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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
NAGORE-ANCONA, Jesús F. et al. Surgical approach for iatrogenic tracheoesophageal fistula. Case report and literature review. Cir. cir. [online]. 2021, vol.89, n.6, pp.811-817. Epub Feb 08, 2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000730.
Background:
Post-intubation tracheoesophageal fistula is a severe complication in long-term mechanical ventilation patients with possible fatal consequences.
Objective:
To describe a case of post-intubation tracheoesophageal fistula and its surgical management. In addition, a brief literature review was effectuated.
Case report:
45-year-old female, suffers ischemic stroke with progressive neurological damage that requires long-term mechanical ventilation. During endoscopic gastrostomy tracheoesophageal fistula is shown.
Results:
Undergoes surgery for esophageal repair and tracheal resection, through cervicosternotomy. Unfortunately died in the immediate postoperative period.
Conclusions:
This complex pathology requires structured protocols for its prevention in patients in whom long-term mechanical ventilation is expected.
Keywords : Tracheoesophageal fistula; Tracheal diseases; Median sternotomy; Mechanical ventilation.
