e-ISSN 2147-2475
Cilt : 11 Sayý : 3 Yýl : 2023

Hýzlý Arama




Laparoscopic Endoscopic Surgical Science Ýki Taraftan Bakýþ: Trakeoözafegeal Fistül [Respir Case Rep]
Respir Case Rep. 2022; 11(3): 116-118 | DOI: 10.5505/respircase.2022.29863

Ýki Taraftan Bakýþ: Trakeoözafegeal Fistül

Oðuz Karcýoðlu1, Serkan Uysal2, Ulaþ Kumbasar2, Fuad Mustafayev3, Ziya Toros Selçuk1
1Hacettepe Üniversitesi, Týp Fakültesi, Göðüs Hastalýklarý Anabilim Dalý, Ankara
2Hacettepe Üniversitesi, Týp Fakültesi, Göðüs Cerrahisi Anabilim Dalý, Ankara
3Hacettepe Üniversitesi, Týp Fakültesi, Ýç Hastalýklarý Anabilim Dalý, Gastroenteroloji Bilim Dalý, Ankara

Eriþkinlerde malign olmayan trakeoözofageal fistüller genellikle entübasyon sonrasý komplikasyonlar nedeniyle ortaya çýkar. Üç ay önce kafa içi kanama sonrasý uzamýþ entübasyon nedeniyle trakeostomi ve beslenme sorunlarý nedeniyle gastrostomi öyküleri olan 80 yaþýnda kadýn hasta tekrarlayan ateþ ve yoðun kývamlý sekresyon artýþý nedeniyle baþvurdu. Bilgisayarlý toraks tomografisinde saptanan þüpheli trakeoözofageal fistül (TÖF) bronkoskopi ve endoskopi ile doðrulandý. Bronkoskopide hem fazla þiþirilmiþ cuff hem de özefagus kasýlmalarýyla açýlýp kapanan TÖF izlendi. Ameliyata uygun bulunmayan hastaya stent yerleþtirilmesi hasta yakýnlarýn tarafýndan kabul edilmedi. Hasta gastrostomi hattýndan jejunostomi kateteri gönderilerek ve reflüyü engellemek için en az 45 derece dik konumda tutulmasý önerileriyle taburcu edildi.

Anahtar Kelimeler: Trakeoözefageal Fistül, Cuff, Overinflasyon, Pnömoni, Trakeostomi

Viewing from both Sides: Tracheoesophageal Fistula

Oðuz Karcýoðlu1, Serkan Uysal2, Ulaþ Kumbasar2, Fuad Mustafayev3, Ziya Toros Selçuk1
1Department of Chest Diseases, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
2Department of Chest Surgery, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
3Department of Internal Medicine, Division of Gastroenterology, Hacettepe University, Faculty of Medicine, Ankara, Türkiye

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







Oðuz Karcýoðlu, Serkan Uysal, Ulaþ Kumbasar, Fuad Mustafayev, Ziya Toros Selçuk. Viewing from both Sides: Tracheoesophageal Fistula. Respir Case Rep. 2022; 11(3): 116-118

Sorumlu Yazar: Oðuz Karcýoðlu, Türkiye
Makale Dili: Ýngilizce
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