Tracheoesophageal fistula: New option in management |
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Authors: | Surinder K. Singhal Ramandeep S. Virk Arjun Dass Bimaljit Singh Sandhu |
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Affiliation: | (1) Dept. of Medicine Department of Otolaryngology & Medicine, Government Medical College & Hospital, 160 030 Chandigarh, India;(2) Department of ENT, Government Medical College & Hospital, Sector-32-A, 160030 Chandigarh, India |
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Abstract: | Tracheoesophageal fistula is a life threatening condition. Patients not managed surgically ultimately die of their disease. Surgical management is the treatment of choice. We present a case of a patient that developed a tracheoesophageal fistula after tracheostomy. Surgical repair was done which failed due to infection. The patient was managed with the help of an esophageal stent and Trichloroacetic Acid cautery. This approach can be used in selected patients, depending upon the size and site of TEE Larger fistulae and those situated lower down e.g. supra carinal cannot be managed by this technique. |
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Keywords: | Tracheoesophageal fistula(TEF) Tracheostomy Nasogastric tube esophageal stent trichloroacetic Acid (TCA) |
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