Transcervical Repair of H-Type Congenital Tracheo-esophageal Fistula

Killen, Duncan A.; Greenlee, H.

doi:10.1097/00000658-196507000-00021

Cited by 32 publications

(11 citation statements)

References 26 publications

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“…2 We have found that the anterior transcervical approach, as described by Killen, et al, 12 gives better exposure. We share the view of Ein, et al, 19 that it is not necessary to isolate and surround with tapes both the trachea and esophagus, as well as the fistula, as this increases the risk of recurrent laryngeal nerve injury and postoperative tracheal edema.…”

Section: Discussionmentioning

confidence: 91%

“…Since then over 200 cases have been reported in the literature. 4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] In this anomaly, the esophagus and trachea are quite normal, except that there is a very short fistula between the two, which runs from the esophagus upward to the trachea. Because of this upward course, swallowing is not always associated with aspiration into the trachea.…”

Section: Discussionmentioning

confidence: 99%

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H-Type Congenital Tracheoesophageal Fistula in a Saudi Child

et al. 1986

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

H-Type Congenital Tracheoesophageal Fistula in a Saudi Child

et al. 1986

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“…For example, abdominal distension in Case 2 was so marked as to suggest a diagnosis of Hirschsprung's disease. In a large survey of reported cases Killen and Greenlee (1965) noted that the diagnosis was made within the first month of life in 43 % and within the first year in 83 %. In the present series the ear.iest diagnosis was made at 2 months of age (Cases 2 and 4) and 4 out of the 5 were diagnosed within the first year of life.…”

Section: Discussionmentioning

confidence: 99%

Congential H-type tracheo-oesophageal fistula.

Sundar¹,

Guiney²,

O’Donnell³

1975

Archives of Disease in Childhood

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Case reports Case 1. A girl who had been investigated in two hospitals for recurrent attacks of chest infection and episodes of abdominal distension dating back to birth. Barium swallow examinations at 10 and 15 months were reported as normal. Finally, an oesophagogram, with the dye injected through a catheter placed in the oesophagus, showed tracheal spill through a fistula at the level of the second and third dorsal vertebrae. She was operated on when 21 years of age through a left supraclavicular approach. Uneventful recovery followed.Case 2. A 7-day-old female infant was admitted with a history of being 'mucousy' since birth. This was associated with abdominal distension. The child became cyanosed after admission and chest x-ray examination showed right upper zone pneumonitis.Barium swallow examination 8 days later did not show anything abnormal, but a repeat examination outlined a fistula. The fistula was divided through a left supraclavicular approach. The infant died 10 hours after the operation. Post-mortem examination showed extensive bronchopneumonia.Case 3. A female newborn infant was admitted with a history of respiratory distress, abdominal distension, and vomiting. The child developed right-sided pneumonitis within the first 7 days. Barium enema and Received 26 February 1975. meal examinations were normal apart from revealing uncomplicated malrotation. Gastrografin swallow examination at one month of age showed evidence of a vascular ring. At 37 days of age an aberrant right subclavian artery was divided through a left thoracotomy. The child failed to improve after this and weighed only 6* 12 kg when 10 months old. A repeat oesophagogram then revealed a fistula. Division of this through a left cervical approach was followed by uneventful recovery.Case 4. A female infant was admitted when 2 months old with a history that she became distressed after every feed with vomiting, cyanosis, and dyspnoea and also had episodes of abdominal distension. Chest x-rays showed patchy pneumonitis on the right side. An oesophagogram showed an H-fistula at the level of the first thoracic vertebra. The child was operated upon at 10 weeks of age through a left cervical approach and made an uneventful recovery.Case 5. A male infant was detained in a neonatal unit for 5 weeks after birth because of a chest infection, and was readmitted when 3 months old for a recurrence of the same complaint. When he was admitted to our hospital at 9 months of age for a chest infection an oesophagogram showed an H-type fistula. This was divided through a left supraclavicular approach. Postoperative recovery was uneventful.

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“…In cervical repair, dissection is performed anterior to the sternocleidomastoid, and exposure of the trachea-esophageal complex into the upper mediastinum is required. Loupe magnification is strongly recommended to preserve the recurrent laryngeal (RLN) nerve [30] [33]. None of our patients developed signs of RLN palsy.…”

Section: Surgery For Tefmentioning

confidence: 99%

Endoscopic Detection and Surgical Repair of Congenital Tracheo-Esophageal-Fistula (TEF) ± Esophageal Atresia (EA)

Tröbs¹,

Finke²

2014

OJPed

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Purpose: This study was performed to evaluate the management of tracheoesophageal fistula (TEF) ± esophageal atresia (EA) under the guidance of preoperative tracheo-bronchoscopy (TrSc). Methods: Between 2007 and July 2014, a total of 26 consecutive newborns who underwent rigid TrSc for suspected TEF were identified. All associated charts and operation reports were retrospectively analyzed. Results: Distal TEF with EA (Gross C) predominated (n = 18). Furthermore, we managed 2 infants with proximal and distal TEF (Gross D) and 4 infants with isolated TEF (Gross E). In our hands, TrSc was feasible in infants with a birth weight above 1300 g. Twenty-five fistulas were identified by endoscopy in 23 patients. In one infant with a birth weight below 1000 g, an attempt to perform TrSc was interrupted, and urgent TEF closure was required. Fistula site at the carina was associated with a high rate of esophageal anastomosis under tension. During surgery, proximal TEF and isolated TEF were safely approached via right cervicotomy (n = 5). Conclusion: This study supports the routine use of rigid TrSc at the time of surgery. Rigid TrSc allowed the surgical team to identify the number and location of TEFs, and the incidence of side effects was low.

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Transcervical Repair of H-Type Congenital Tracheo-esophageal Fistula

Cited by 32 publications

References 26 publications

H-Type Congenital Tracheoesophageal Fistula in a Saudi Child

H-Type Congenital Tracheoesophageal Fistula in a Saudi Child

Congential H-type tracheo-oesophageal fistula.

Endoscopic Detection and Surgical Repair of Congenital Tracheo-Esophageal-Fistula (TEF) ± Esophageal Atresia (EA)

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Transcervical Repair of H-Type Congenital Tracheo-esophageal Fistula

Cited by 32 publications

References 26 publications

H-Type Congenital Tracheoesophageal Fistula in a Saudi Child

H-Type Congenital Tracheoesophageal Fistula in a Saudi Child

Congential H-type tracheo-oesophageal fistula.

Endoscopic Detection and Surgical Repair of Congenital Tracheo-Esophageal-Fistula (TEF) &#177; Esophageal Atresia (EA)

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Endoscopic Detection and Surgical Repair of Congenital Tracheo-Esophageal-Fistula (TEF) ± Esophageal Atresia (EA)