Anesthetic Approach for Endoscopic Repair of Acquired Tracheoesophageal Fistula

Sina Ghaffaripour, Fouad Souki, Kianfa Martinez-Lu, Gisele Wakim

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Tracheoesophageal fistula develops in 5 % to 15 % of patients with esophageal cancer. Metal stent placement can be used for treatment. Stent placement can result in aspiration, hemorrhage, perforation, migration, and pneumonia. Patients may present for medical attention with unanticipated worsening of the fistula and stent displacement requiring special anesthetic care. We discuss the perianesthetic management of a patient with malignant tracheoesophageal fistula and stent migration who presented for endoscopic esophageal stent replacement.

Original languageEnglish (US)
Pages (from-to)357-359
Number of pages3
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume21
Issue number4
DOIs
StatePublished - Dec 1 2017

Keywords

  • airway management
  • gastric contents aspiration
  • intubation
  • malignant tracheoesophageal fistula
  • ventilation insufficiency

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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