Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: 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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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/9437558 |
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| author | Janine Beatrice Borja Ghanshyam Patel Luqman Baloch Ammar Aqeel Mool Chand Hariprasad Korsapati Altaf Dawood Naser Khan |
| author_facet | Janine Beatrice Borja Ghanshyam Patel Luqman Baloch Ammar Aqeel Mool Chand Hariprasad Korsapati Altaf Dawood Naser Khan |
| author_sort | Janine Beatrice Borja |
| collection | DOAJ |
| 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 CO2 was used for insufflation; however, when attempts were made to traverse the obstruction, capnography revealed an end-tidal CO2 (EtCO2) estimating 90 mmHg indicating possible TEF. This case depicts the use of capnography during UGIE in diagnosing an acquired TEF. |
| format | Article |
| id | doaj-art-ad8f969dcbe64c0793e1b6c6bfa4ec9e |
| institution | DOAJ |
| issn | 2090-6536 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-ad8f969dcbe64c0793e1b6c6bfa4ec9e2025-08-20T03:04:26ZengWileyCase Reports in Gastrointestinal Medicine2090-65362023-01-01202310.1155/2023/9437558Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the LiteratureJanine Beatrice Borja0Ghanshyam Patel1Luqman Baloch2Ammar Aqeel3Mool Chand4Hariprasad Korsapati5Altaf Dawood6Naser Khan7Mercyhealth Internal Medicine ResidencyMercyhealth Internal Medicine ResidencyMercyhealth Internal Medicine ResidencyMercyhealth Internal Medicine ResidencyMayo Clinic Health SystemMayo Clinic Health SystemHospitalist ServicesMedical Director of Mercyhealth Gastroenterology ServicesAcquired 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 CO2 was used for insufflation; however, when attempts were made to traverse the obstruction, capnography revealed an end-tidal CO2 (EtCO2) estimating 90 mmHg indicating possible TEF. This case depicts the use of capnography during UGIE in diagnosing an acquired TEF.http://dx.doi.org/10.1155/2023/9437558 |
| spellingShingle | Janine Beatrice Borja Ghanshyam Patel Luqman Baloch Ammar Aqeel Mool Chand Hariprasad Korsapati Altaf Dawood Naser Khan Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the Literature Case Reports in Gastrointestinal Medicine |
| title | Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the Literature |
| title_full | Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the Literature |
| title_fullStr | Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the Literature |
| title_full_unstemmed | Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the Literature |
| title_short | Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the Literature |
| title_sort | acquiring the diagnosis of an acquired tracheoesophageal fistula with etco2 a case discussion with review of the literature |
| url | http://dx.doi.org/10.1155/2023/9437558 |
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