Congenital H-type tracheoesophageal fistula: a national multicenter study

Al-Salem, Ahmed H.; Mohaidly, Mohammed Al; Al-Buainain, Hussah; Al-Jadaan, Saud; E, Raboei

doi:10.1007/s00383-016-3873-6

Cited by 49 publications

(48 citation statements)

References 28 publications

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“…The most common congenital esophageal malformation is esophageal atresia (EA), with the reported incidence ranging from one in 2500 to one in 3500 live births [ 34 , 35 ]. The outcome of the surgical repair depends mainly on the type of the EA, with up to 50% of those with an associated tracheo-esophageal fistula suffering from GERD [ 31 ].…”

Section: Clinical Presentation Of Gerd In the Pediatric Populationmentioning

confidence: 99%

Gastro-Esophageal Reflux in Children

Rybak

Pesce

Thapar

et al. 2017

IJMS

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Gastro-esophageal reflux (GER) is common in infants and children and has a varied clinical presentation: from infants with innocent regurgitation to infants and children with severe esophageal and extra-esophageal complications that define pathological gastro-esophageal reflux disease (GERD). Although the pathophysiology is similar to that of adults, symptoms of GERD in infants and children are often distinct from classic ones such as heartburn. The passage of gastric contents into the esophagus is a normal phenomenon occurring many times a day both in adults and children, but, in infants, several factors contribute to exacerbate this phenomenon, including a liquid milk-based diet, recumbent position and both structural and functional immaturity of the gastro-esophageal junction. This article focuses on the presentation, diagnosis and treatment of GERD that occurs in infants and children, based on available and current guidelines.

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Section: Clinical Presentation Of Gerd In the Pediatric Populationmentioning

confidence: 99%

Gastro-Esophageal Reflux in Children

Rybak

Pesce

Thapar

et al. 2017

IJMS

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“…Contrast studies are valuable in confirming a diagnosis, however, worth noting is that, in a recent multicentre study, <50% of cases were confirmed in a single contrast study 7. Contrast studies may give false-negative results and one review article reports statistically significant improvement in diagnostic accuracy with direct visualisation (tracheo/bronchoscopy) compared with an oesophagogram 8.…”

Section: Discussionmentioning

confidence: 99%

Incidental diagnosis of an H-type tracheo-oesophageal fistula

et al. 2016

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A 6-day-old term neonate who was intubated on day 1 of life for apnoeic episodes, was transferred to the regional paediatric intensive care unit (PICU) for specialist opinion following 3 failed extubations in the neonatal unit. Escherichia coli congenital pneumonia was diagnosed and the child discharged to the local hospital. Chest radiographs and inflammatory markers were in keeping with infection. However, ongoing difficulties with secretions necessitated readmission to the PICU, following a significant cyanotic episode associated with coughing. On arrival at the PICU, a large leak around the endotracheal tube (ETT) was noted. On direct laryngoscopy, the ETT was found correctly positioned, through the cords, but air was noted to be coming back from the oesophagus. Advancing the ETT towards the carina terminated the leak and raised the suspicion of a tracheo-oesophageal fistula. An H-type tracheo-oesophageal fistula was confirmed on bronchoscopy. An uneventful fistula repair was performed and the baby discharged from the PICU on day 23 of life.

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“…O procedimento consiste na laqueação e secção da fístula e pode ser realizado por toracotomia, cervicotomia ou toracoscopia. 19…”

Section: Atrésia Do Esófago Do Tipo Hunclassified

Atrésia Esofágica: Um Desafio desde o Diagnóstico Pré-natal ao Tratamento Cirúrgico

Trocado

Barroso

Nogueira‐Silva

et al. 2018

Gaz Med

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A atrésia esofágica é a anomalia congénita mais comum do desenvolvimento do esófago, caracterizando-se por uma disrupção da sua continuidade, com uma prevalência de cerca de 1 em cada 2500 a 4500 nados vivos. A abordagem desta condição, desde o seu diagnóstico no período pré-natal até ao tratamento cirúrgico no período neonatal, constitui um importante desafio, tanto para o obstetra como para o cirurgião pediátrico. No âmbito do diagnóstico pré-natal, a ecografia, a ressonância magnética, bem como a análise bioquímica do líquido amniótico poderão ser úteis. Por outro lado, no que diz respeito ao tratamento cirúrgico desta condição, dispomos hoje de técnicas cirúrgicas minimamente invasivas, associadas a menor número de sequelas musculoesqueléticas, menor dor no pós-operatório e a um melhor resultado estético final. Neste artigo, os autores fazem uma revisão do papel das diferentes técnicas de diagnóstico pré-natal disponíveis, bem como das diferentes abordagens para o tratamento cirúrgico.

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Congenital H-type tracheoesophageal fistula: a national multicenter study

Cited by 49 publications

References 28 publications

Gastro-Esophageal Reflux in Children

Gastro-Esophageal Reflux in Children

Incidental diagnosis of an H-type tracheo-oesophageal fistula

Atrésia Esofágica: Um Desafio desde o Diagnóstico Pré-natal ao Tratamento Cirúrgico

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