Congenital tracheoesophageal fistula without esophageal atresia

Genty, E.; Attal, Pierre; Nicollas, R.; Roger, Gilles; Triglia, Jean‐Michel; Garabédian, Éréa-Noël; Bobin, S.

doi:10.1016/s0165-5876(99)00039-7

Cited by 44 publications

(61 citation statements)

References 18 publications

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“…Though there are many reports of GER as a complication of TEF repair operation 15) , case of both GER and congenital TEF is rare. There is a report that found a 10% incidence of GER in a series of 30 fistulae 19) .…”

Section: Discussionmentioning

confidence: 99%

A case of acute respiratory distress syndrome associated with congenital H-type tracheoesophageal fistula and gastroesophageal reflux

2008

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= Abstract = H-type tracheoesophageal fistula (TEF) is extremely rare in infants and children, and clinical manifestations of this condition are diverse based on its severity. Some cases of congenital TEF diagnosed in adulthood have been reported, which indicate the difficulty of early diagnosis of this disease. Gastroesophageal reflux (GER) may induce chronic aspiration, pulmonary aspiration, apparent life-threatening events, and failure to thrive. We report a 5-month-old boy whose recurrent pneumonia and wheezing did not improve under usual treatment and led to acute respiratory distress syndrome. He was found to have severe GER on the second-trial of the esophagogram and was eventually revealed to have congenital H-type TEF upon repeated evaluation. (Korean J Pediatr 2008;51:892-895)

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Section: Discussionmentioning

confidence: 99%

A case of acute respiratory distress syndrome associated with congenital H-type tracheoesophageal fistula and gastroesophageal reflux

2008

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“…b HRCT revealing bronchiectatic areas adulthood [1][2][3][4][5]. The classical triad of symptoms is paroxysmal choking and cough precipitated by feeds, abdominal distention due to passage of air from the trachea to the esophagus and recurrent aspiration pneumonia [1,7,9]. The triad is not always complete and a high index of suspicion is necessary in considering to diagnosis of H-type TEF.…”

Section: Discussionmentioning

confidence: 99%

“…Passage of saliva and foods through the fistula causes recurrent aspiration pneumonia and even chronic respiratory disease, and passage of air distends esophagus and causes pneumoesophagus or megaesophagus, esophageal dysmotility, dysphagia, GER due to nonfunctional LES, gastrointestinal distention and even gastric perforation [9,10]. Additionally esophageal stenosis may accompany to H-type TEF as a part of congenital tracheoesophageal anomaly spectrum [11].…”

Section: Discussionmentioning

confidence: 99%

“…Gastroesophageal reflux disease has been reported in an incidence of 10% and recent series stressed the importance of antireflux treatment in the perioperative period to avoid postoperative morbidity in cases with Htype TEF [6,9]. Abnormal esophageal motility is a wellknown problem in patients with tracheoesophageal abnormality with an incidence reaching to 75-100% in children and adults who have been studied by esophageal manometry [2].…”

Section: Discussionmentioning

confidence: 99%

“…Pneumoesophagus or megaesophagus have been seen on the chest X-rays of patients with H-type TEF as a large radiolucent column in the mediastinum [4,7,9,13]. Moreover, dilated esophagus, decreased peristalsis of the esophageal body and deteriorated LES functions may cause an achalasia-like appearance on upper GI series especially in patients with delayed diagnosis, and although unproved yet, with large fistula diameter [3,4,7].…”

Section: Discussionmentioning

confidence: 99%

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Achalasia-like findings in a case with delayed diagnosis of H-type tracheoesophageal fistula

et al. 2008

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H-type tracheoesophageal fistula (TEF) may lead to chronic respiratory disease if the diagnosis is delayed. Long-standing fistula causes esophageal distention which is named as pneumoesophagus or megaesophagus and possibly affects the motility of the esophageal body which may also be encountered as a part of tracheoesophageal anomalies. Both dysmotility and megaesophagus may mimic achalasia radiologically and the patient may be advised an unnecessary esophagocardiomyotomy. The authors report a 15-year-old adolescent with H-type TEF who has been diagnosed during investigations for chronic respiratory disease due to presumptive diagnosis of achalasia. The authors emphasize that a complete anatomical and functional evaluation of the upper gastrointestinal tract should be done before recommending operation for achalasia in patients with chronic respiratory disease. H-type TEF should be investigated to avoid unnecessary cardiomyotomy.

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Tracheoesophageal fistula without esophageal atresia: are pull-back tube esophagograms needed for diagnosis?

et al. 2006

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We believe that CS should be the examination of choice in most patients suspected of having a tracheoesophageal fistula without esophageal atresia. A PBTE is indicated in patients who are intubated or are at significant risk of aspiration. Furthermore, a PBTE is also indicated where contrast material is seen in the airway on CS and there is uncertainty whether this is due to aspiration or a fistula.

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Congenital tracheoesophageal fistula without esophageal atresia

Cited by 44 publications

References 18 publications

A case of acute respiratory distress syndrome associated with congenital H-type tracheoesophageal fistula and gastroesophageal reflux

A case of acute respiratory distress syndrome associated with congenital H-type tracheoesophageal fistula and gastroesophageal reflux

Achalasia-like findings in a case with delayed diagnosis of H-type tracheoesophageal fistula

Tracheoesophageal fistula without esophageal atresia: are pull-back tube esophagograms needed for diagnosis?

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