Two Cases of Postintubation Tracheoesophageal Fistula in Patients with a History of Tracheostomy - Case Report -

Kim, Seung Chan; Ha, Kyung Won; Wang, Joon Ho; Kim, Se Jin; Kim, Won Hak; Jeong, So Hee; Lee, Woo Sung; Han, Se Hee; Chon, Gyu Rak

doi:10.4266/kjccm.2009.24.2.87

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…Reflux of G-I tract contents may expand a tracheoesophageal fistula by chemical irritation. A nasogastric tube, which is placed to prevent aspiration of G-I tract contents and food, may increase the incidence of tracheoesophageal fistula because it delivers pressure directly on the partial region of the esophagus 5. The risk factors for tracheoesophageal fistula are known to include excessive motion of the endotracheal tube, inflammation, hypotension, diabetes, and long-term use of steroids.…”

Section: Discussionmentioning

confidence: 99%

“…A nasogastric tube, which is placed to prevent aspiration of G-I tract contents and food, may increase the incidence of tracheoesophageal fistula because it delivers pressure directly on the partial region of the esophagus. 5 The risk factors for tracheoesophageal fistula are known to include excessive motion of the endotracheal tube, inflammation, hypotension, diabetes, and long-term use of steroids. Damage of mucous membranes caused by an endotracheal tube can result in destruction of mucous membranes and cartilage, causing tracheomalacia and fibrous stenosis.…”

Section: Discussionmentioning

confidence: 99%

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Acquired Tracheoesophageal Fistula through Esophageal Diverticulum in Patient Who Had a Prolonged Tracheostomy Tube - A Case Report -

Jung

Kim

2011

Ann Rehabil Med

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Acquired tracheoesophageal fistula through esophageal diverticulum is infrequent. We report tracheoesophageal fistula through esophageal diverticulum in a 55-year-old male who had a prolonged tracheostomy tube during 6 months, and a NG tube during 18 months. He suffered from recurrent pneumonia. He complained of a cough associated with eating, and production of sputum mixed with food. To help evaluate the aspiration to the lung and the cause of aspiration, he was tested using gastrointestinal scintigraphy (gastric emptying study), a chest CT scan (pre & post contrast), and esophagoduodenoscopy. The chest CT scan revealed an acquired tracheoesophageal fistula through esophageal diverticulum, and esophagoduodenoscopy revealed a 3 mm sized fistula that was located -33 cm from the upper incisor. We treated the tracheoesophageal fistula by clipping under esophagoduodenoscopy. The symptoms of fever, cough, and aspiration were no long observed after the clipping was completed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acquired Tracheoesophageal Fistula through Esophageal Diverticulum in Patient Who Had a Prolonged Tracheostomy Tube - A Case Report -

Jung

Kim

2011

Ann Rehabil Med

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“…도한 절개 및 손상, 기관절개술 부위의 부적절한 위치 등이 위험요인으로 작용할 수 있는 것으로 보고되고 있다 [11,12]. Tu 등[13]은 기관내 삽관 시행 후 약 10시간만 지나더라도 상피 손상, 기저막 소실을 포함한 허혈성 비염증성 괴사까 지도 일어날 수 있고, 약 10일 경과되면 더 심한 궤양형성, 기저막 완전소실과 깊은 허혈성 괴사까지 발생할 수 있다고 하였다.…”

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Occurrence of Acquired Tracheoesophageal Fistula Due to Excess Endotracheal Tube Cuff Volumes - A Case Report -

Kim

Koh

Choi

2013

Korean J Crit Care Med

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Endotracheal tube cuff volume and pressure require constant monitoring to prevent tracheal injury. Acquired tracheoesophageal fistula is common from complications of mechanical ventilation as a result of pressured necrosis of the tracheoesophageal wall by endotracheal tube cuff. It still represents a life-threatening condition, especially when the diagnosis is being delayed. We present our modest experience through an acquired TEF patient who had an excessively enlarged cuff diameter on chest radiogram in order to consider the potential of using radiological-measured cuff diameter as a simple technique for predicting tracheal damages. Although the cuff pressure was monitored with a manometer by the medical team, it was possible that the tube cuff was excessively enlarged. Proper procedures for preventing the tracheal damage by cuffs include the following: monitoring of endotracheal cuff pressure and volume, observation of cuff size on the chest radiogram, and being mindful and attentive for possibilities of misjudgements by manometer or medical teams.

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Two Cases of Postintubation Tracheoesophageal Fistula in Patients with a History of Tracheostomy - Case Report -

Cited by 2 publications

References 10 publications

Acquired Tracheoesophageal Fistula through Esophageal Diverticulum in Patient Who Had a Prolonged Tracheostomy Tube - A Case Report -

Acquired Tracheoesophageal Fistula through Esophageal Diverticulum in Patient Who Had a Prolonged Tracheostomy Tube - A Case Report -

Occurrence of Acquired Tracheoesophageal Fistula Due to Excess Endotracheal Tube Cuff Volumes - A Case Report -

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