Tracheoesophageal fistula developing postintubation

Year 2013, , - , 01.08.2013

Erol Çakmak Hilmi Ataseven Özlem Yönem Köksal Bilgen Hakan Güzel

https://doi.org/10.17940/endoskopi.74807

Abstract

Tracheoesophageal fistula, congenital or acquired, is a connection between the esophagus and trachea. Acquired tracheoesophageal fistula is divided as malignant and nonmalignant. The most common cause of acquired tracheoesophageal fistula is malignancy, while the most common cause of nonmalignant tracheoesophageal fistula is trauma associated with endotracheal cuff during prolonged mechanic ventilation. When the pressure in an endotracheal cuff balloon exceeds the capillary perfusion pressure, it causes ischemia and necrosis in the local tracheal mucosa. Our patient was a 33-year-old male with tracheoesophageal fistula developing after long-term endotracheal intubation for organic phosphorus poisoning.

Keywords

Postintubation tracheoesophageal fistula, trachea, esophagus

Postentübasyon sonrası gelişen trakea-özofageal fistül

Abstract

Trakea-özofageal fistül, konjenital veya akkiz olan özofagus ve trakea arasında bağlantı olmasıdır. Akkiz trakea-özofageal fistül malign ve nonmalign olmak üzere ikiye ayrılır. Akkiz trakea-özofageal fistül en sık nedeni malignitedir. Non malign trakea-özofageal fistülün en sık nedeni ise uzamış mekanik ventilasyona bağlı endotrakeal kaf ile ilişkili travmadır. Endotrakeal kaf basıncı, ortalama doku kapiller perfüzyon basıncı geçtiğinde lokal trakea mukozasında iskemi ve nekroza neden olur. Hastamız 33 yaşında erkek, organik fosfor zehirlenmesi sonrası uzun süreli endotrakeal entübasyon sonrası gelişen trakea-özofageal fistül idi.

Keywords

Entübasyon sonrası trakea-özofageal fistül, trakea, özofagus

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