Find information on thousands of medical conditions and prescription drugs.

Tracheoesophageal fistula

A tracheoesophageal fistula is a connection (fistula) between the esophagus and the trachea. It is commonly seen with esophageal atresia. Congenitally it occurs because the tracheoesphageal ridges fail to fuse. Additionally, fistulas are made artificially in patients who have undergone a laryngectomy, as this can serve as way for generating sound in replacement of the removed voice box.

Home
Diseases
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
Candidiasis
Tachycardia
Taeniasis
Talipes equinovarus
TAR syndrome
Tardive dyskinesia
Tarsal tunnel syndrome
Tay syndrome ichthyosis
Tay-Sachs disease
Telangiectasia
Telangiectasia,...
TEN
Teratoma
Teratophobia
Testotoxicosis
Tetanus
Tetraploidy
Thalassemia
Thalassemia major
Thalassemia minor
Thalassophobia
Thanatophobia
Thoracic outlet syndrome
Thrombocytopenia
Thrombocytosis
Thrombotic...
Thymoma
Thyroid cancer
Tick paralysis
Tick-borne encephalitis
Tietz syndrome
Tinnitus
Todd's paralysis
Topophobia
Torticollis
Touraine-Solente-Golé...
Tourette syndrome
Toxic shock syndrome
Toxocariasis
Toxoplasmosis
Tracheoesophageal fistula
Trachoma
Transient...
Transient Global Amnesia
Transposition of great...
Transverse myelitis
Traumatophobia
Treacher Collins syndrome
Tremor hereditary essential
Trichinellosis
Trichinosis
Trichomoniasis
Trichotillomania
Tricuspid atresia
Trigeminal neuralgia
Trigger thumb
Trimethylaminuria
Triplo X Syndrome
Triploidy
Trisomy
Tropical sprue
Tropophobia
Trypanophobia
Tuberculosis
Tuberous Sclerosis
Tularemia
Tungiasis
Turcot syndrome
Turner's syndrome
Typhoid
Typhus
Tyrosinemia
U
V
W
X
Y
Z
Medicines

Read more at Wikipedia.org


[List your site here Free!]


New cufflink-shaped silicon prosthesis for the palliation of Malignant Tracheobronchialesophageal Fistula
From CHEST, 10/1/05 by Pablo Diaz-Jimenez

PURPOSE: Malignant tracheoesophageal fistula (MTEF) is a serious complication of cancer arising in the esophagus, lung or tracheobronquial tree. Approximately 77% of MTEF are related to esophageal cancer while around 16% are originated from a primary lung neoplasm. Treatment is usually palliative and involves restoration of the swallowing mechanism and prevention of aspiration. Prosthesis placement is considered to be appropriate for most patients with MTEF, a variety of them are available.

METHODS: We have designed a new cufflink-shaped soft silicon prosthesis, directed to occlude the aero digestive connection. (Picture 1) The D J[R] silicon prosthesis, (Barcelona, Spain) can be safely placed under direct vision using a rigid bronchoscope and a biopsy forceps. The new stent is available in different sizes, in order to be able to select the appropriate one according to the patient we are treating. Some patients may require costume-made prosthesis.

[ILLUSTRATION OMITTED]

RESULTS: Under general anesthesia and after tracheal intubation with the rigid bronchoscope, the place and size of the lesion is assessed and the stent selected. The device is then folded with a biopsy forceps, flattening both wings. Under direct vision, the flattened stent is introduced through the fistula orifice with a soft rotation and pushing motion, until one of the wings is thought to be into the esophageal lumen. Then the stent is allowed to deploy, obtaining complete and immediate occlusion of the fistula. (Picture 2).

[ILLUSTRATION OMITTED]

CONCLUSION: We are presenting this preliminary report because we believe the new prosthesis design offers advantages over the stents generally used for palliation of MTEF. It is a soft, easy to place silicon prosthesis that is sized exactly to the fistula diameter, offering a very small contact area, which can avoid potential complications such as increase fistula size, wall erosion, perforation and bleeding.

CLINICAL IMPLICATIONS: More experience is needed in order to recommend its generalized use, but the DJ (R) prosthesis appears as a good supportive care option in selected patients with MTEF.

DISCLOSURE: Pablo Diaz-Jimenez, Product/procedure/technique that is considered research and is NOT yet approved for any purpose. Dr Diaz-Jimenez has designed the DJ[R] Prosthesis, which is not in the market at the moment

Pablo Diaz-Jimenez MD * Bellvitge University Hospital, Bellvitge, Spain

COPYRIGHT 2005 American College of Chest Physicians
COPYRIGHT 2005 Gale Group

Return to Tracheoesophageal fistula
Home Contact Resources Exchange Links ebay