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Tracheoesophageal fistula secondary to chemical trauma: is there a place for planned conservative management?
MedLine Citation:
PMID:  20482948     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: We present a unique case in which closure of a large tracheoesophageal fistula was achieved with planned conservative management.
METHOD: The literature was reviewed for other documented cases of spontaneous closure of traumatic tracheoesophageal fistula.
RESULTS: Acquired tracheoesophageal fistula may result secondary to a chemical burn from an alkaline disc battery impacted in the oesophagus, particularly when the presentation, and thus diagnosis, are delayed. This condition is rare. The majority of such cases occur in children, and are conventionally managed with surgical repair. We found only three previously reported cases in which conservative management was attempted.
CONCLUSION: Non-interventional management should be tried initially for the management of paediatric acquired tracheoesophageal fistula, to permit closure by secondary intention.
Authors:
D Biswas; S Majumdar; J Ray; P Bull
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Publication Detail:
Type:  Journal Article     Date:  2010-05-20
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1136-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, Sheffield Children's Hospital, University of Sheffield, Sheffield, South Yorkshire, UK. drdbiswas@hotmail.com
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