Upper Airway Anomalies in Congenital Tracheoesophageal Fistula and Esophageal Atresia Patients

Hseu, Anne; Recko, Thomas; Jennings, Russell W.; Nuss, Roger C.

doi:10.1177/0003489415586844

Cited by 55 publications

(54 citation statements)

References 24 publications

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“…Symptoms include feeding intolerance, barking cough, expiratory stridor, unresponsiveness to medical treatment, delayed recovery from respiratory infections, and occasionally apneic or cyanotic spells. [118]Laryngeal cleft: symptoms include recurrent wheezing, dysphagia, aspiration, or pneumoniaVocal cord abnormalities:[119] symptoms include aphonia or dysphonia, weak/hoarse cry, stridor, dysphagia, coughing with feedsGI tract problems: GERD, esophageal dysmotility, esophageal strictures GERD: As discussed earlier, EA patients are at a higher risk of GERD due intrinsic anatomic abnormalities, post surgical anatomy alteration, and altered motility from disturbed intrinsic innervation. Reflux reaching the proximal esophagus and airway can lead to respiratory symptoms.…”

Section: Extraintestinal Manifestationsmentioning

confidence: 99%

How to Care for Patients with EA-TEF: The Known and the Unknown

Mousa

Krishnan

Hassan

et al. 2017

Curr Gastroenterol Rep

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EA patients are at high risk for gastroesophageal reflux and esophageal strictures, and the sequela that result. Extraintestinal manifestations of gastroesophageal reflux disease (GERD) can appear similar to other pathologic diagnoses commonly found in EA patients, such as congenital stricture, eosinophilic esophagitis, esophageal dysmotility, tracheomalacia, recurrent fistula, aspiration, etc. Therefore, it is important to have a standardized way to monitor for these issues. pH impedance allows for detection of nonacid reflux and the height of reflux, which are important in correlating symptoms with reflux episodes. A multidisciplinary approach is beneficial in evaluating and monitoring EA patients in the long term.

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Section: Extraintestinal Manifestationsmentioning

confidence: 99%

How to Care for Patients with EA-TEF: The Known and the Unknown

Mousa

Krishnan

Hassan

et al. 2017

Curr Gastroenterol Rep

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“…In a recent study of children with EA undergoing rigid bronchoscopy and laryngoscopy, 26% of EA patients had a laryngeal cleft (41). In a case series of 183 pediatric patients diagnosed with laryngeal clefts, 22 (12%) patients had a TEF (39).…”

Section: Mechanism Of Abnormal Feeding In Children With Eamentioning

confidence: 99%

Feeding Problems and Their Underlying Mechanisms in the Esophageal Atresia–Tracheoesophageal Fistula Patient

Mahoney

Rosen

2017

Front. Pediatr.

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Feeding difficulties such as dysphagia, coughing, choking, or vomiting during meals, slow eating, oral aversion, food refusal, and stressful mealtimes are common in children with repaired esophageal atresia (EA) and the reasons for this are often multifactorial. The aim of this review is to describe the possible underlying mechanisms contributing to feeding difficulties in patients with EA and approaches to management. Underlying mechanisms for these feeding difficulties include esophageal dysphagia, oropharyngeal dysphagia and aspiration, and aversions related to prolonged gastrostomy tube feeding. The initial diagnostic evaluation for feeding difficulties in a patient with EA may involve an esophagram, videofluoroscopic imaging or fiberoptic endoscopic evaluation during swallowing, upper endoscopy with biopsies, pH-impedance testing, and/or esophageal motility studies. The main goal of management is to reduce the factors contributing to feeding difficulties and may include reducing esophageal stasis, maximizing reflux therapies, treating underlying lung disease, dilating strictures, and altering feeding methods, routes, or schedules.

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“…They are prone to a number of conditions such as oesophageal dysmotility with slow transit and risk of bolus obstruction, gastro-esophageal reflux, aspiration, risk of anastomotic strictures and proximal dilatation of the oesophageal and pouch, and diverticulum. They also have high incidence of concurrent airway pathology such as laryngeal cleft and vocal cord paralysis (5). …”

Section: Introductionmentioning

confidence: 99%

The Management of Cyanotic Spells in Children with Oesophageal Atresia

2017

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Cyanotic spells, also known as blue spells, dying spells, or apparent life-threatening events, refer to a bluish tone visible in the mucosal membranes and skin caused by an oxygen decrease in the peripheral circulation. Although this decrease may be transient and benign, it may also be indicative of a severe underlying problem that requires immediate intervention. Children with oesophageal atresia (OA) are at risk for a number of coexisting conditions that may trigger cyanotic spells. This current article will focus on the management of cyanotic spells both in children with innominate artery compression and those with tracheomalacia.

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Upper Airway Anomalies in Congenital Tracheoesophageal Fistula and Esophageal Atresia Patients

Abstract: Patients diagnosed with congenital TEF/EA have a high rate of secondary upper airway anomalies. Consideration should be given to perform a complete airway evaluation in all of these patients.

Cited by 55 publications

References 24 publications

How to Care for Patients with EA-TEF: The Known and the Unknown

How to Care for Patients with EA-TEF: The Known and the Unknown

Feeding Problems and Their Underlying Mechanisms in the Esophageal Atresia–Tracheoesophageal Fistula Patient

The Management of Cyanotic Spells in Children with Oesophageal Atresia

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