대한기관식도과학회지 (Korean Journal of Bronchoesophagology)
- 제18권2호
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- Pages.41-44
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- 2012
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- 1226-0916(pISSN)
기관삽관과 관련된 경부 기관의 기관식도루
Tracheoesophageal Fistula Associated with Endotracheal Intubation
- 하정훈 (서울대학교병원 이비인후과)
- Hah, J. Hun (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital)
- 투고 : 2012.12.25
- 심사 : 2012.12.31
- 발행 : 2012.12.30
초록
Acquired tracheoesophageal fistula (TEF) can occur rarely from various causes. Recently, cuff-related tracheal injury after endotracheal intubation with the orotracheal tube and tracheostomy cannula is the most common etiology of nonmalignant TEF. Since cuff-related TEF is usually preventable with proper selection of the cuffed tube and close monitoring of cuff pressure. Although most patients present increased secretions, recurrent pneumonia, or coughing after swallowing, a high index of suspicion is required in patients at risk for developing a TEF. Surgical correction for the defectis required. In most cases, primary closure of the esophageal defect and tracheal resection and end-to-end anastomosis give the best results.