Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO 2 : A Case Discussion with Review of the Literature

Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO 2 : A Case Discussion with Review of the Literature

Acquired tracheoesophageal fistula (TEF) is a rare complication of esophageal or lung cancer. A 57-year-old male presented with complaints of vomiting, cough, 20 lb weight loss, and progressive dysphagia. Early laryngoscopy and CT chest showed a normal pharynx with an irregular thickness of the thor...

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Veröffentlicht in:Case reports in gastrointestinal medicine 2023, Vol.2023, p.9437558
Hauptverfasser: Borja, Janine Beatrice, Patel, Ghanshyam, Baloch, Luqman, Aqeel, Ammar, Chand, Mool, Korsapati, Hariprasad, Dawood, Altaf, Khan, Naser
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container_title Case reports in gastrointestinal medicine
container_volume 2023
creator Borja, Janine Beatrice
Patel, Ghanshyam
Baloch, Luqman
Aqeel, Ammar
Chand, Mool
Korsapati, Hariprasad
Dawood, Altaf
Khan, Naser
description Acquired tracheoesophageal fistula (TEF) is a rare complication of esophageal or lung cancer. A 57-year-old male presented with complaints of vomiting, cough, 20 lb weight loss, and progressive dysphagia. Early laryngoscopy and CT chest showed a normal pharynx with an irregular thickness of the thoracic esophagus. The upper gastrointestinal endoscopy (UGIE) and upper endoscopic ultrasound (EUS) revealed a hypoechoic mass evolving as complete obstruction. During the procedure, minimal CO was used for insufflation; however, when attempts were made to traverse the obstruction, capnography revealed an end-tidal CO (EtCO ) estimating 90 mmHg indicating possible TEF. This case depicts the use of capnography during UGIE in diagnosing an acquired TEF.
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title Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO 2 : A Case Discussion with Review of the Literature
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