Clinical outcomes of tracheoesophageal diversion for intractable aspiration

The purpose of the present study was to examine the clinical outcomes of using tracheoesophageal diversion for preventing intractable aspiration. We retrospectively reviewed 25 patients who underwent tracheoesophageal diversion from 2003 to 2009 at our hospital (median age, 25 years; range, 0-78 yea...

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Bibliographic Details
Published in:Journal of laryngology and otology 2015-03, Vol.129 (S2), p.S69-S73
Main Authors: Adachi, K, Umezaki, T, Kiyohara, H, Miyaji, H, Komune, S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anastomosis, Surgical - methods
Child
Child, Preschool
Deglutition Disorders - surgery
Esophagus - surgery
Female
Humans
Infant
Infant, Newborn
Main Articles
Male
Middle Aged
Nutritional Support
Operative Time
Pneumonia, Aspiration - prevention & control
Retrospective Studies
Trachea - surgery
Tracheotomy - adverse effects
Treatment Outcome
Young Adult
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Summary:The purpose of the present study was to examine the clinical outcomes of using tracheoesophageal diversion for preventing intractable aspiration. We retrospectively reviewed 25 patients who underwent tracheoesophageal diversion from 2003 to 2009 at our hospital (median age, 25 years; range, 0-78 years). End-to-side anastomosis was used in 16 cases and side-to-side anastomosis was used in 9. The average operative time was 141 minutes for end-to-side anastomosis and 191 minutes for side-to-side anastomosis. Peri-operative complications were observed in only two (8 per cent) cases: one with infection and one with haematoma. No fistulas were observed. Aspiration was prevented in all cases, but the nutritional route depended on the swallowing function of the patient. Oral feeding was the main nutritional route after surgery in only four patients (16 per cent). This procedure is well suited to patients who lack speech communication and are at high risk of aspiration.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215114002424