Implanting jejunostomy tube as conservative management of tracheoesophageal fistula in a COVID‐19 patient

Abstract

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Tracheo‐esophageal fistula and pleural empyema in the course of SARS‐CoV‐2 infection—A case report

“…The use of tracheostomy in combination with jejunostomy described by Cuaño et al proved unsuccessful and the patient died. 15,16 The described cases clearly indicate the lack of a single TEF treatment method with proven effectiveness, which certainly prompts a broad debate on this topic. In the case of a TEF, conservative or operative therapy may be considered depending on the patient's clinical condition.…”

“…The use of tracheostomy in combination with jejunostomy described by Cuaño et al proved unsuccessful and the patient died. 15 , 16 …”

“…In the case of the patient described by Negaresh et al, a jejunostomy was used, and the fistula was healed. The use of tracheostomy in combination with jejunostomy described by Cuaño et al proved unsuccessful and the patient died 15,16 …”

The surgical approach of late-onset tracheoesophageal fistula in a tracheostomized COVID-19 patient

“…The need of postoperative PMV was successfully satisfied intubating the patient under endoscopic guidance and positioning the endotracheal's tube cuff distal to the anastomosis, with no postoperative anastomotic complications or TEF recurrence. During treatment's planning, placing a feeding jejunostomy should be taken into consideration to offer the patient an adequate nutrition support, since after the diagnosis of TEF the nasogastric tube removal is generally recommended [5,9,13,15]. In our case we decided to place a percutaneous endoscopic transgastric jejunostomy since the patient had already a percutaneous gastrostomy performed during her first stay in the ICU.…”

“…Several reports reveal that surgery is the treatment of choice in selected cases since spontaneous closure of TEF is a rare event, generally involving patients with a small cervical fistula [5,8,9].…”