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ARTICLE |

The Management of Traumatic Tracheo-esophageal Fistula Caused by Blunt Chest Trauma

Niles D. Chapman, MD; Richard A. Braun, MD
Arch Surg. 1970;100(6):681-684. doi:10.1001/archsurg.1970.01340240049010.
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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.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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