A posztintubációs oesophagotrachealis fistulák sebészi kezelésérol két operált eset kapcsán

Translated title of the contribution: Surgical repair of postintubation esophago-tracheal fistulas: Report of two operated cases

Balázs Akos, P. Kupcsulik

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Persistence of postintubation esophago-tracheal fistulas is a difficult therapeutic problem. Authors present and discuss two successfully operated cases. Surgical reconstruction was done via left lateral cervical approach, including dissection of the fistulous tract, closure of the defect on both sides by suture, exclusion of the esophagus with a linear stapler beyond a loop esophagostomy, separation the suture lines with interposing of omohioid muscle flap, and making a Pezzer-catheter splinted esophagostomy. In the first case the spontaneous recanalization of the occluded esophagus was prolonged and the fistula recurred. Reoperation was done by the same procedure without exclusion of the esophagus. The second patient needed intervention because of the prolonged closure of esophagostomy. Recovery of both patients was successful. In conclusion, it can be stated that adaptation of surgical techniques for the individual pathologic situation helped the authors to find the way to the successful outcome.

Original languageHungarian
Pages (from-to)1618-1622
Number of pages5
JournalOrvosi Hetilap
Volume152
Issue number40
DOIs
Publication statusPublished - Oct 1 2011

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Esophagostomy
Esophagus
Fistula
Sutures
Reoperation
Dissection
Catheters
Muscles
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A posztintubációs oesophagotrachealis fistulák sebészi kezelésérol két operált eset kapcsán. / Akos, Balázs; Kupcsulik, P.

In: Orvosi Hetilap, Vol. 152, No. 40, 01.10.2011, p. 1618-1622.

Research output: Contribution to journalArticle

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abstract = "Persistence of postintubation esophago-tracheal fistulas is a difficult therapeutic problem. Authors present and discuss two successfully operated cases. Surgical reconstruction was done via left lateral cervical approach, including dissection of the fistulous tract, closure of the defect on both sides by suture, exclusion of the esophagus with a linear stapler beyond a loop esophagostomy, separation the suture lines with interposing of omohioid muscle flap, and making a Pezzer-catheter splinted esophagostomy. In the first case the spontaneous recanalization of the occluded esophagus was prolonged and the fistula recurred. Reoperation was done by the same procedure without exclusion of the esophagus. The second patient needed intervention because of the prolonged closure of esophagostomy. Recovery of both patients was successful. In conclusion, it can be stated that adaptation of surgical techniques for the individual pathologic situation helped the authors to find the way to the successful outcome.",
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