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The Management of Traumatic Tracheo-esophageal Fistula Caused by Blunt Chest Trauma
Niles D. Chapman, MD;
Richard A. Braun, MD
AMA Arch Surg. 1970;100(6):681-684.
Abstract
Tracheo-esophageal fistula following blunt thoracic trauma has been reported. Presence of a fistula must be anticipated when a young male patient has sustained blunt thoracic trauma, usually in an automobile accident. Some time after the third day the patient develops difficulty swallowing and appears to aspirate. An aggressive diagnostic approach relying primarily on endoscopy to precisely localize the site of the fistula is emphasized. Early primary repair of the fistula is recommended.
Author Affiliations
Los Angeles; Panorama City, Calif
From the Department of Surgery, University of Southern California School of Medicine, Los Angeles (Dr. Chapman), and the Kaiser Foundation Hospital, Panorama City, Calif (Dr. Braun).
Footnotes
Accepted for publication March 11, 1970.
Read before the sectional meeting of the Southern California Chapter of the American College of Surgeons, Coronado, Calif, Jan 17, 1970.
Reprint requests to 16100 Ventura Blvd, Encino, Calif 91316 (Dr. Chapman).
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