Benign Tracheal Esophageal Fistula

Benign acquired tracheoesophageal fistula (TEF) is a rare complication related to prolonged mechanical ventilation, esophageal and mediastinal surgeries, chest trauma, or infection. TEF should be suspected in ventilated patients with persistent air leak, recurrent pneumonias, or those with persistent cough immediately following swallowing (Ono sign). Once identified, the only definitive solution for TEF is surgical correction. In preparation for surgical repair, most opt to wean patients from the ventilator and place a percutaneous gastrostomy tube for diversion.

Source: Operative Techniques in Cardiac and Thoracic Surgery - November 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Taylor Elser, Allison Frederick, Edward Penn, William Bolton, James Stephenson, Sharon Ben-Or Tags: Thoracic Source Type: research