheal Intubation -Report of A Case-
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허강배
조성래/하현철/김재홍/김창수/정언섭/이재성/김송명
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Abstract
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Tracheoesophageal fistula(TEF) is a rare but life-threatening lesion that may occur from ventilation with a cuffed tube. It occurs most frequently when an inlying esophageal tube is also being used-usually for feeding purposes. The mechanism of
injury
appears to be pressure experted on the tracheal wall by the cuff, which then compresses the "party wall" of the trachea and esophagus against the foreign body that lies in the esophagus.
The patient was 32 years old female who had been receiving a treatment of respiratory failure induced by postoperative sepsis with assist ventilator and nasogastric tubal feeding. Sudden attack of abdominal gas distention and massive drainage of
gas
through N-G tube were developed during assist ventilation in that patient, so we diagnosed as tracheal stenosis with a tracheoesophageal fistula induced by prolonged endotracheal intubation. We performed tracheal reconstruction and primary
closure
of
perforated esophagus after weaning ventilator.
The postoperative course was uneventiful.
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KEYWORD
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