What are possible complications of tracheoesophageal fistula (TEF) repair and how are they managed?

Updated: Nov 07, 2018
  • Author: Sat Sharma, MD, FRCPC; Chief Editor: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS  more...
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Answer

The most common complications of surgery are pneumonia and atelectasis leading to respiratory failure in postoperative period. A leak at the anastomotic site and pneumothorax are other complications. Most patients who develop an anastomotic leak also develop strictures, which may be dilated later. [14] Rarely, a recurrent TEF may develop. The management of recurrent TEFs usually requires repeat surgical repair. Some patients develop periodic apneic spells that are likely secondary to gastroesophageal reflux and associated laryngospasm.


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