5,112 results match your criteria Tracheoesophageal Fistula


Social media communities for patients and families affected by congenital pediatric surgical conditions.

Pediatr Surg Int 2022 May 19. Epub 2022 May 19.

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Anschutz Medical Campus, Children's Hospital Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Background: Social media has become a means to allow individuals affected by rare diseases to connect with others. This study aimed to characterize the use of three popular social media platforms by individuals affected by common pediatric surgery index conditions.

Methods: A systematic search of Instagram, Facebook, and Twitter was performed using standardized terms for the following pediatric surgical conditions: anorectal malformation, biliary atresia, bronchopulmonary sequestration, congenital diaphragmatic hernia (CDH), congenital pulmonary airway malformation, duodenal atresia, esophageal atresia/tracheoesophageal fistula (EA/TEF), gastroschisis, Hirschsprung disease (HD), and omphalocele. Read More

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Tracheomediastinal emphysema after tracheostomy in a post-COVID-19 patient: a case report.

Eur Rev Med Pharmacol Sci 2022 May;26(9):3374-3376

Department of Anesthesiology and Intensive Care, Inonu University Medical School, Malatya, Turkey.

Objective: There are no reports of tracheomediastinal fistula development after tracheostomy.

Case Report: A 72-year-old female patient with post acute COVID-19 was transferred to our intensive care unit. After two unsuccessful weaning attempts, a tracheostomy was performed at hospitalization on day 32. Read More

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The utility of CT virtual bronchoscopy in the esophageal lung diagnosis: A case report.

Respir Med Case Rep 2022 5;37:101658. Epub 2022 May 5.

Department of Radiology, Children's Hospital, King Salman Medical City, Madinah, Saudi Arabia.

The esophageal lung is a variant of the communicating bronchopulmonary foregut malformation (CBPFM). It needs a high index of suspicion for diagnosis because it is a rare condition and does not have specific symptoms. A CT scan or an esophageal contrast study, showing direct communication between the airways and the esophagus or stomach, confirms the diagnosis. Read More

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Esophageal elongation by bougienage and delayed primary thoracoscopic anastomosis for pure esophageal atresia without tracheoesophageal fistula.

Pediatr Surg Int 2022 May 13. Epub 2022 May 13.

Department of Neonatal Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.

Purpose: We aim to share our experience of esophageal elongation by bougienage and delayed primary thoracoscopic anastomosis for pure esophageal atresia (EA) without tracheoesophageal fistula (TEF).

Methods: Fifteen patients with pure EA treated with delayed primary thoracoscopic anastomosis combined with or without esophageal elongation by bougienage were retrospectively analyzed.

Results: Four patients were managed without bougienage, and their surgical repair was performed thoracoscopically after natural esophageal growth. Read More

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Does the History of Tracheoesophageal Fistula Repair Alter Outcomes of Laryngeal Cleft Repair?

Otolaryngol Head Neck Surg 2022 May 10:1945998221094210. Epub 2022 May 10.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Objective: Tracheoesophageal fistula and esophageal atresia (TEA) and laryngeal cleft (LC) can coexist in some patients. The surgery-specific success rate of LC repair in children with associated TEA has not been well described. The aim of the study is to determine if the history of TEA alters the LC repair outcomes. Read More

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[Current diagnosis and treatment of tracheoesophageal fistula].

Authors:
J Tian

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Apr;57(4):524-530

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

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A "Catlike Cry" as a Symptom of Congenital Tracheoesophageal Fistula.

Chest 2022 May;161(5):e255-e257

Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.

Congenital tracheoesophageal fistula is usually diagnosed at an early age, but may remain undetected into adulthood if atresia is absent and if the fistula is small. A tracheoesophageal fistula should be suspected in patients with unexplained episodes of respiratory distress or pneumonia; however, more subtle signs can be an important symptom for early recognition of the disease. Ono's sign is a well-known symptom of tracheoesophageal fistula, characterized by paroxysmal coughing triggered by swallowing of fluids. Read More

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Evaluating the management timeline of tracheoesophageal fistulas secondary to button batteries: A systematic review.

Int J Pediatr Otorhinolaryngol 2022 Jun 3;157:111100. Epub 2022 May 3.

Medical University of South Carolina, Department of Otolaryngology - Head and Neck Surgery, 135 Rutledge Avenue, MSC550, Charleston, SC, 29425, USA.

Introduction: During the SARS-CoV-2 pandemic, the incidence of pediatric button battery (BB) ingestions has risen. Children have spent more time at home from school, while many parents try to balance working from home and childcare. Additionally, the amount of electronics powered by BB has increased. Read More

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Can 18-years of data from a tertiary referral center help to identify risk factors in esophageal atresia?

Pediatr Int 2022 Jan;64(1):e15190

Department of Pediatric Surgery, Faculty of Medicine, Çukurova University, Adana, Turkey.

Background: Esophageal atresia is a complex esophageal malformation with an incidence of 1 in 3,500-4,000 live births, and it usually occurs together with anomalies in other systems or chromosomes. This study aimed to investigate the short-term and long-term results of cases of esophageal atresia retrospectively in our institution and to analyze the factors affecting the outcome.

Methods: Charts of the patients managed for esophageal atresia in our tertiary pediatric surgery department were investigated retrospectively. Read More

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January 2022

Identification and validation of candidate risk genes in endocytic vesicular trafficking associated with esophageal atresia and tracheoesophageal fistulas.

HGG Adv 2022 Jul 16;3(3):100107. Epub 2022 Apr 16.

Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.

Esophageal atresias/tracheoesophageal fistulas (EA/TEF) are rare congenital anomalies caused by aberrant development of the foregut. Previous studies indicate that rare or genetic variants significantly contribute to EA/TEF risk, and most individuals with EA/TEF do not have pathogenic genetic variants in established risk genes. To identify the genetic contributions to EA/TEF, we performed whole genome sequencing of 185 trios (probands and parents) with EA/TEF, including 59 isolated and 126 complex cases with additional congenital anomalies and/or neurodevelopmental disorders. Read More

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Herpes Simplex Virus-Induced Tracheoesophageal Fistula in Immunocompetent Adult.

Ann Thorac Surg 2022 Apr 27. Epub 2022 Apr 27.

Division of Thoracic and Cardiovascular Surgery, Lahey Hospital and Medical Center, Tufts University School of Medicine, Burlington, MA, USA. Electronic address:

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[Management advances of malignant tracheoesophageal fistula].

Zhonghua Nei Ke Za Zhi 2022 May;61(5):598-602

Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing 210009, China.

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NAD+ deficiency in human congenital malformations and miscarriage: A new model of pleiotropy.

Authors:
Paul R Mark

Am J Med Genet A 2022 Apr 29. Epub 2022 Apr 29.

Department of Pediatrics, Division of Medical Genetics, Helen DeVos Children's Hospital, Spectrum Health, Grand Rapids, Michigan, USA.

Pleiotropy is defined as the phenomenon of a single gene locus influencing two or more distinct phenotypic traits. However, nicotinamide adenine dinucleotide (NAD+) deficiency through diet alone can cause multiple or single malformations in mice. Additionally, humans with decreased NAD+ production due to changes in pathway genes display similar malformations. Read More

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[Treatment of complications following esophageal electrochemical burns by batteries in children].

Khirurgiia (Mosk) 2022 (4):54-59

Pirogov National Research Medical University, Moscow, Russia.

Objective: To determine the optimal treatment of patients with complications of esophageal electrochemical burns by batteries.

Material And Methods: There were 75 children with esophageal electrochemical burns by batteries between 2010 and 2019. All children underwent X-ray of the cervical spine, chest and abdomen, esophagoscopy with removal of the battery, tracheoscopy. Read More

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[Treatment of post-intensive care tracheal stenosis after previous covid-19 pneumonia].

Khirurgiia (Mosk) 2022 (4):5-10

Alperovich Tomsk City Clinical Hospital No. 3, Tomsk, Russia.

Objective: To analyze postoperative outcomes and perioperative management of patients with post-intensive care tracheal stenosis and previous COVID-19 pneumonia.

Material And Methods: There were 8 patients with post-intensive care tracheal stenosis and previous COVID-19 pneumonia aged 34-61 years between January 2021 and April 2021. Lung damage CT-3 was observed in 2 (25%) patients, CT-4 - in 5 (62. Read More

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Congenital adult tracheoesophageal fistula repair with transthoracic ventilation: a case report.

Can J Anaesth 2022 Apr 25. Epub 2022 Apr 25.

Division of Thoracic Surgery, Department of Surgery, Dalhousie University, 7-014 - 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada.

Purpose: To describe our experience using transthoracic ventilation to facilitate oral endotracheal tube (ETT) exchange after accidental ETT cuff rupture during a case of congenital tracheoesophageal fistula (TEF) repair.

Clinical Features: A 53-yr-old male underwent a congenital H-type TEF repair via right-sided thoracotomy with a single-lumen ETT and a bronchial blocker. A large air leak developed after ETT cuff rupture during fistula closure. Read More

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A case of Gross E esophageal atresia discovered following a unique clinical course.

J Med Invest 2022 ;69(1.2):141-144

Department of Pediatric and Pediatric Endoscopic Surgery, Tokushima University, Tokushima, Japan.

The patient was a 15 months-old boy who had been diagnosed CHARGE syndrome, which is a multiple congenital anomaly syndrome caused by mutations in the CHD7 gene. Mechanical ventilation management was initiated 2 hours after birth for dysphagia and respiratory failure, and tracheotomy was performed 3 months after birth for dysphagia and failed extubation. He was repeatedly hospitalized due to pneuomoniae. Read More

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Acquired Tracheoesophageal Fistulas: A Case Report and Review of Diagnostic and Management Challenges.

Cureus 2022 Mar 19;14(3):e23324. Epub 2022 Mar 19.

Gastroenterology and Hepatology, University of Connecticut Health, Farmington, USA.

Acquired, nonmalignant tracheoesophageal fistulas (TEFs) often occur in the setting of prolonged use of endotracheal or tracheostomy tubes due to trauma and erosion of the tracheal wall inflicted by tube cuffs or direct tracheal contact. In this report, we present a patient with a tracheostomy who presented with recurrent aspiration pneumonia and was found to have a large TEF that was difficult to treat. We also discuss the diagnostic and management challenges concerning TEFs. Read More

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Comparison of the effectiveness of intravenous fentanyl versus caudal epidural in neonates undergoing tracheoesophageal fistula surgeries.

Saudi J Anaesth 2022 Apr-Jun;16(2):182-187. Epub 2022 Mar 17.

Department of Anesthesiology, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India.

Background: Caudal epidural has become an inseparable part of pediatric pain relief as it depresses the stress response better than any other form of analgesia, resulting in the reduction in the need for systemic opioids; in addition, it facilitates early recovery and promotes good postoperative respiratory functions.

Aim: To evaluate the effectiveness of epidural analgesia in neonates undergoing tracheoesophageal fistula repair in terms of requirement of perioperative fentanyl opioid, postoperative neonatal infant pain score (NIPS), on-table extubation, duration of intubation, reintubation, perioperative hemodynamic response, and any other side effects.

Materials And Methods: A comparative, prospective, single-blind, randomized trial on 30 neonates scheduled for tracheoesophageal surgeries were randomly allocated to two groups: group I: neonates receiving caudal epidural block with ropivacaine 0. Read More

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Clinical and molecular delineation of mandibulofacial dysostosis with microcephaly in six Korean patients: When to consider EFTUD2 analysis?

Eur J Med Genet 2022 May 5;65(5):104478. Epub 2022 Apr 5.

Department of Pediatrics, Seoul National University College of Medicine, Seoul National University Children's Hospital, South Korea.

Mandibulofacial dysostosis with microcephaly (MFDM, OMIM#610536) is an extremely rare genetic syndrome characterised by microcephaly, external ear deformity, hearing loss, and distinct facial appearance, including zygomatic hypoplasia and micrognathia. Occasionally, various malformations in other internal organs, including oesophageal atresia or tracheoesophageal fistula, may lead to life-threatening situations. Haploinsufficiency of EFTUD2 is responsible for MFDM. Read More

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Tracheoesophageal fistula presenting with ventilator air leaks and recurrent pneumonia.

Respirol Case Rep 2022 May 31;10(5):e0947. Epub 2022 Mar 31.

Division of Internal Medicine Taipei Veterans General Hospital, Hsinchu Branch Hsinchu Taiwan.

We describe a patient who received tracheostomy but complicated with tracheoesophageal fistula, where the nasogastric tube was visible from the fistula under bronchoscopy. Tracheostomy tube was then replaced with an endotracheal tube to bypass the fistula. Read More

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Necessity of Prophylactic Extrapleural Chest Tube During Primary Surgical Repair of Esophageal Atresia: A Systematic Review and Meta-Analysis.

Front Pediatr 2022 18;10:849992. Epub 2022 Mar 18.

Department of Neonatology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.

Background: Esophageal atresia is corrected surgically by anastomosing and recreating esophageal continuity. To allow the removal of excess fluid and air from the anastomosis, a prophylactic and temporary intraoperative chest tube (IOCT) has traditionally been placed in this area during surgery. However, whether the potential benefits of this prophylactic IOCT overweigh the potential harms is unclear. Read More

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The largest report on thoracoscopic surgery for recurrent tracheoesophageal fistula after esophageal atresia repair.

J Pediatr Surg 2022 Mar 5. Epub 2022 Mar 5.

Department of Neonatal Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing 100045, China; Department of Neonatal Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang 330006, China.

Background: Although thoracoscopic surgery has become the routine surgical method for esophageal atresia/tracheoesophageal fistula (EA/TEF), thoracoscopic treatment for recurrent tracheoesophageal fistula (rTEF) is far from popularized.

Objectives: We aimed to explore the safety and efficacy of thoracoscopic treatment for rTEF with a large-cohort study.

Methods: We retrospectively analyzed the clinical characteristics and outcomes of 103 consecutive patients who underwent thoracoscopic surgery for rTEF by one surgeon after EA/TEF repair at two different institutions in China from 2014 to 2021. Read More

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Magnetic resonance imaging of children following esophageal button battery removal: What are we looking for?

Clin Imaging 2022 Jun 24;86:71-74. Epub 2022 Mar 24.

Department of Radiology, University of Washington, Seattle, WA, United States of America; Division of Radiology, Seattle Children's Hospital, Seattle, WA, United States of America. Electronic address:

Despite society recommendations that cross-sectional imaging be obtained following removal of ingested button batteries, there is no published consensus on how it effectively guides clinical management. This single institution survey demonstrates a lack of uniformity by clinicians regarding which imaging findings impact management decisions, highlighting the need for further guidelines. Read More

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Re-sequencing of candidate genes FOXF1, HSPA6, HAAO, and KYNU in 522 individuals with VATER/VACTERL, VACTER/VACTERL-like association, and isolated anorectal malformation.

Birth Defects Res 2022 Mar 31. Epub 2022 Mar 31.

Institute of Human Genetics, Medical Faculty of the University Bonn & University Hospital Bonn, Bonn, Germany.

Background: The acronym VATER/VACTERL association describes the combination of at least three component features (CFs): vertebral defects (V), anorectal malformations (ARM) (A), cardiac defects (C), tracheoesophageal fistula with or without esophageal atresia (TE), renal malformations (R), and limb defects (L). Individuals presenting two CFs have been termed VATER/VACTERL-like. Recently, FOXF1, HSPA6, HAAO, KYNU, TRAP1, and ZIC3 have been proposed as candidate genes for VATER/VACTERL, VATER/VACTERL-like, and ARM. Read More

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Efficacy and safety of re-irradiation for locoregional esophageal squamous cell carcinoma recurrence after radiotherapy: a systematic review and meta-analysis.

Radiat Oncol 2022 Mar 28;17(1):61. Epub 2022 Mar 28.

Department of Radiotherapy, Cancer Branch of Sanmenxia Central Hospital, Sanmenxia, 472000, China.

Background: There is currently no standard treatment for locoregional recurrence of esophageal squamous cell carcinoma (ESCC) previously treated with radiotherapy. This study aimed to assess the efficacy and safety of re-irradiation for ESCC patients with locoregional recurrence.

Methods: The PubMed, EmBase, and Cochrane library databases were systematically searched for eligible studies published before January 2021. Read More

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Bronchoesophageal fistula: An unusual manifestation of lung cancer.

Respir Med Case Rep 2022 21;37:101634. Epub 2022 Mar 21.

Department of Medicine, Pulmonary and Critical Care, Oklahoma State University, Tahlequah, OK, USA.

Bronchoesophageal fistula (BEF) is a rare condition caused by a fistulous connection between the bronchus and the esophagus. BEF can be acquired or congenital; congenital BEFs are rarely encountered in adults. Acquired BEF can be due to either a benign or a malignant process. Read More

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Long term digestive outcome of œsophageal atresia.

Best Pract Res Clin Gastroenterol 2022 Feb-Mar;56-57:101771. Epub 2021 Oct 19.

Univ. Lille, Reference Centre for rare œsophageal diseases, CHU Lille, U 1286 INFINITE, F59000, Lille, France. Electronic address:

Œsophageal atresia is a rare neonatal malformation consisting in an interruption of the continuity of the œsophagus, with or without a tracheo-œsophageal fistula. Although mortality rate is now low and most cases can benefit from successful surgical repair soon after birth, morbidity -specially digestive and nutritional-remains high. Many of the adults born with œsophageal atresia will suffer from dysphagia, gastro-œsophageal reflux and/or œsophageal dysmotility, leading to nutritional consequences and quality of life impairment. Read More

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COVID-19 Patients Presenting with Post-Intubation Upper Airway Complications: A Parallel Epidemic?

J Clin Med 2022 Mar 20;11(6). Epub 2022 Mar 20.

Interventional Pulmonology Unit and ICU of the 1st Respiratory Medicine Department National and Kapodistrian University of Athens, "Sotiria" Hospital, 115 27 Athens, Greece.

During the current pandemic, we witnessed a rise of post-intubation tracheal stenosis (PITS) in patients intubated due to COVID-19. We prospectively analyzed data from patients referred to our institution during the last 18 months for severe symptomatic post-intubation upper airway complications. Interdisciplinary bronchoscopic and/or surgical management was offered. Read More

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