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KMID : 0602820120180020041
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Korean Journal of Bronchoesophagology
2012 Volume.18 No. 2 p.41 ~ p.44
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Tracheoesophageal Fistula Associated with Endotracheal Intubation
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Hah Jeong-Hun
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Abstract
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Acquired tracheoesophageal fistula (TEF) can occur rarely from various causes. Recently, cuff-related tracheal injury after endotracheal intubation with the orotracheal tube and tracheostomy cannula is the most common etiology of nonmalignant TEF. Since cuff-related TEF is usually preventable with proper selection of the cuffed tube and close monitoring of cuff pressure. Although most patients present increased secretions, recurrent pneumonia, or coughing after swallowing, a high index of suspicion is required in patients at risk for developing a TEF. Surgical correction for the defectis required. In most cases, primary closure of the esophageal defect and tracheal resection and end-to-end anastomosis give the best results
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KEYWORD
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Tracheoesophageal fistula, Endotracheal tube, Tracheal reconstruction
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