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- Title
Tracheoösophageale Fistel.
- Authors
Stamatis, G.; Freitag, L.
- Abstract
Congenital deformities, various forms of trauma, foreign bodies, granulomatous infection and tumors are the most common causes of tracheoesophageal fistulas. This is a rare but life-threatening complication with mortality rates up to 60% due to chronic aspiration and innominate artery arrosion and bleeding. Bronchoscopy should be done promptly if a fistula is suspected, followed by esophagoscopy. Radiologic examinations are only helpful for operational planning. Surgical treatment is mandatory for benign fistulas with excellent short-term and long-term results. However, for malignant fistulas the survival time is often only weeks to months and are best treated by palliative stenting, which offers a short-term improvement in the quality of life.
- Subjects
HUMAN abnormalities; FOREIGN bodies; CHRONIC granulomatous disease; TUMORS; TRACHEAL diseases; FISTULA
- Publication
Der Chirurg, 2011, Vol 82, Issue 2, p148
- ISSN
0009-4722
- Publication type
Article
- DOI
10.1007/s00104-010-1977-4