Management of acquired tracheoesophageal fistula with various clinical presentations

Çiftçi, Arbay Ö.; Karnak, İbrahìm; Tanyel, Feridun Cahit; Şenocak, Mehmet Emìn

doi:10.1016/j.jpedsurg.2011.06.025

Cited by 23 publications

(16 citation statements)

References 28 publications

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“…15,19 However, some authors have stated that a TEF related to a battery lodged in the esophagus will heal spontaneously. 24 In the present study, we used conservative therapy in two patients with a TEF; however, their general condition deteriorated. Therefore, they underwent surgery at week two and four after the removal of the BB from the esophagus.…”

Section: Discussionmentioning

confidence: 84%

See 1 more Smart Citation

The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

Cevik¹,

Böleken²

2013

Turkiye Klinikleri J Med Sci

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792utton battery (BB) lodgment in the esophagus has the potential for serious complications compared with other foreign bodies, and is an increasingly prevalent ingestion injury in children because it has parThe Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The outcomes of button battery lodgment in the esophagus in children can be life threatening. Management of this injury after button battery removal is controversial. The aim of the present study was to compare the relevant studies in the literature with our experience of cases with a button battery lodged in the esophagus. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This retrospective study was conducted in all individuals who were referred for ingestion of a foreign body and who underwent eosophagoscopy at the Department of Pediatric Surgery between January 2007 and May 2012. Each operative report was reviewed to determine whether a button battery was present. Cases with a button battery lodged in the esophagus were reviewed regarding patient characteristics, clinical presentation, management strategy, outcome, and button battery features. R Re es su ul lt ts s: : Sixteen patients (10 males, six females; age, 2-99 months; mean age, 34.81±25.23 months) were admitted due to a button battery lodged in the esophagus. The majority of patients were aged <6 years. The time to diagnosis was between 1 h and 7 days. Ingestion of the button battery by ~4 4% of the patients was not witnessed. The majority of button batteries were lodged in the proximal esophagus (43.7%). Eight patients had esophageal injuries at various stages. Six patients had a normal esophagus. Two patients developed a tracheoesophageal fistula and both died. The mean duration of hospitalization was 6.8 days. C Co on nc cl lu us si io on ns s: : A button battery lodged in the esophagus in children is an urgent condition. In such cases, urgent endoscopic removal and a close follow up is required. K Ke ey y W Wo or rd ds s: : Child; burns; esophagus, foreign bodies; deglutition Ö ÖZ ZE ET T A Am ma aç ç: : Özofagusa takılı kalan düğme pilin çocuklarda hayati tehlikesi olabilir. Özofagustan düğme pil çıkarıldıktan sonraki yaralanmanın tedavisi halen tartışmalıdır. Bu çalışmanın amacı, özo-fagusa takılı kalan düğme pil vakalarımızdaki tecrübelerimizi literatürdeki ilgili çalışmalar ile karşılaştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu retrospektif çalışma, Ocak 2007-Mayıs 2012 tarihleri arasında yabancı cisim yutma nedeniyle çocuk cerrahisi kliniğine kabul edilen ve ösofagoskopi uygulanan tüm bireylerde yapıldı. Her ameliyat raporu, hastada düğme pil mevcut olup olmadığını belirlemek amacıyla gözden geçirildi. Özofagusta düğme pil takılı olan olgular, hastanın özellikleri, klinik bulguları, tedavi şekli, sonuçları ve düğme pilin özellikleri açısından değerlendirildi. B Bu ul lg gu ul la ar r: : On altı hasta (10 erkek, altı kız; yaş 2-99 ay; ortalama yaş 34,81±25,...

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Section: Discussionmentioning

confidence: 84%

“…1,11,23 Management of a TEF after BB ingestion has included waiting for spontaneous closure rather than surgical repair. 1,2,24 The time required for conservative treatment may be 6-8 months. 15,19 However, some authors have stated that a TEF related to a battery lodged in the esophagus will heal spontaneously.…”

Section: Discussionmentioning

confidence: 99%

The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

Cevik¹,

Böleken²

2013

Turkiye Klinikleri J Med Sci

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“…High cuff pressures, infection and ischemia are known factors that may be implicated in fistula formation. [4243] Two layered closure of esophageal injury and re-enforcement with tissue flaps are protective of TOF formation[6] as inferred from the current literature review where none of the patients undergoing this type of repair developed delayed TOF.…”

Section: Resultsmentioning

confidence: 99%

Combined tracheoesophageal transection after blunt neck trauma

Hamid

Jones

2013

J Emerg Trauma Shock

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Survival following tracheoesophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Understanding the mechanism of the incident can be a useful adjunct in predicting the likelihood and severity of specific anatomical patterns of injuries. We discuss published literature on combined tracheoesophageal injuries after blunt neck trauma and their outcome. A search of MEDLINE for papers published regarding tracheoesophageal injury was made. The literature search identified 14 such articles referring to a total of 27 patients. Age ranged from 3-73 years. The mechanism of injury was secondary to a rope/wire in 33%, metal bar in 4% of cases and unspecified in 63%. All of the patients were managed surgically. A number of tissues were used to protect the anastomosis including pleural and sternocleidomastoid muscle flaps. There were no reported mortalities. Patients with combined tracheoesophageal injury after blunt neck trauma require acute management of airway along with concomitant occult injuries.

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“…Some authors recommend gastrostomy, but we believe further invasive treatment is not necessary and prefer placing a nasogastric tube using fluoroscopy to confirm the proper positioning. 18,25 Staff must be on the alert for signs of ulceration and sentinel bleeding, while a nasogastric tube is in situ. A suspicious change in the color of gastric aspirates should be noted.…”

Section: Discussionmentioning

confidence: 99%

Successful Strategy for the Conservative Management of Acquired Tracheoesophageal Fistula Due to Lithium Button Battery Ingestion

Shibuya

Azuma

Lane

et al. 2020

European J Pediatr Surg Rep

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Management of acquired tracheoesophageal fistula with various clinical presentations

Cited by 23 publications

References 28 publications

The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

Combined tracheoesophageal transection after blunt neck trauma

Successful Strategy for the Conservative Management of Acquired Tracheoesophageal Fistula Due to Lithium Button Battery Ingestion

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