Transillumination of H-type tracheoesophageal fistula using flexible miniature bronchoscopy: an innovative technique for operative localization

Goyal, Anju; Potter, Frank Hamilton; Losty, Paul D.

doi:10.1016/j.jpedsurg.2005.03.029

Cited by 20 publications

(8 citation statements)

References 2 publications

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“…14 There are case reports of using transillumination to aid in the diagnosis of pneumopericardium, H-type tracheoesophageal fistula, lymphatic malformations, and intracranial hemorrhage. [15][16][17][18] Two case reports document the use of transillumination as a means of diagnosing a bowel perforation, but both also had a pneumoperitoneum on radiograph. 19,20 This is the first case report of using transillumination as a diagnostic tool in occult SIP.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing Intestinal Perforation: A New Approach

Ottinger¹,

Swanson²

2008

Amer J Perinatol

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Spontaneous intestinal perforation has been shown to be a significant morbidity in the extremely low birthweight neonate. Occult spontaneous intestinal perforation (SIP), without pneumoperitoneum on abdominal radiograph, typically occurs in neonates > 2 weeks of age and is usually diagnosed by visualization of particulate matter seen on an abdominal ultrasound. We present a case of a 25-week growth-restricted neonate at 12 days of life who was diagnosed with occult SIP by a novel mechanism.

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Section: Discussionmentioning

confidence: 99%

Diagnosing Intestinal Perforation: A New Approach

Ottinger¹,

Swanson²

2008

Amer J Perinatol

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“…The operation carries risks of recurrent laryngeal nerve injury, and novel strategies to more accurately identify the fistula at surgery may help to reduce operative trauma. 27 The Nd:YAG laser has also been used for H fistula repair, but experience is limited and it is not widely recommended. 28 Thoracoscopic techniques have been reported for rarer H-type fistulae in the chest.…”

Section: Basic Science: Contributions From Developmental Biologymentioning

confidence: 99%

Oesophageal atresia and tracheo-oesophageal fistula

Goyal

Jones²,

Couriel³

et al. 2006

Archives of Disease in Childhood - Fetal and Neonatal Edition

106

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Oesophageal atresia-tracheo-oesophageal fistula has featured in paediatric surgery since its beginnings. The first successful primary repair was in 1941. With overall survival now exceeding 90% in dedicated centres, the emphasis has changed to reducing morbidity and achieving improvements in the quality of life. An overview of current and emerging strategies in managing patients with this condition is presented. Advances in developmental biology and molecular genetics reflecting improved understanding of the pathogenesis are highlighted.

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“…Garcia et al (6) and Ko et al (21) introduced the idea of knot locked guide wire passed through the fistula before orotracheal intubation using both esophagoscopy and bronchoscopy. Recently, Goyal et al (22) promoted the idea of using intraoperative transillumination of the fistula using flexible miniature bronchoscopy. Nevertheless, the value of tracheobronchoscopy in order to exclude extraordinary cases of more than one congenital tracheoesophageal fistula without esophageal atresia in the same patient should not be ignored (23,24).…”

Section: Discussionmentioning

confidence: 99%

Practical safety in the diagnosis and treatment of congenital isolated tracheoesophageal fistula

et al. 2021

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The rareness of H-type tracheoesophageal fistula in conjunction with its unspecific clinical presentation and wide range of anatomical presentation makes its diagnosis and treatment a problematic topic for both ear, nose and throat (ENT) specialists and pediatric surgeons worldwide. Symptoms and clinical signs of H-TOF are easily misleading. Diagnostic methods, most of the times, are dependent on the physician's experience; therefore, various errors may be made. We analyzed our experience in managing H-TOF cases over the last 15 years. Advice and strategies of action for health professionals directly involved in the diagnosis and treatment were identified, but also errors and mistakes while managing 6 cases. We analyzed 'red flags' but also important steps in the practical safety concerning this rare congenital malformation. Choosing the surgical access for division of the fistula throughout the cervical or thoracic approach is sometimes difficult. A scrupulous perioperative planning is mandatory. A dynamic overview of the patient's presentation never underestimating the subtlety of H-TOF presentation should be conducted for its early recognition and achieving best outcomes.

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Transillumination of H-type tracheoesophageal fistula using flexible miniature bronchoscopy: an innovative technique for operative localization

Cited by 20 publications

References 2 publications

Diagnosing Intestinal Perforation: A New Approach

Diagnosing Intestinal Perforation: A New Approach

Oesophageal atresia and tracheo-oesophageal fistula

Practical safety in the diagnosis and treatment of congenital isolated tracheoesophageal fistula

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