Surgical Management of Benign Acquired Tracheoesophageal Fistulas: A Ten-Year Experience

Surgical management of tracheoesophageal fistula

“…Over 80% of patients resume oral intake and over 70% breathe without a tracheal appliance. Similar results have been reported by other centers, with rates of successful fistula closure ranging from 91% to 95% and low operative mortality between 4.0% and 5.7% (3)(4)(5).…”

Surgery and perioperative management for post-intubation tracheoesophageal fistula: case series analysis

“…Our review results suggest that primary esophageal closure with tracheal resection/reconstruction is an effective treatment for most PITEF patients; although associated morbidities are not uncommon. This conclusion is in agreement with a large number of past retrospective studies (3,4,6,7,14,23). Moreover, this case series review suggests that even ventilator-dependent patients may benefit from surgery when they are selected according to a criterion based upon general condition, worsening trend and fistula size.…”

“…However, surgery for PITEF is challenging and its related morbidity rate is not negligible; certainly greater than tracheal surgery for malignancy (21,22). In fact, the complication rate has been reported to be between 32% and 56%, mainly anastomotic issues or fistula recurrences (3,4,23). The results from our case series review regarding complications are in line with published literature.…”

Tracheoesophageal Fistula: Bridging the Gap by Over‑the‑scope Clip Services

“…The other etiologies of iatrogenic complication include endoscopic procedures (e.g., endobronchial brachytherapy) or lobectomy. [4] TOF may present with recurrent aspiration pneumonia or recurrent hypoxemic events, which may prolong the duration of mechanical ventilation. TOF may also present with acute respiratory distress, evidence of enteral feed in ETT aspirate during suctioning, positive air leak, and gastric distension.…”