Work

The Challenging Complication of Acquired Tracheoesophageal Fistulas: A Case Report

Year: 2024

Type: article

Abstract: Rationale Acquired tracheoesophageal fistulas (TEFs) are rare and challenging complications, particularly in critically ill patients, with high morbidity and mortality. Patient Concerns A 67-year-old woman presented with respiratory failure, persistent cuff leaks, and complications from nasogastric and feeding tube use. Diagnoses TEFs were identified via esophagoscopy and bronchoscopy, revealing dual mid-esophageal fistulas. Interventions Management included repositioning of the tracheostomy, surgical repair involving tracheal resection and esophageal repair with an omohyoid rotational flap, and extracorporeal membrane oxygenation support during surgery. Outcomes Despite initial postoperative improvement, the patient experienced complications, including an esophageal leak and bleeding, culminating in a transition to comfort care. Conclusion Prevention of acquired TEFs requires vigilant monitoring of device use and pressure. Surgical repair remains complex, with outcomes influenced by patient comorbidities and intraoperative challenges.

Source: Tracheostomy Official Journal of the Global Tracheostomy Collaborative

DOI: 10.62905/001c.126664

Authors: Justin Lau, Gautam Korakavi, N. Scott Howard

Institutions: Case Western Reserve University, University Hospitals of Cleveland

Language: English

Topic: Esophageal and GI Pathology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4406419202