The role of preoperative CT scan in patients with tracheoesophageal fistula: A review

Garge, Saurabh; K.L.N., Rao; Bawa, Monika

doi:10.1016/j.jpedsurg.2013.06.010

Cited by 29 publications

(28 citation statements)

References 8 publications

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“…Pre-operative computed tomography scanning with three-dimensional airway reconstruction is not sensitive: scanning may miss up to 20% of fistula tracts 45 and additional anomalies such as a laryngeal cleft or other airway anomalies, which are better detected by direct visualization (laryngoscopy/bronchoscopy). 46 Therefore, computed tomography scanning is not routinely recommended as part of pre-operative evaluation, as the risks of radiation likely outweigh the potential benefits. 45,46 …”

Section: Clinical and Diagnostic Featuresmentioning

confidence: 99%

Respiratory Care of Infants and Children with Congenital Tracheo-Oesophageal Fistula and Oesophageal Atresia

Sadreameli

McGrath‐Morrow

2016

Paediatric Respiratory Reviews

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Summary Despite acute respiratory and chronic respiratory and gastro-intestinal complications, most infants and children with a history of oesophageal atresia / trachea-oesophageal fistula [OA/TOF] can expect to live a fairly normal life. Close multidisciplinary medical and surgical follow-up can identify important co-morbidities whose treatment can improve symptoms and optimize pulmonary and nutritional outcomes. This article will discuss the aetiology, classification, diagnosis and treatment of congenital TOF, with an emphasis on post-surgical respiratory management, recognition of early and late onset complications, and long-term clinical outcomes.

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Section: Clinical and Diagnostic Featuresmentioning

confidence: 99%

Respiratory Care of Infants and Children with Congenital Tracheo-Oesophageal Fistula and Oesophageal Atresia

Sadreameli

McGrath‐Morrow

2016

Paediatric Respiratory Reviews

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“…Although CT-related radiation is higher than that of upper gastrointestinal (UGI) (in our case, 96 Gy·cm 2 vs 51 mGy·cm 2 ), CT scan minimises the risk of aspiration compared with UGI and helps to accurately visualise the level of the fistula as well as associated vascular abnormalities to improve surgical planning 3. In addition, CT may have less implications for sedation/anaesthesia compared with MRI.…”

mentioning

confidence: 86%

Investigating congenital isolated tracheo-oesophageal fistula: considering CT scan?

et al. 2017

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“…Some believe that pull-back tube esophagram has a limited role in the evaluation of the otherwise healthy child and should be reserved for patients who are intubated or who have associated abnormalities that significantly increase the risk of aspiration (11). The use of pre-operative CT scan in the evaluation of TEF is not accepted as a standard of care because of limited information obtained (12). Esophageal duplication cysts usually do not cause symptoms and they are often discovered incidentally on chest radiograph.…”

Section: Fig 5 Diagnostic Imaging Of the Trachoesophageal Fistula (Tmentioning

confidence: 99%

A Pictorial Essay on Radiography of Swallowing and Esophageal Disorders

Ključevšek¹

2015

Pediatr Today

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Numerous abnormalities, both of congenital and acquired causes, can compromise the swallowing process and the ability of the esophagus to transmit the food from the mouth to the stomach in pediatric population. Patients often present a history of aspiration, dysphagia or feeding difficulties. The imaging evaluation typically begins with a fluoroscopic examination of the swallowing process and esophagus (esophagram), using either barium or water soluble contrast medium. This pictorial essay delineates the imaging features of normal anatomy and physiology of the swallowing and the esophagus, as well as the imaging features of common pediatric swallowing dysfunctions and various esophageal abnormalities. It is designed in order to assist radiologists in providing an appropriate diagnosis when confronted with a suspected disease in this anatomic region, and when appropriate, what additional testing to recommend. It is also designed to inform pediatricians about the wealth of diagnostic information that may be collected when performing an esophagram; a relatively simple radiographic examination. Conclusion -Radiographic imaging of swallowing and the esophagus remains the primary imaging modality in patients with a history of aspiration, dysphagia and feeding problems. It offers valuable diagnostic information related to anatomy, morphology and peristalsis.

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The role of preoperative CT scan in patients with tracheoesophageal fistula: A review

Cited by 29 publications

References 8 publications

Respiratory Care of Infants and Children with Congenital Tracheo-Oesophageal Fistula and Oesophageal Atresia

Respiratory Care of Infants and Children with Congenital Tracheo-Oesophageal Fistula and Oesophageal Atresia

Investigating congenital isolated tracheo-oesophageal fistula: considering CT scan?

A Pictorial Essay on Radiography of Swallowing and Esophageal Disorders

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