H-type Tracheoesophageal Fistula: A Rare Cause of Cough and Dysphagia in Adults

Bank, Jeffrey S.; Voaklander, Rebecca; Sossenheimer, Michael

doi:10.14309/crj.0000000000000492

Cited by 6 publications

(7 citation statements)

References 11 publications

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“…Because H-TEF is extremely rare, its clinical symptoms are similar to those of other respiratory diseases, such as recurrent respiratory symptoms, cyanotic aspiration during feeding, and abdominal distention. It is therefore poorly understood by some paediatricians and difficult to diagnose [8][9][10]. Current clinical diagnostic techniques mainly include conventional esophagography, multidetector row spiral CT, and fibreoptic bronchoscopy [11].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Application Value of Different Esophagography Techniques in the Diagnosis of H-Type Tracheoesophageal Fistula in Neonates

Deng

Luo

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. The study aimed to analyse the detection rates of the triple-lumen double-balloon catheter technique and conventional esophagography in diagnosing H-type tracheoesophageal fistula (H-TEF) in neonates. Methods. The data of 8 neonates diagnosed with H-TEF by surgery in the researchers’ hospital between January 2015 and January 2022 were collected. We compared the detection (true positive) rates of H-TEF by the triple-lumen double-balloon catheter technique, conventional esophagography, and multidetector row spiral CT. Results. Before surgery, conventional esophagography was applied in all 8 cases, of which the H-TEF diagnosis was confirmed in 5 cases and TEF was suspected in 3 cases. The triple-lumen double-balloon catheter technique was employed in 5 cases, of which 4 were confirmed with H-TEF and 1 was suspected with TEF. Multidetector row spiral CT was performed in 4 cases, and 1 case was confirmed with H-TEF, while no fistula was observed in the other 3 cases. The triple-lumen double-balloon catheter technique yielded a 100% detection rate, while conventional esophagography revealed a 62.5% rate and multidetector row spiral CT showed a 25% rate. By comparative analysis, the true positive rates (TPRs) of the triple-lumen double-balloon catheter technique and conventional esophagography were not significantly different ( P = 0.118 ). No significant differences were recorded in TPRs between conventional esophagography and multidetector row spiral CT ( P = 0.221 ). However, the triple-lumen double-balloon catheter technique had a significantly higher TPR than multidetector row spiral CT ( P = 0.118 ). Conclusion. To diagnose congenital H-TEF in neonates, conventional esophagography is a highly valuable yet inconsistently reliable method and the diagnostic value of CT is relatively limited. The triple-lumen double-balloon catheter technique boasts a significantly valuable application for H-TEF diagnosis. Being simple, economical, and effective, it barely requires state-of-the-art facilities, and no complications have occurred during its clinical practice. These advantages justify a possible wider application of the triple-lumen double-balloon catheter technique in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Analysis of the Application Value of Different Esophagography Techniques in the Diagnosis of H-Type Tracheoesophageal Fistula in Neonates

Deng

Luo

2022

Evidence-Based Complementary and Alternative Medicine

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“…In all previously reported cases, the reason for late diagnosis is unclear. [ 1 2 4 ] TEF can mimic chronic lung disease and bronchiectasis. Our patient had atypical bronchial anatomy with the right upper lobe bronchus arising directly from the trachea and the left bronchus being less oblique than usual.…”

Section: Discussionmentioning

confidence: 99%

“…CT of the chest showed TEF with dilated esophagus due to an air leak from the trachea similar to previously reported cases. [ 2 3 4 ] Thus, a detailed radiological examination of luminal organs in CT done for pneumonia is mandatory. The dilated air-filled esophagus has been suggested as a clue to TEF before.…”

Section: Discussionmentioning

confidence: 99%

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Mysterious Late Presentation of Congenital H-type Tracheoesophageal Fistula in Teenage – Teamwork and Operative Planning

Kotcharlakota,

Shoor,

Singh

et al. 2023

Journal of Indian Association of Pediatric Surgeons

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Congenital tracheoesophageal fistula (TEF) is a result of the failed fusion of tracheoesophageal ridges during the 3 rd week of gestation. Commonly, TEF is associated with esophageal atresia, which is detected and treated in newborns. Isolated TEF is rare with an overall incidence of 1 in 80,000 live births. Very rarely, they can present in adulthood. This report is adding one such patient at the age of 17 years who presented with the first episode of aspiration pneumonia and a history of retrosternal discomfort and regurgitation since childhood to the limited world experience.

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“…After 12 weeks on follow-up, patient has no recurrence of symptoms, a repeat gastroscopy showed the deployed clip remaining in place along the course of visualization. To the best of our knowledge, this is the first report of a congenital h-type esophagobronchial fistula successfully closed using the over-the-scope-clip 1 2 3 4 5 6 7 8 9 10 11 12 13 .…”

mentioning

confidence: 86%

Successful closure using Over-the-scope-Clip of an H-type Congenital Esophagobronchial Fistula presenting in an Adult with Recurrent Pneumonia

Laurel,

Garcia,

et al. 2024

ESGE Days 2024

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H-type Tracheoesophageal Fistula: A Rare Cause of Cough and Dysphagia in Adults

Cited by 6 publications

References 11 publications

Analysis of the Application Value of Different Esophagography Techniques in the Diagnosis of H-Type Tracheoesophageal Fistula in Neonates

Analysis of the Application Value of Different Esophagography Techniques in the Diagnosis of H-Type Tracheoesophageal Fistula in Neonates

Mysterious Late Presentation of Congenital H-type Tracheoesophageal Fistula in Teenage – Teamwork and Operative Planning

Successful closure using Over-the-scope-Clip of an H-type Congenital Esophagobronchial Fistula presenting in an Adult with Recurrent Pneumonia

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