Tracheoesophageal Fistula Repair Treatment in India

Olivia Miller, a 68-year-old retired librarian,...

Olivia Miller, a 68-year-old retired librarian, had a history of chronic acid reflux. For months, she experienced worsening coughing fits, especially when drinking liquids, and recurrent bouts of pneumonia. After choking on water during a book club meeting, she saw her GP who referred her to an ENT specialist. A barium swallow test confirmed a tracheoesophageal fistula (TEF), an abnormal connection between her windpipe and esophagus. The ENT surgeon, Dr. Evans, explained that the chronic reflux had eroded the tissue, creating the fistula. He recommended surgical repair to close the abnormal connection, stating it was necessary to prevent life-threatening lung infections and allow her to eat and drink safely. Olivia underwent a right thoracotomy for the TEF repair, which involved separating the trachea and esophagus and closing each with tissue grafts. The surgery was successful but required a week in the hospital with a temporary feeding tube. Post-procedure, Olivia spent six weeks on a soft diet and underwent swallowing therapy. Her recovery was gradual, but the choking episodes stopped completely, and she has had no further pneumonias. Emotionally, Olivia was terrified before the surgery, fearing she would never enjoy a meal with friends again. After recovery, she felt profound relief and a renewed appreciation for simple pleasures, like sharing a cup of tea without fear.