Double tracheoesophageal fistula after prolonged intubation during COVID-19: surgical treatment by colonic transposition in the retrosternal space

Fístula dupla traqueoesofágica após intubação prolongada durante COVID-19: tratamento cirúrgico por transposição colônica no espaço retroesternal

Autores

  • Luis Vicente Franco Oliveira Human Movement and Rehabilitation Graduate Program, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil
  • Wilson Jose Sena Pedro Medicine Course, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil; Gastromed – Clínica de Gastroenterologia e Medicina Avançada, Anápolis (GO), Brazil https://orcid.org/0009-0008-0192-3292
  • Fernanda N. B. R. Alves Medicine Course, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil; Gastromed – Clínica de Gastroenterologia e Medicina Avançada, Anápolis (GO), Brazil https://orcid.org/0009-0004-3623-0366
  • Keyci Shizue Ito Tabata Medicine Course, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil; Gastromed – Clínica de Gastroenterologia e Medicina Avançada, Anápolis (GO), Brazil https://orcid.org/0009-0005-5424-833X
  • Lenita Vieira Braga Medicine Course, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil Gastromed – Clínica de Gastroenterologia e Medicina Avançada, Anápolis (GO), Brazil https://orcid.org/0009-0001-0479-0543
  • Larissa Rodrigues Alves Medicine Course, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil; Gastromed – Clínica de Gastroenterologia e Medicina Avançada, Anápolis (GO), Brazil https://orcid.org/0009-0002-2333-7362
  • Flávio Vecchi Barbosa Júnior Medicine Course, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil; Gastromed – Clínica de Gastroenterologia e Medicina Avançada, Anápolis (GO), Brazil https://orcid.org/0009-0007-6434-5437
  • João Pedro Ribeiro Afonso Human Movement and Rehabilitation Graduate Program, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis (GO), Brazil https://orcid.org/0000-0002-1392-4910
  • Wilson Rodrigues Freitas Júnior Postgraduate Program in Health Sciences at the Faculty of Medical Sciences of Santa Casa de São Paulo (FCMSCSP), São Paulo (SP), Brazil. https://orcid.org/0000-0002-8394-3842
  • Adriano Namo Cury Postgraduate Program in Health Sciences at the Faculty of Medical Sciences of Santa Casa de São Paulo (FCMSCSP), São Paulo (SP), Brazil. https://orcid.org/0000-0002-9777-8366

DOI:

https://doi.org/10.53660/CLM-3677-2441C

Palavras-chave:

Tracheoesophageal fistula, Prolonged orotracheal intubation, Esophagocoloplasty, COVID-19

Resumo

This is a patient with 2 tracheoesophageal fistulas following prolonged intubation due to COVID-19 with severe evolution and indication for surgical treatment due to failure of endoscopic treatment. Patient in a long hospital stay, unable to eat an oral diet, malnourished, chronic cough, developing persistent pneumonia due to recurrent salivary bronchoaspiration. The case was treated by complex surgical intervention consisting of proximal and distal partial esophagectomy with reconstruction of food transit by colonic bypass in the anterior mediastinum, resection and tracheal reanastomosis. The final result was good, with the patient being discharged from the hospital on a restored oral diet and free spontaneous breathing. The resolution of an extremely serious case through a complex and exceptional surgical approach, which imposed enormous challenges in pre-operative preparation and detailed therapeutic planning, with single-stage surgical action by two surgical teams (Digestive System Surgery and Thoracic Surgery).

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Publicado

2024-06-27

Como Citar

Oliveira, L. V. F., Pedro, W. J. S. ., Alves, F. N. B. R. ., Tabata, K. S. I. ., Braga, L. V. ., Alves, L. R. ., Barbosa Júnior, F. V. ., Afonso, J. P. R., Freitas Júnior, W. R. ., & Cury, A. N. . (2024). Double tracheoesophageal fistula after prolonged intubation during COVID-19: surgical treatment by colonic transposition in the retrosternal space: Fístula dupla traqueoesofágica após intubação prolongada durante COVID-19: tratamento cirúrgico por transposição colônica no espaço retroesternal. Concilium, 24. https://doi.org/10.53660/CLM-3677-2441C

Edição

v. 24 (2024): Preprint

Seção

Artigos