Tracheoesophageal fistula (H-type) in neonates with imperforate anus and the VATER association

Haller, Jack O.; Berdon, Walter E.; Levin, Terry L.; Iyer, Krishna V.

doi:10.1007/s00247-003-1034-2

Cited by 6 publications

(2 citation statements)

References 6 publications

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“…Встречаемость ТПС H-типа составляет примерно 4 % [8,10]. В исследовании случаев ТПС H-типа у 20 детей, фистула находилась на уровне позвонков С5-С6 у 2 детей, С6-С7 -у 3, С7-Тh1 -у 8, Тh1-Тh2 -у 3, Тh2-Тh3 -у 1 ребенка [75]. Изредка обнаруживается второй свищ [76].…”

Section: трахеопищеводный свищ H-типаunclassified

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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Section: трахеопищеводный свищ H-типаunclassified

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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“…Infants having EA with TEF are 50% more likely than isolated EA to have congenital anomalies, with VACTERL [vertebral anomalies (V), anal atresia (A), cardiac anomalies (C), TEF (T), EA (E), renal anomalies (R), and limb anomalies (L)] being the most common association (7). Vertebral anomalies accompany in 60% to 90% and limb anomalies occur in 40% to 55% of cases with VACTERL association (8).…”

Section: Introductionmentioning

confidence: 99%

Radiologic diagnosis of tracheoesophageal fistula in children

Ayaz¹,

Haliloğlu²

2022

Curr Chall Thorac Surg

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Radiological imaging plays an essential role in the diagnostic algorithm of tracheoesophageal fistula (TEF) in the prenatal and postnatal period. Although the primary imaging modality is esophagogram with water-soluble contrast, there are various imaging techniques to make the diagnosis. As ultrasound and magnetic resonance imaging (MRI) are compatible during the prenatal period, computed tomography (CT) and plain radiographs may provide additional information to contrast studies in the postpartum period. Imaging is also crucial to identify other associated anomalies and to predict the outcome. Moreover, radiological examinations are often necessary in the postoperative period to define complications and recurrent TEF. The aim of this article is two folds; first to describe indications, imaging methods and findings of congenital, acquired, and recurrent TEF and accompanying conditions to confirm the diagnosis, and second, to discuss the yield of different imaging methods in line with the literature. While describing congenital TEF, concomitant anomalies, such as esophageal atresia (EA) and tracheal agenesis were depicted systematically according to the prevalent classifications. Among acquired TEF; two specific etiologies [iatrogenic and button battery (BB) ingestion] were explained more detailed, since these entities are diagnostically challenging, required urgent management, and may have serious consequences. We also would like to emphasize pearls and challenges of the diagnostic modalities.

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Congenital H-type tracheoesophageal fistula: a national multicenter study

et al. 2016

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H-type TEF is very rare and commonly presents with recurrent chest infection, chocking and coughing during feeds and cyanosis. Physicians caring for these patients should be aware of this and a high index of suspicion is of paramount importance to avoid delay in diagnosis with its associated morbidity. A contrast esophagogram is valuable in confirming the diagnosis. The study however may need to be repeated. Preoperative bronchoscopy is valuable to localize and cannulate the fistula for easier access during surgery. Surgical repair is the treatment of choice and this should be performed through a right cervical incision or thoracotomy for low fistulae. Thoracoscopic ligation and division of a low H-type fistula is an alternative and less invasive approach when compared to thoracotomy.

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Tracheoesophageal fistula (H-type) in neonates with imperforate anus and the VATER association

Abstract: We report three patients with imperforate anus and other stigmata of the VATER syndrome who were diagnosed as having tracheoesophageal (TE) fistula, H-type, with intact esophagus. The fistula was diagnosed in two of the three patients only after recurrent respiratory infections.

Cited by 6 publications

References 6 publications

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

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

Radiologic diagnosis of tracheoesophageal fistula in children

Congenital H-type tracheoesophageal fistula: a national multicenter study

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