Definitive diagnosis and surgical planning of H-type tracheoesophageal fistula in a critically ill neonate: First experience using air distension of the esophagus during high-resolution computed tomography acquisition

Ou, Phalla; Seror, E.; Layouss, W.; Révillon, Y.; Brunelle, Françis

doi:10.1016/j.jtcvs.2007.01.003

Cited by 10 publications

(10 citation statements)

References 5 publications

(7 reference statements)

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“…7 Ou et al reported that air distension of the esophagus via NG tube during high resolution CT acquisition in a critically ill neonate provided better visualization of the fistulous communication. 8 The modified Nadeem's technique via a left cervical approach remains superior because it gives clear and easy identification of each fistula by direct air insufflation of the upper esophagus. 9 Peri-operative preparation is crucial for optimal outcome as lung parenchyma has been compromised by ongoing chest infections.…”

Section: Discussionmentioning

confidence: 99%

The modified Nadeem’s technique for the treatment of H-type tracheoesophageal fistula

Zahra

Akhtar

Khan

et al. 2021

Int J Contemp Pediatr

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An H-type fistula is an unusual category of the tracheoesophageal fistula to occur constituting only 5 % of all cases. The continuity of the esophagus leads to a delayed and vague presentation with a complaint of choking on feed and respiratory issues unlike the inability to feed and frothing soon after birth in other variants of tracheoesophageal fistula. We received a referred case of a 3-months-old male having recurrent respiratory tract infections and episodes of choking. After a thorough evaluation, a suspicion of H-type fistula was encountered that led to refined radiological evaluation. Contrast given per oral also delineated fistula and CT scan with intravenous and oral contrast revealed fistulous communication between two channels. Operated for H-type fistula through the modified Nadeem’s technique via a left cervical approach and discharged after uneventful recovery. The modified Nadeem’s technique via a left-sided cervical approach facilitates access, vision, and intervention easily as compared to the conventional right-sided approach given in the literature.

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Section: Discussionmentioning

confidence: 99%

The modified Nadeem’s technique for the treatment of H-type tracheoesophageal fistula

Zahra

Akhtar

Khan

et al. 2021

Int J Contemp Pediatr

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“…3,7,8 However, in the critically ill premature infant, invasive investigations could not be performed as being potentially hazardous, and not always easy to achieve. Ou et al 10 reported that the high-resolution CT scan with air distention of esophagus to be a valuable diagnostic utility as an alternative noninvasive modality in this clinical situation. We think that, risk of aspiration of gastric contents still remains a major problem in this technique as the esophagus is distended with air.…”

Section: Discussionmentioning

confidence: 99%

H-type tracheoesophageal fistula in an extremely low birth weight premature neonate: appearance on magnetic resonance imaging

et al. 2009

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“…Безусловно, МРТ предпочтительнее в связи с отсутствием радиационного облучения, но она требует длительной общей анестезии [33]. КТ также проводится у детей с АП/ТПС [34].…”

Section: постнатальная диагностикаunclassified

Esophageal atresia — state of the art (review of literature on the PUBMED base)

Rothenberg

Стивен²,

Kozlov

et al. 2020

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Esophageal atresia is fundamentally important in pediatric surgery, as its treatment results create an accurate portrait of the standards of surgical care, which is provided by any medical institution. Cameron Haight performed the first successful reconstruction of the esophagus malformation relatively recently just over 70 years ago. Advances in neonatal surgery, technology and advances in neonatal intensive care have dramatically improved treatment outcomes for this disease. Current mortality from this developmental abnormality has become minimal, despite its frequent association with other malformations. A revolutionary approach to the treatment of esophageal atresia was developed by Steven Rothenberg in 1999, the pioneer and legend of pediatric minimally invasive surgery. In 1999, he revolutionized esophageal anastomosis by thoracoscopy. The innovative concept of the minimally invasive approach ensured minimal trauma to patients, thereby providing the possibility of rapid postoperative recovery of patients and reducing the length of their surgical hospital stay. This literature review raises the main controversy in the surgical treatment of esophageal atresia in the 21st century. Emphasis is placed on the study of the role of minimally invasive surgery and the treatment of concomitant abnormalities associated with gastroesophageal reflux and tracheomalacia. As part of the study, a description of all the latest technologies, advances in technical and scientific terms, solutions, exceptional experience, and competence in developing and implementing minimally invasive operations in young children. These developments changed the direction of pediatric surgery and improved the quality of surgical care for children with congenital malformation of the esophagus and how they were performed.

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Definitive diagnosis and surgical planning of H-type tracheoesophageal fistula in a critically ill neonate: First experience using air distension of the esophagus during high-resolution computed tomography acquisition

Cited by 10 publications

References 5 publications

The modified Nadeem’s technique for the treatment of H-type tracheoesophageal fistula

The modified Nadeem’s technique for the treatment of H-type tracheoesophageal fistula

H-type tracheoesophageal fistula in an extremely low birth weight premature neonate: appearance on magnetic resonance imaging

Esophageal atresia — state of the art (review of literature on the PUBMED base)

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