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J Thorac Cardiovasc Surg 2006;131:1413-1414
© 2006 The American Association for Thoracic Surgery

Brief Communication

Single-stage repair of a large acquired tracheoesophageal fistula with interposition of 2 muscle pedicle flaps and laparoscopic gastrojejunostomy

Vishwanath Golash, MS, FRCS *

Department of Surgery, Sultan Qaboos Hospital, Salalah, Sultanate of Oman.

Received for publication November 11, 2005; revisions received December 11, 2005; accepted for publication December 16, 2005.

* Address for reprints: Vishwanath Golash, MS, FRCS, Department of Surgery, Sultan Qaboos Hospital, PO Box 98, Salalah, Pin Code 211, Sultanate of Oman. (Email: golash@omantel.net.om; haritagolash@hotmail.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr Golash


Acquired tracheoesophageal fistula (TEF) is a rare but serious complication of prolonged endotracheal intubation. The main causative factor probably is the pressure of the overinflated cuff, leading to ischemia and tissue necrosis. The presence of a nasogastric tube adds further to the compression against the endotracheal cuff, resulting in TEF. I present the successful repair of a large TEF as a single-stage procedure.

Clinical Summary

A 35-year-old full-term woman was referred from a remote area with a history of obstructed labor for the previous 3 days. On examination, she was ill looking, pale, and toxic; had a blood pressure (BP) of 170/110 mm Hg; had a pulse of 104 beats/min; was febrile; and had gross peripheral edema. Per the abdomen, there were no palpable uterine contractions and no audible fetal heart sounds. On vaginal examination, the cervix was fully dilated. Urgent ultrasonography of the abdomen showed full-term uterus and no fetal movement. Gross crepitations were . . . [Full Text of this Article]




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 Ann. Thorac. Surg.Home page
A. Altorjay, M. Mucs, M. Rull, Z. Tihanyi, B. Hamvas, L. Madacsy, and B. Paal
Recurrent, Nonmalignant Tracheoesophageal Fistulas and the Need for Surgical Improvisation
Ann. Thorac. Surg., June 1, 2010; 89(6): 1789 - 1796.
[Abstract] [Full Text] [PDF]


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