Tracheoesophageal fistula is an abnormal communication between wind and food pipe. Tracheoesophageal fistula can occur due to cancer of the food pipe infiltrating into the windpipe (and rarely, vice versa) or due to non-cancer (benign) causes like prolonged ventilation, trauma, and following some operations.
Patients suffering from Tracheoesophageal fistula develop a cough on trying to eat or drink anything. Sometimes, it can cause life-threatening choking.
The diagnosis for Tracheoesophageal fistula is confirmed by Bronchoscopy and Esophagoscopy.
The treatment consists of disconnection of the fistula (abnormal communication) and closure of resultant holes in the food pipe as well as the windpipe. We usually try to put some living tissue in between these repaired holes. In the neck this procedure can be easily performed by the open method. However, in the chest, it requires major Thoracotomy, which has been our teams special area of interest for over a decade. After this extensive experience, now we are in a position to do this complex operation of Tracheoesophageal fistula by Key-hole/robotic method also.
MBBS, MS, MCh
Lead Consultant Minimally Invasive Thoracic surgery
Apollo Hospitals Hyderabad
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