DOI: 10.25881/20728255_2021_16_3_95


Shevchenko Yu.L., Ablicov A.Yu., Ablicov Yu.A., Vasilashko V.I.*, Orlov S.S., Susov R.P.

St. George thoracic and cardiovascular surgery clinic Pirogov National Medical and Surgical Center, Moscow


We are analyzed the results of surgical treatment of 32 patients from 2000 to 2018. The article considers various options of access, technique, postoperative management of patients. Postoperative complications occurred in five patients (16%). Radical method of treating trachеoesophageal fistula is separation fistula with suturing defects in the trachea and esophagus and muscle transposing to isolate the suture line.

Keywords: tracheoesophageal fistula, isolation, complications, stenosis of the trachea.


1. Vishnevskaya GA. Hirurgiya traheopishchevodnogo svishcha dobrokachestvennoj etiologii. [Avtoreferat dissertation]. Moskva; 2013. (In Russ).

2. Parshin VD, Vishnevskaya GA, Rusakov MA, Gudovskij LM, Parshin VV, CHernova EA. Traheopishchevodnye svishchi: sovremennoe sostoyanie problemy. Hirurgiya. 2013; 2: 73-79. (In Russ).

3. Chernenko SV. Hirurgicheskoe lechenie bol’nyh s traheopishchevodnymi svishchami. [Avtoreferat dissertation]. Omsk; 2010. (In Russ).

4. CHernousov AF, CHernousov FA, Letunovskij EA. Hirurgicheskoe lechenie bol’nyh s bol’shimi pishchevodno-traheal’nymi svishchami. Annaly hirurgii. 2006; 1: 36-39. (In Russ).

5. Bibas BJ, Francisco P, Cardoso PFG, Minamoto H, Pêgo-Fernandes PM. Surgery for intrathoracic tracheoesophageal and bronchoesophageal fistula. Ann. Transl. Med., 2018; 6(11): 210.

6. Bolca C, Pavaloiu V, Fotache G, Dumitrescu M, Bobocea A, Alexe M, Cadar G, Stoica R, Paleru C, Cordos I. Postintubation Tracheoesophageal Fistula. Diagnosis Treatment and Prognosis Chirurgia. 2017; 112: 696-704.

7. Grillo HC. Surgery of the trachea and bronchi. Acquired tracheooesophageal and bronchoesophageal fistula. Repair of acquired tracheooesophageal and bronchoesophageal fistula. BC Decker Inc Hamilton. London. 2004. Р.341-356; 569-580.

8. Loor G, Raymond DF, Murthy SC, Rice TW. Acquired tracheo-oesophageal fistula. In ESTS textbook of thoracic surgery. Cracow. 2014. Р.387-398.

9. Maddaus MA, Pearson FG. Postintubation injury. Pearson thoracic esophageal surgery. 2008. Р.256.

10. Mathisen DJ, Grillo HC, Wain JC, Hilgenberg AD. Management of acguired non-malignant tracheoesophageal fistula. Ann. Thorac. Surg. 1991; 52(4): 759-765.

11. Marulli G, Mammana M, Natale G, Rea F. Surgical treatment of acquired benign tracheoesophageal fistulas. JOVS, June 2018.

12. Mazur P, Wood DE. Tracheoesophageal fistula. Pearsons thoracic esophageal surgery. 2008. Р.299.

13. Muniappan A, Wain JC, Wright CD, Surgical treatment of nonmalignant tracheoesophageal fistula: A thirty-five year experience. Ann. Thorac. Surg. 2013, 95: 1141-6.

14. Osho A, Sachdeva U, Wright C, Muniappan A. Surgical management of tracheoesophageal fistula. Ann. Cardiothorac. Surg. 2018; 7(2): 314-316.

15. Puma F, Vannucci J, Santoprete S, Urbani M, Cagini L, Ando M, Potenza R, Daddi N. Surgery and perioperative management for post-intubation tracheoesophageal fistula: Case series analysis. J Thorac. Dis. 2017; 9: 278-86.

16. Qureshi YA, Mughal MM, Markar SR, Mohammadi B, George J, Hayward M, Lawrence D. The surgical management of non-malignant aerodigestive fistula. J Cardiothorac Surg. 2018; 13: 113.

17. Shen KR. Management of acquired nonmalignant tracheoesophageal fistula: Surgical pearls. J Thorac. Cardiovasc. Surg. 2017; 154: e123.

For citation

Shevchenko Yu.L., Ablicov A.Yu., Ablicov Yu.A., Vasilashko V.I.*, Orlov S.S., Susov R.P. Surgical treatment of tracheoesophageal fistulas of nonneoplastic etiology. Bulletin of Pirogov National Medical & Surgical Center. 2021;3(16):95-100. (In Russ.)