e-ISSN 2147-2475
Cilt : 12 Say : 1 Yl : 2023

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ki Taraftan Bak: Trakeozafegeal Fistl [Respir Case Rep]
Respir Case Rep. 2022; 11(3): 116-118 | DOI: 10.5505/respircase.2022.29863

ki Taraftan Bak: Trakeozafegeal Fistl

Ouz Karcolu1, Serkan Uysal2, Ula Kumbasar2, Fuad Mustafayev3, Ziya Toros Seluk1
1Hacettepe niversitesi, Tp Fakltesi, Gs Hastalklar Anabilim Dal, Ankara
2Hacettepe niversitesi, Tp Fakltesi, Gs Cerrahisi Anabilim Dal, Ankara
3Hacettepe niversitesi, Tp Fakltesi, Hastalklar Anabilim Dal, Gastroenteroloji Bilim Dal, Ankara

Erikinlerde malign olmayan trakeozofageal fistller genellikle entbasyon sonras komplikasyonlar nedeniyle ortaya kar. ay nce kafa ii kanama sonras uzam entbasyon nedeniyle trakeostomi ve beslenme sorunlar nedeniyle gastrostomi ykleri olan 80 yanda kadn hasta tekrarlayan ate ve youn kvaml sekresyon art nedeniyle bavurdu. Bilgisayarl toraks tomografisinde saptanan pheli trakeozofageal fistl (TF) bronkoskopi ve endoskopi ile doruland. Bronkoskopide hem fazla iirilmi cuff hem de zefagus kaslmalaryla alp kapanan TF izlendi. Ameliyata uygun bulunmayan hastaya stent yerletirilmesi hasta yaknlarn tarafndan kabul edilmedi. Hasta gastrostomi hattndan jejunostomi kateteri gnderilerek ve refly engellemek iin en az 45 derece dik konumda tutulmas nerileriyle taburcu edildi.

Anahtar Kelimeler: Trakeozefageal Fistl, Cuff, Overinflasyon, Pnmoni, Trakeostomi

Viewing from both Sides: Tracheoesophageal Fistula

Ouz Karcolu1, Serkan Uysal2, Ula Kumbasar2, Fuad Mustafayev3, Ziya Toros Seluk1
1Department of Chest Diseases, Hacettepe University, Faculty of Medicine, Ankara, Trkiye
2Department of Chest Surgery, Hacettepe University, Faculty of Medicine, Ankara, Trkiye
3Department of Internal Medicine, Division of Gastroenterology, Hacettepe University, Faculty of Medicine, Ankara, Trkiye

Non-malignant tracheoesophageal fistulas in adults often occur due to complications after intubation. We present an 80-year-old female patient who was consulted because of fever and increased thicky secretions that need frequent. An intracranial hemorrhage 3 months earlier led to her undergoing a tracheostomy and gastrostomy due to the resulting prolonged intubation and nutritional issues. Both bronchoscopy and endoscopy confirmed the presence of a tracheoesophageal fistula (TEF) detected on computed thorax tomography. In bronchoscopy, TEF, which was opened and closed by both over-inflated cuff and esophageal contractions, was observed. She was not a candidate for surgery, and her relatives declined an esophageal stent placement. We managed the case by sending a jejunostomy catheter through the gastrostomy tube and positioning at least 45 degrees to minimize the reflux.

Keywords: Tracheoesophageal Fistula, Cuff, Overinflation, Pneumonia, tracheostomy







Ouz Karcolu, Serkan Uysal, Ula Kumbasar, Fuad Mustafayev, Ziya Toros Seluk. Viewing from both Sides: Tracheoesophageal Fistula. Respir Case Rep. 2022; 11(3): 116-118

Sorumlu Yazar: Ouz Karcolu, Trkiye
Makale Dili: ngilizce
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