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Tuesday, March 1, 2011

TRACHEO-OESOPHAGEAL FISTULA

This may be present in new-born infants as a congenital abnormality,
In adults it is usually due to malignant lesions in the mediastinum, such as carcinoma or lymphoma, eroding both the trachea and oesophagus to produce a communication between them. Swallowing liquids enter the trachea and bronchi through the fistula and provoke coughing.
Management
Surgical closure of a congenital fistula if undertaken promptly is usually successful. There is usually no curative treatment for malignant fistulae and death from overwhelming pulmonary infection rapidly supervenes.

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