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Title: Anaesthetic management of malignant tracheo-oesophageal fistula.
Austin Authors: Grebenik, C R
Affiliation: Department of Anaesthesia and Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia
Issue Date: 1-Oct-1989
Publication information: British Journal of Anaesthesia; 63(4): 492-6
Abstract: The anaesthetic management is described, of a patient with malignant tracheo-oesophageal fistula undergoing palliative oesophageal bypass. The oesophagus was divided and closed at its upper end and replaced with a segment of colon. The fistula remained in situ and fundoplication was performed to allow drainage of the oesophageal remnant but prevent reflux of gastric contents. During a subsequent anaesthetic, gross intestinal distension occurred when gas that had passed through the fistula was unable to vent. The problems of dealing with patients with malignant tracheo-oesophageal fistula are discussed.
Gov't Doc #: 2479407
Journal: British journal of anaesthesia
Type: Journal Article
Subjects: Aged
Anesthesia, General
Anesthesia, Inhalation
Mediastinal Neoplasms.complications
Palliative Care
Appears in Collections:Journal articles

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