Iatrogenic esophago-tracheal fistula:Challenges in diagnosis and management

作     者：istein Hovde yvind Haugen Lie Per Arthur Johansson ystein Stubhaug Egil Johnson Bjrn Hofstad Truls Hauge 

作者机构：Department of Gastroenterology/Internal MedicineInnlandet Hospital Trust2819 GjvikNorway Department of Pediatric and Gastroenterological SurgeryOslo University Hospital Ullev l0450 OsloNorway Egil JohnsonFaculty of MedicineUniversity of Oslo0318 OsloNorway Department of GastroenterologyOslo University Hospital Ullev l0450 OsloNorway 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第4期

页      面：594-596页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Esophageo-tracheal fistula Stenting Iatrogenic Percutaneous endoscopic gastrotomy Surgery 

摘      要：Esophageo-tracheal fistula is a rare condition,and in most cases such fistulas are caused by malignant disease or emergency endotracheal intubation.A case where a wrapped tablet produced a fistula between the esophagus and trachea is *** patient is a male born in 1938 who swallowed a tablet without unwrapping *** patient was treated with selfexpanding metal stents(SEMS),but closure of the fistula was not *** examinations and treatment options are *** treatment for this condition has demonstrated considerable mortality and *** some cases closure of the fistula can be achieved by use of *** we advise treatment of such cases with SEMS,in some cases treatment with stents will prove troublesome and the risk/benefit analysis will have to be reevaluated.