Question 8 · LEK · Tracheoesophageal fistula
The treatment of tracheo-esophageal fistulas, which are a pathological connection between tracheal and esophageal lumena through an epithelium-covered canal, is very difficult and marked by numerous failures. Indicate the methods used for the treatment of tracheo-esophageal fistulas:
1) placing a tube into the stomach or intestine and conducting enteral nutrition;
2) placing a permanent self-expanding esophageal stent;
3) placing a temporary self-expanding stent in the trachea and esophagus;
4) attempts to close the fistula canal by means of repetitive ablation, biological glues and obliteration;
5) excision of the fistula with a segmental resection of the trachea and a primary esophageal sewage strengthened with a pedunculated tissue flap taken from the neighbourhood.
The correct answer is:
2) placing a permanent self-expanding esophageal stent;
3) placing a temporary self-expanding stent in the trachea and esophagus;
4) attempts to close the fistula canal by means of repetitive ablation, biological glues and obliteration;
5) excision of the fistula with a segmental resection of the trachea and a primary esophageal sewage strengthened with a pedunculated tissue flap taken from the neighbourhood.
The correct answer is:
- A. 1,3,5.
- B. 1,4,5. 3 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
- C. 2,3,4.
- D. 2,4,5.
- E. 3,4,5.
Hint
Separate supportive measures and methods that truly seal or excise an epithelialised tract from those that cannot close it.
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