Journal of Clinical and Investigative Surgery
ISSN: 2559-5555


Management of pharynx fistula after upper digestive tract instrumentation

Bogdan Popescu1,2, Ștefan Voiculescu1, Răzvan V. Scăunașu1, Alexandra O. Păun2, Șerban V.G. Berteșteanu1,2, Cristian R. Popescu1

1Carol Davila University, Faculty of General Medicine, Bucharest, Romania
2Colțea Clinical Hospital, Department of E.N.T. and H.N.S., Bucharest, Romania

J Clin Invest Surg. 2017; 2(1): 14-18. DOI: 10.25083/2559.5555.21.1418
Running title: Management of iatrogenic pharynx fistula
Keywords: nutrition, pharynx, iatrogenic, fistula


Pharynx fistula is a pathological state that can pose serious problems for both physician and patient and can lead up to the death of the patient in complicated cases.

The authors describe a series of guidelines for the management of the pharynx fistula regarding the complications of the instrumentation of the upper digestive tract.

Most of the cases that are addressed to our clinic can be treated with a conservative approach and a nutrition therapy plan tailored to each case. In selected cases surgery is the method of choice for therapy.

The management of the pharynx fistula can be well managed in a multidisciplinary approach using resources from the E.N.T. and H.N.S. department and more important from the ICU department.