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KMID : 0364019920250080800
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 8 p.800 ~ p.805
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A Case Report of Acquired Nonmalignant Tracheoesophageal Fistula
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Abstract
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Acquired, nonmalignant tracheoesophageal fistula is an uncommom and difficult problem to manage. The most commom cause is a complication of endotracheal or tracheostomy tubes. Most are diagnose while patients still require mechanical ventilation.
The
principle of treatment is two stage operation. First, new tracheostomy tube is placed so that the baloon is below the fistula, and gastrostomy and feeding jejunostomy are made for the drainage and feeding. Finally after weaning from the
mechanical
ventilation, tracheal resection and reconstruction are made, and the esophageal defect is closed in two layers and a viable strap muscle interposed into the two suture site to prevent recurrence. Recently, we experienced a case of acquired
nonmalignant
tracheoesophageal fistula which was developed during mechanical ventilation. She was successfully treated with the above two stage operation.
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