Recurrent tracheoesophageal fistulas seventeen-year review

Ein, Sigmund H.; Stringer, David A.; Stephens, Clinton A.; Shandling, Barry; Simpson, J. A.; Filler, Robert M.

doi:10.1016/s0022-3468(83)80196-1

Cited by 78 publications

(41 citation statements)

References 15 publications

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“…Recurrent TEF is a serious complication that occurs in 3-15% of primary surgical repairs and is associated with a high morbidity and mortality rate [1,4,5,7,8]. Spontaneous closure of a recurrent TEF occurs rarely, if ever [2,4,8].…”

Section: Introductionmentioning

confidence: 99%

“…The recurrence may present years after primary repair suggesting that recurrent TEF can be asymptomatic and/or difficult to diagnose [2,8]. Endoscopy and esophagram are the primary diagnostic methods, although each of these methods has failures and multiple examinations are usually required to confirm the diagnosis [8,11,13]. Still, most authors agree that bronchoscopy is essential for diagnosis [9,13,14].…”

Section: Introductionmentioning

confidence: 99%

“…Early reports of 50-60% perioperative mortality with secondary open repair for recurrent TEF have been reduced to 0-2% in some studies [2,8,11,13]. This is largely due to improved perioperative intensive care management of highrisk patients [5,6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic management of recurrent congenital tracheoesophageal fistula: A review of techniques and results

Meier

Sulman

Almond

et al. 2007

International Journal of Pediatric Otorhinolaryngology

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endoscopic management of recurrent congenital tracheoesophageal fistula: A review of techniques and results

Meier

Sulman

Almond

et al. 2007

International Journal of Pediatric Otorhinolaryngology

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“…However, this is not true for recurrent tracheoesophageal fistula after esophageal atresia repair, 14 which are notoriously difficult to diagnose radiographically.…”

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confidence: 99%

Concurrent Type 1 Laryngotracheoesophageal Cleft and H-Type Tracheoesophageal Fistula

Herman

Siegel

2001

J Perinatol

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A 2800-gm infant boy was born at term to a gravida 2, para 1 mother after an uncomplicated pregnancy. The child had persistent cough, spitting and sneezing for the first 2 weeks of life. On day 16 of life, the child was admitted with a fever and a right lower lobe pneumonia. A barium swallow (Figure 1) was performed. A renal sonogram was normal. The child had no detectable facial or genital anomalies. DENOUEMENT AND DISCUSSIONCongenital laryngotracheoesophageal cleft (CLTEC) is an uncommon malformation resulting from variable degrees of incomplete closure of the tracheoesophageal septum, incomplete fusion of the cricoid cartilage and incomplete formation of the interarytenoid muscle.1 CLTEC usually presents as a toneless or hoarse cry, stridor, cyanosis, choking, coughing, and recurrent pneumonia.2 The most frequently used classification of CLTEC is as follows: type 1, a supraglottic cleft from failure of development of the interarytenoid muscles not extending into the cricoid cartilage; 1,2 type 2, a cleft extending into the cricoid cartilage but not beyond the inferior cricoid plate; type 3, extending to the cervical and thoracic esophagus; and type 4, a cleft throughout the trachea and extending into the right mainstem bronchus.3 Associated anomalies are common in patients with CLTEC. Anorectal malformation (21%), malrotation (13%), hypospadias (7% to 13%), cardiovascular anomalies (16% to 33%), and esophageal atresia/tracheoesophageal fistula (20% to 37%) 1,4 are the most common. The frequency of CLTEC in patients with esophageal atresia/tracheoesophageal fistula is $6%. 2 BBBG syndrome is an autosomal dominant condition with high male penetrance characterized by hypertelorism, hypospadias, and swallowing

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“…Large fistulae produce more symptoms and are diagnosed earlier, while small fistulae may cause little trouble and are difficult to detect.4 Recurrent fistulae have been diagnosed from seven days to nine years after repair, but more than half are apparent within two months. 3 The purpose of this paper is to describe a case of recurrent tracheo-oesophageal fistula presenting 32 years after the primary repair.…”

mentioning

confidence: 99%