Congenital tracheoesophageal fistula without esophageal atresia

Johnston, Paul; Hastings, Newlin

doi:10.1016/0002-9610(66)90014-6

Cited by 37 publications

(7 citation statements)

References 21 publications

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“…This suggests that these postoperative findings are not the result of operative trauma or vagai denervation. Our findings in this case are similar to those described parenthetically by Johnston and Hastings (1966), who described 18 cases of congenital -type tracheoesopha¬ geal fistulas.7 In describing the barium swallow as a means of diagnosing these fistulas, they stated that "abnormal peristalsis in the distal esophagus is an important clue that a fistula is present." More recently, Olivet and Payne described operative repair of an -type tracheoesophageal fistula in a young man in whom achalasia was diagnosed when esophageal manometry showed "absent peristalsis in the body of the esophagus and failure of the lower esopha¬ geal sphincter to relax with swallowing.""…”

Section: Report Of a Casesupporting

confidence: 79%

Esophageal Motor Dysfunction in an Adult With a Congenital Tracheoesophageal Fistula

Gundry

1985

Arch Surg

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Section: Report Of a Casesupporting

confidence: 79%

Esophageal Motor Dysfunction in an Adult With a Congenital Tracheoesophageal Fistula

Gundry

1985

Arch Surg

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“…Abnormal innervation of the oesophagus and stomach seen on postmortem specimens,26 motor incoordination of the proximal and distal oesophageal body in preoperative studies27 and in patients with H type tracheo-oesophageal fistulas,28 29 and the finding of abnormal oesophageal motility in puppies30 3 afteroesophageal mobilisation, transection, and resuture would suggest a congenital aetiology.…”

Section: Resultsmentioning

confidence: 99%

Gastrointestinal morbidity and growth after repair of oesophageal atresia and tracheo-oesophageal fistula.

Chetcuti

Phelan

1993

Archives of Disease in Childhood

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Upper gastrointestinal morbidity and anthropometric data in 334 patients aged 1 to 37 years with repaired oesophageal atresia and tracheo-oesophageal fistula are reported. Two thirds were subsequently hospitalised with oesophageal complications and half underwent one or more surgical procedures. Thirteen percent were hospitalised for more than 50 days. Anastomotic strictures were present in one third and just under half had gastro-oesophageal reflux. Dysphagia was present in about 65% in all age groups but symptom severity and surgical intervention decreased significantly after 5 years of age. Gastro-oesophageal reflux symptoms were commoner in the older patients increasing from 18% in the group under 5 years of age to 52% in those over 15 years. Height centile distribution was normal, but the median weight centile was the 25th. Weight for height values greater than 2 SD below the mean were present in 13%, and two thirds of these patients were under 5 years of age. The majority of adults enjoyed a normal lifestyle and were comparable with their peers.

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“…Since then over 200 cases have been reported in the literature. 4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] In this anomaly, the esophagus and trachea are quite normal, except that there is a very short fistula between the two, which runs from the esophagus upward to the trachea. Because of this upward course, swallowing is not always associated with aspiration into the trachea.…”

Section: Discussionmentioning

confidence: 99%