Geha A S, Seegers J V, Kodner I J, Lefrak S
Arch Surg. 1978 Mar;113(3):338-40. doi: 10.1001/archsurg.1978.01370150110028.
A tracheoesophageal fistula secondard to prolonged nasogastric intubation and ventilatory assistance via a cuffed tracheostomy tube developed in a 27-year-old woman who had sustained a traumatic injury. The fistula grew progressively larger despite removal of the tubes, thus demonstrating the inherent poor prognosis associated with the untreated lesion. Since the cuff necessarily damages the trachea circumferentially at the same level, closure of the fistula and circumferential excision and reconstruction of the damaged tracheal wall were performed with an excellent result up to four years after the repair. This would be the preferred procedure when the patient can be weaned off the respirator and when the general condition and the size of the fistula allow such a definitive one-stage approach.
一名27岁因外伤受伤的女性，在长时间鼻胃管插管和经带套囊气管造口管进行通气辅助后发生了气管食管瘘。尽管拔除了导管，但瘘口仍逐渐增大，从而表明未治疗的病变预后本来就很差。由于套囊必然会在同一水平周向损伤气管，因此对瘘口进行了闭合，并对受损的气管壁进行了周向切除和重建，修复后长达四年效果良好。当患者能够脱机，且一般状况和瘘口大小允许进行这种确定性的一期手术时，这将是首选的手术方法。
