A case of post-intubation tracheal stenosis and tracheoesophageal fistula

Background and Objective: The presence of tracheal or tracheostomy tubes for long term in trachea, especially with nasogastric tube synchoronously, could be complicated by tracheal stenosis, tracheoesophageal-fistula and tracheo-innominate fistula. This report presents a 22-year-old man with post-in...

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Autores principales:	N Nik Bakhsh, A Naghshineh
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2005
Materias:	tracheal stenosis tracheoesophageal fistula intubation complications Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/bc6840c979664a70af8f7de525bd06f6
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spelling	oai:doaj.org-article:bc6840c979664a70af8f7de525bd06f62021-11-10T09:14:33ZA case of post-intubation tracheal stenosis and tracheoesophageal fistula1561-41072251-7170https://doaj.org/article/bc6840c979664a70af8f7de525bd06f62005-04-01T00:00:00Zhttp://jbums.org/article-1-2645-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: The presence of tracheal or tracheostomy tubes for long term in trachea, especially with nasogastric tube synchoronously, could be complicated by tracheal stenosis, tracheoesophageal-fistula and tracheo-innominate fistula. This report presents a 22-year-old man with post-intubation tracheal stenosis and tracheoesophageal fistula, following long-term intubations and simultaneous repair of tracheoesophageal fistula with a good result. Case: The patient after care accident in comatose state was intubated and connected to ventilator for 3 weeks, 10 days after intubation, tracheostomy was performed on him. During this time, his nutrition was done by nasogastric tube. With beginning oral route nutrition, there was cough with each swallowing. In bronchoscopy there was mucosal inflammation and tracheal rings destruction in 3 cm below the vocal cords, with 2.5-3 cm in length that was accompanied by tracheoesophageal-fistula in the tracheal membranous wall. Because of dyspnea and tracheal stenosis, it was decided to resect the destructed part of the trachea and end-to-end anastomosis with fistula repair. Conclusion: In the presence of tracheoesophageal-fistula, correct judgment, pre and post-operative cares are the key factors in the outcome of patients. Proper calorie calculation for the patient (Enteral route) and simultaneous repair of tracheal stenosis are the secret of the success in the surgery of these patients.N Nik Bakhsh,A NaghshinehBabol University of Medical Sciencesarticletracheal stenosistracheoesophageal fistulaintubation complicationsMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 7, Iss 2, Pp 89-91 (2005)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	tracheal stenosis tracheoesophageal fistula intubation complications Medicine R Medicine (General) R5-920
spellingShingle	tracheal stenosis tracheoesophageal fistula intubation complications Medicine R Medicine (General) R5-920 N Nik Bakhsh, A Naghshineh A case of post-intubation tracheal stenosis and tracheoesophageal fistula
description	Background and Objective: The presence of tracheal or tracheostomy tubes for long term in trachea, especially with nasogastric tube synchoronously, could be complicated by tracheal stenosis, tracheoesophageal-fistula and tracheo-innominate fistula. This report presents a 22-year-old man with post-intubation tracheal stenosis and tracheoesophageal fistula, following long-term intubations and simultaneous repair of tracheoesophageal fistula with a good result. Case: The patient after care accident in comatose state was intubated and connected to ventilator for 3 weeks, 10 days after intubation, tracheostomy was performed on him. During this time, his nutrition was done by nasogastric tube. With beginning oral route nutrition, there was cough with each swallowing. In bronchoscopy there was mucosal inflammation and tracheal rings destruction in 3 cm below the vocal cords, with 2.5-3 cm in length that was accompanied by tracheoesophageal-fistula in the tracheal membranous wall. Because of dyspnea and tracheal stenosis, it was decided to resect the destructed part of the trachea and end-to-end anastomosis with fistula repair. Conclusion: In the presence of tracheoesophageal-fistula, correct judgment, pre and post-operative cares are the key factors in the outcome of patients. Proper calorie calculation for the patient (Enteral route) and simultaneous repair of tracheal stenosis are the secret of the success in the surgery of these patients.
format	article
author	N Nik Bakhsh, A Naghshineh
author_facet	N Nik Bakhsh, A Naghshineh
author_sort	N Nik Bakhsh,
title	A case of post-intubation tracheal stenosis and tracheoesophageal fistula
title_short	A case of post-intubation tracheal stenosis and tracheoesophageal fistula
title_full	A case of post-intubation tracheal stenosis and tracheoesophageal fistula
title_fullStr	A case of post-intubation tracheal stenosis and tracheoesophageal fistula
title_full_unstemmed	A case of post-intubation tracheal stenosis and tracheoesophageal fistula
title_sort	case of post-intubation tracheal stenosis and tracheoesophageal fistula
publisher	Babol University of Medical Sciences
publishDate	2005
url	https://doaj.org/article/bc6840c979664a70af8f7de525bd06f6
work_keys_str_mv	AT nnikbakhsh acaseofpostintubationtrachealstenosisandtracheoesophagealfistula AT anaghshineh acaseofpostintubationtrachealstenosisandtracheoesophagealfistula AT nnikbakhsh caseofpostintubationtrachealstenosisandtracheoesophagealfistula AT anaghshineh caseofpostintubationtrachealstenosisandtracheoesophagealfistula
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A case of post-intubation tracheal stenosis and tracheoesophageal fistula

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