4,722 results match your criteria Tracheoesophageal Fistula


Scoliosis after thoracotomy repair of esophageal atresia: a systematic review.

Pediatr Surg Int 2020 May 25. Epub 2020 May 25.

Department of Paediatric Surgery, Wellington Children's Hospital, Riddiford Street, Newtown, Wellington, 6021, New Zealand.

Standard surgical repair of esophageal atresia/tracheoesophageal fistula (EA/TEF) is via a right posterolateral thoracotomy. A recognized complication is the later development of scoliosis. The prevalence and pathogenesis of secondary scoliosis are poorly understood. Read More

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http://dx.doi.org/10.1007/s00383-020-04683-3DOI Listing

Breathing pattern disorders (dysfunctional breathing) characteristics and outcomes of children and young people attending a secondary care respiratory clinic.

Pediatr Pulmonol 2020 May 25. Epub 2020 May 25.

Speech and Language Department, Kent Community NHS Foundation Community Trust, Kent, UK.

Methods: We retrospectively audited the health records of 18 patients with breathing pattern disorders (BPDs), who were diagnosed in our respiratory clinic (2015-2018), and then referred onto our dysfunctional breathing care pathway to a specialist speech and language therapist.

Results: The age of the patients ranged from 11 to 16 years (median: 14 years, 14 female/4 male patients). Comorbidities included the following: 16 patients had asthma, 2 patients had a tracheoesophageal fistula and esophageal atresia repair, one patient suffered from chronic regional pain syndrome, and one patient had chronic fatigue syndrome. Read More

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http://dx.doi.org/10.1002/ppul.24791DOI Listing

Commentary: Custom-printed Y stent in the management of tracheoesophageal fistula following esophagectomy: A new weapon in a difficult fight?

J Thorac Cardiovasc Surg 2020 Apr 18. Epub 2020 Apr 18.

Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Mass. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2020.04.019DOI Listing

Repair of oesophageal atresia by consultants and supervised trainees results in similar outcomes.

Ann R Coll Surg Engl 2020 May 21:1-4. Epub 2020 May 21.

University Hospital Southampton NHS Foundation Trust, UK.

Introduction: Consultants and trainees require exposure to complex cases for maintaining and gaining operative experience. Oesophageal atresia (OA) repair is a neonatal surgical procedure with indicative numbers for completion of training. A conflict of interest may exist between adequate training, maintaining consultant experience and achieving good outcomes. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0087DOI Listing

Efficacy of a standardized tube weaning program in pediatric patients with feeding difficulties after successful repair of their esophageal atresia/tracheoesophageal fistula.

Eur J Pediatr 2020 May 15. Epub 2020 May 15.

Department of Paediatrics and Adolescent Medicine, Division of General Pediatrics, Medical University of Graz, Auenbruggerplatz 34/2, 8010, Graz, Austria.

Children born with esophageal atresia (EA) might suffer from significant oral feeding problems which could evolve into tube dependency. The primary aim of the study was to define the outcome of tube weaning in children after successful EA repair and to compare outcomes in children with short gap/TEF (tracheoesophageal fistula) and long-gap EA. Data of 64 children (28 with short-gap EA/TEF with primary anastomosis and 36 with long-gap EA with delayed surgical repair) who participated in a standardized tube weaning program based on the "Graz model of tube weaning" (in/outpatients in an intensive 3-week program, online coaching (Netcoaching) only, or a combined 2-week intensive onsite followed by online treatment "Eating School") from 2009 to 2019 was evaluated. Read More

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http://dx.doi.org/10.1007/s00431-020-03673-wDOI Listing

Delayed Diagnosis in Esophageal Atresia and Tracheoesophageal Fistula: Case Study.

Adv Neonatal Care 2020 May 6. Epub 2020 May 6.

PIPER (Retrieval Team) (Dr Scott) and Butterfly (Surgical NICU) (Mss Hawley and Brooks), Royal Children's Hospital, Melbourne, Australia.

Background: Timely identification of esophageal atresia is challenging. Diagnosis may be suspected antenatally with a combination of polyhydramnios, associated with a small or absent stomach bubble or other anomalies. Esophageal atresia can be suspected postnatally in the presence of tachypnea, increased oral secretions, and an inability to advance an orogastric tube. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000763DOI Listing

Diagnosis of rhomboencephalosynapsis by MRI in a 5-year-old child.

Radiol Case Rep 2020 Jul 1;15(7):867-870. Epub 2020 May 1.

Radiology department, Shaio Clinic Foundation, University of La Sabana, Bogotá, Colombia.

Rhombencephalosynapsis is a rare defect in the development of the cerebellum, characterized by partial or total agenesis of the vermis, with fusion of the cerebellar hemispheres in the midline. It is usually related to Gómez-López-Hernández Syndrome (cerebellar-trigeminal dermal dysplasia) and VACTERL association (vertebral defects, vascular anomalies, anal atresia, cardiac anomalies, tracheoesophageal fistula with esophageal atresia, renal dysplasia and limb anomalies). A 5-year-old female patient with spastic cerebral palsy and hydrocephalus presented here, neuroimages documented the next features: absence of cerebellar vermis, periventricular leukomalacia, cerebellar tonsils descent and rhombencephalosynapsis. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.04.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200622PMC

The value of prophylactic chest tubes in tracheoesophageal fistula repair.

Pediatr Surg Int 2020 Jun 6;36(6):687-696. Epub 2020 May 6.

Division of Pediatric Surgery, The Saban Research Institute, Children's Hospital Los Angeles, 4650 Sunset Blvd., Mailstop #100, Los Angeles, CA, 90027, USA.

Purpose: Intraoperative chest tubes (IOCTs) can be placed during esophageal atresia/tracheoesophageal fistula (EA/TEF) repair to control pneumothoraces and detect esophageal leaks, potentially preventing the need for postoperative chest tubes (POCTs). However, data are lacking regarding IOCTs' effect. We hypothesized that IOCT placement would not reduce the risk of POCT placement and would increase hospital length of stay (LOS). Read More

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http://dx.doi.org/10.1007/s00383-020-04664-6DOI Listing

Bronchoesophageal Fistula Requiring Venovenous ECMO After Minimally Invasive Esophagectomy.

J Cardiothorac Vasc Anesth 2020 Mar 13. Epub 2020 Mar 13.

Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO.

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http://dx.doi.org/10.1053/j.jvca.2020.03.008DOI Listing

Use of a pedicled sternocleidomastoid musculocutaneous flap in a large tracheoesophageal fistula.

Ann Thorac Surg 2020 Apr 27. Epub 2020 Apr 27.

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:

Repairing a large tracheoesophageal fistula with an extensive involvement of membranous wall of the trachea is sometimes troublesome, due to a lack of ideal replacement for the large defect. We report a case of successful use a pedicled sternocleidomastoid musculocutaneous flap to repair a large tracheoesophageal fistula, in which the cutaneous component was applied to the defect of membranous trachea after tracheal resection, and the muscular component was interposed between the tracheal and esophageal walls. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.03.072DOI Listing

[Etiology, diagnosis and treatment of cicatricial tracheal stenosis].

Khirurgiia (Mosk) 2020 (4):53-60

Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Russia.

Development of tracheal surgery was associated with introduction of fundamentally new procedures: two-level reconstruction, redo tracheal resection, tracheal resection with simultaneous dissection of tracheoesophageal fistula. There are combined and staged techniques when tracheal repair or endoscopic interventions are performed as a stage before circular resection of trachea. However, a single algorithm for prevention and correction of postoperative complications is still absent in tracheal surgery. Read More

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http://dx.doi.org/10.17116/hirurgia202004153DOI Listing

Multi-layered Free-form 3D Cell-printed Tubular Construct with Decellularized Inner and Outer Esophageal Tissue-derived Bioinks.

Sci Rep 2020 Apr 29;10(1):7255. Epub 2020 Apr 29.

Department of Creative IT Engineering, Pohang University of Science and Technology, San 31, Pohang, Gyeongbuk, Republic of Korea.

The incidences of various esophageal diseases (e.g., congenital esophageal stenosis, tracheoesophageal fistula, esophageal atresia, esophageal cancer) are increasing, but esophageal tissue is difficult to be recovered because of its weak regenerative capability. Read More

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http://dx.doi.org/10.1038/s41598-020-64049-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190629PMC

Tracheoesophageal fistula associated with bevacizumab after thoracic radiotherapy in non-small cell lung cancer: A case report.

Medicine (Baltimore) 2020 Apr;99(17):e19878

Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College.

Introduction: Tracheoesophageal Fistula (TF) is a rare complication of Bevacizumab. Thoracic radiotherapy may be a contributing factor to TF formation. To the best of our knowledge, we report the first case of Chinese patient with non-small cell lung cancer (NSCLC) who developed TF after completion of chemotherapy with bevacizumab and thoracic radiotherapy. Read More

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http://dx.doi.org/10.1097/MD.0000000000019878DOI Listing

Tracheoesophageal diversion improves oral uptake of food: a retrospective study.

Eur Arch Otorhinolaryngol 2020 Apr 23. Epub 2020 Apr 23.

Fukuoka Sanno Hospital, 3-6-45, Momochihama, Sawara-ku, Fukuoka, 814-0001, Japan.

Purpose: Tracheoesophageal diversion (TED) is an effective therapeutic procedure for intractable aspiration. In this study, we performed TED in cases of intractable aspiration and/or repetitive pneumonia, investigated the main route of nutritional uptake after the procedure, and evaluated the swallowing method using videofluoroscopy. We also evaluated the validity of TED for treating intractable aspiration. Read More

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http://dx.doi.org/10.1007/s00405-020-05988-8DOI Listing

Thoracoscopic repair of esophageal atresia with distal tracheoesophageal fistula: is it a safe procedure in infants weighing less than 2000 g?

Surg Endosc 2020 Apr 22. Epub 2020 Apr 22.

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro, Gangnam-Gu, Seoul, 06351, Korea.

Background: Since Rothenberg first performed thoracoscopic repair for esophageal atresia with distal tracheoesophageal fistula (EA/TEF) successfully in 2000, thoracoscopic repair has achieved status as a routine procedure worldwide. Previously, an international multicenter study reported that this procedure was not inferior to conventional open surgery. However, thoracoscopic surgery is a highly difficult operation for surgeons and anesthesiologists; as a result, the safety and efficacy of the surgery is still under debate. Read More

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http://dx.doi.org/10.1007/s00464-020-07538-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222104PMC

Thoracoscopic surgery for recurrent tracheoesophageal fistula after esophageal atresia repair.

Dis Esophagus 2020 Apr 23. Epub 2020 Apr 23.

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

We aimed to investigate the safety, feasibility, and outcomes of thoracoscopic surgery for recurrent tracheoesophageal fistula (rTEF) after esophageal atresia repair. The medical records and follow-up data of 31 patients who underwent thoracoscopic surgery for rTEF at a single institution were collected and reviewed. In total, 31 patients were enrolled with a median age of 7 months (range: 3-30 months) and a median weight of 6,000 g (range: 4,000-12,000 g) before reoperation. Read More

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http://dx.doi.org/10.1093/dote/doaa023DOI Listing

Fascia lata: for the repairment of post-intubation tracheoesophageal fistula.

Gen Thorac Cardiovasc Surg 2020 Apr 18. Epub 2020 Apr 18.

Department of Otorhinolaryngology, Faculty of Medicine, Near East University, Yakın Doğu Blv, Nicosia, Cyprus.

Tracheoesophageal fistulas are challenging formations for surgeons which can be treated with various surgical procedures. In an acquired tracheoesophageal fistula, fascia lata grafting can be accepted as a safe, easy accesible and a promising procedure, which can be one of the treatment options. We present a case of post-intubation tracheoesophageal fistula in which fascia lata was used as a reinforcement graft for the repairment in an adult patient. Read More

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http://dx.doi.org/10.1007/s11748-020-01354-xDOI Listing

Esophageal atresia and tracheoesophageal fistula: prenatal sonographic Manifestation from early to late pregnancy.

Ultrasound Obstet Gynecol 2020 Apr 18. Epub 2020 Apr 18.

Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: Esophageal atresia with or without trachea-esophageal fistula (EA/TEF) remains one of the most prenatally missed congenital anomalies. The aim of our study was to elucidate sonographic manifestation of EA/TEF throughout pregnancy.

Methods: A retrospective study of 12 years was performed at a tertiary center. Read More

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http://dx.doi.org/10.1002/uog.22050DOI Listing

Infantile hypertrophic pyloric stenosis in patients with esophageal atresia.

Birth Defects Res 2020 May 16;112(9):670-687. Epub 2020 Apr 16.

Department of Clinical Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands.

Background: Patients born with esophageal atresia (EA) have a higher incidence of infantile hypertrophic pyloric stenosis (IHPS), suggestive of a relationship. A shared etiology makes sense from a developmental perspective as both affected structures are foregut derived. A genetic component has been described for both conditions as single entities and EA and IHPS are variable components in several monogenetic syndromes. Read More

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http://dx.doi.org/10.1002/bdr2.1683DOI Listing

Retinoic Acid Signaling and Development of the Respiratory System.

Subcell Biochem 2020 ;95:151-174

Pulmonary Center, Boston University School of Medicine, 72 East Concord Street, Boston, MA, R-30402118, USA.

Retinoic acid (RA), the bioactive metabolite of vitamin A (VA), has long been recognized as a critical regulator of the development of the respiratory system. During embryogenesis, RA signaling is involved in the development of the trachea, airways, lung, and diaphragm. During postnatal life, RA continues to impact respiratory health. Read More

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http://dx.doi.org/10.1007/978-3-030-42282-0_6DOI Listing

[Prosthetic rehabilitation in the head and neck region].

HNO 2020 May;68(5):379-390

Hals-Nasen-Ohrenklinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland.

Implant-retained craniofacial prostheses (or epitheses) made of silicone are state of the art for prosthetic rehabilitation of facial defects. With the modern extraoral implant systems, prostheses may be securely anchored to the bone regardless of size and location of the defect. Prerequisite for successful implantation is the classical atraumatic surgical technique with avoidance of any thermal trauma to the bone. Read More

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http://dx.doi.org/10.1007/s00106-020-00853-wDOI Listing

Triple Stent Placement for Tracheoesophageal Fistula Closure.

Arch Bronconeumol 2020 Apr 11. Epub 2020 Apr 11.

Servicio de Digestivo, Hospital Universitario Río Hortega, Valladolid, España.

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http://dx.doi.org/10.1016/j.arbres.2020.02.011DOI Listing

Safety and Efficacy of the Tracheobronchial Bonastent: A Single-Center Case Series.

Respiration 2020 7;99(4):353-359. Epub 2020 Apr 7.

Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Background: Tracheobronchial stents are widely used devices in interventional pulmonology; however, the current literature on the effectiveness and complication rates of the different types of stents is limited.

Objective: We report the largest case series of airway Bonastent placement and describe the efficacy and early (<30 days) and late (≥30 days) complication rates.

Methods: We performed a retrospective review of our prospectively collected database of patients who underwent therapeutic bronchoscopy with stent placement. Read More

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http://dx.doi.org/10.1159/000506815DOI Listing

Novel technique for lymphadenectomy along left recurrent laryngeal nerve during thoracoscopic esophagectomy.

World J Gastroenterol 2020 Mar;26(12):1340-1351

Department of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China.

Background: In esophageal squamous carcinoma, lymphadenectomy along the left recurrent laryngeal nerve (RLN) is recommended owing to its highly metastatic potential. However, this procedure is difficult due to limited working space in the left upper mediastinum, and increases postoperative complications.

Aim: To present a novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position. Read More

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http://dx.doi.org/10.3748/wjg.v26.i12.1340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109273PMC

Is thoracoscopic esophageal atresia repair safe in the presence of cardiac anomalies?

J Pediatr Surg 2020 Mar 22. Epub 2020 Mar 22.

Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand. Electronic address:

Background: Esophageal atresia (EA) is often associated with congenital heart disease (CHD). Repair of EA by the thoracoscopic approach places physiological stress on a newborn with CHD. This paper reviews the outcomes of infants with CHD who had undergone thoracoscopic EA repair, comparing their outcomes to those without CHD. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.03.004DOI Listing

Patterns of malformation associated with esophageal atresia/tracheoesophageal fistula: A retrospective single center study.

Am J Med Genet A 2020 Jun 6;182(6):1351-1363. Epub 2020 Apr 6.

Department of Pediatrics, Division of Genetics and Dysmorphology, UC San Diego/Rady Children's Hospital, San Diego, California.

Esophageal atresia/tracheoesophageal fistula (EA/TEF) is one of the most common gastrointestinal birth defects. It can occur in isolation or in association with other birth defects or genetic syndromes. We retrospectively reviewed the EA/TEF cases evaluated at Rady Children's Hospital San Diego (San Diego, CA) between 2007 and 2016. Read More

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http://dx.doi.org/10.1002/ajmg.a.61582DOI Listing

The history of surgery for esophageal atresia.

Authors:
Don K Nakayama

J Pediatr Surg 2020 Mar 21. Epub 2020 Mar 21.

Department of Surgery, Division of Pediatric Surgery, University of North Carolina School of Medicine, Chapel Hill, NC. Electronic address:

Until the successful repair of esophageal atresia (EA) and distal tracheoesophageal fistula (TEF) in 1941 by Cameron Haight of Ann Arbor, MI, every infant operated upon for this anomaly died within days and often hours of surgery. A key step was the posterior extrapleural approach to the mediastinum pioneered by Charles Mixter of Boston in 1929 that gave direct exposure of the anomaly without entering the pleural cavity and collapsing the lung. From 1936 to 1939 Thomas Lanman, also of Boston, made five unsuccessful attempts at primary repair of EA. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.03.003DOI Listing

Tracheoesophageal fistula in the developing world: are we ready for thoracoscopic repair?

Pediatr Surg Int 2020 May 26;36(5):649-654. Epub 2020 Mar 26.

Department of Pediatric Surgery, Palestine Medical Complex, Ramallah, West Bank, Palestine.

Purpose: Tracheoesophageal fistula (TEF) is a bellwether for a country's ability to care for sick newborns. We aim to review the existing literature from low- and middle-income countries in regard to management of those newborns and the possible approaches to improve their outcomes.

Methods: A review of the existing English literature was conducted with the aim of assessing challenges faced by providers in LMIC in terms of diagnostic, preoperative, operative and post-operative care for TEF patients. Read More

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http://dx.doi.org/10.1007/s00383-020-04639-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223493PMC

Predictors of index admission mortality and morbidity in contemporary esophageal atresia patients.

J Pediatr Surg 2020 Feb 20. Epub 2020 Feb 20.

Department of Surgery, Boston Children's Hospital/Harvard Medical School, Boston, MA; Advanced Fetal Care Center, Boston Children's Hospital, Boston, MA. Electronic address:

Background/purpose: The Spitz classification for esophageal atresia with/without tracheoesophageal fistula (EA/TEF) predicts mortality. This study evaluates the contemporary relevance of the Spitz classification and investigates predictors of morbidity.

Methods: EA/TEF patients born between 1995 and 2018 at two centers were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.02.005DOI Listing
February 2020

Recurrent Peumonia in an Infant With an Esophageal Lung.

Indian Pediatr 2020 Mar;57(3):266-267

Department of Pediatrics, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Esophageal lung is a rare variety of communicating bronchopulmonary foregut malformation with anomaolous communication between an isolated portion of respiratory tissue and esophagus. Children present in early life with recurrent cough and pneumonia. Majority of the reported cases are associated with other anomalies like tracheoesophageal fistula. Read More

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Diagnosis and management of complete tracheal rings with concurrent tracheoesophageal fistula.

Int J Pediatr Otorhinolaryngol 2020 Jun 27;133:109971. Epub 2020 Feb 27.

Department of Otolaryngology - Head and Neck Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Canada.

Objective: Characterize patients with complete tracheal rings and tracheoesophageal fistula (TEF) and summarize management options.

Methods: A systematic review of patients under 18 years of age with complete tracheal rings and TEF was conducted. Authors were contacted for additional patient information and new cases were added. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109971DOI Listing

Impact of consolidation of cases on post-operative outcomes for index pediatric surgery cases.

J Pediatr Surg 2020 Feb 25. Epub 2020 Feb 25.

University of Utah, Department of Surgery, Division of Pediatric Surgery, Salt Lake City, UT.

Background: The effect of the consolidation of neonatal pediatric surgical cases to limited surgeons within a hospital is unknown. We elected to model the distribution of complex neonatal procedures using an economic measure of market concentration, the Herfindahl-Hirschmann Index (HHI), and study its effect on outcomes of index pediatric surgical operations.

Methods: We used data from 49 US children's hospitals between 2007 and 2017 for the following procedures: congenital diaphragmatic hernia repair (CDH), esophageal atresia and tracheoesophageal fistula repair (EA/TEF), and pull-through for Hirschsprung disease (HD). Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.02.044DOI Listing
February 2020

Growth from Birth to 30 months for Infants Born with Congenital Gastrointestinal Anomalies and Disorders.

Am J Perinatol 2020 Mar 13. Epub 2020 Mar 13.

Division of Neonatology and Developmental Biology, Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles, Mattel Children's Hospital at UCLA, Los Angeles, California.

Objective:  This study aimed to investigate growth among neonates with gastrointestinal disorders.

Study Design:  Inclusion criteria included neonates with gastroschisis, omphalocele, intestinal atresia, tracheoesophageal fistula, Hirschsprung's disease, malabsorption disorders, congenital diaphragmatic hernia, and imperforate anus born between 2010 and 2018. Anthropometrics were collected for the first 30 months, and a subgroup analysis was performed for gastroschisis infants. Read More

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http://dx.doi.org/10.1055/s-0040-1705136DOI Listing

The Current Thoracoscopic Management of Esophageal Atresia.

Eur J Pediatr Surg 2020 Apr 8;30(2):142-145. Epub 2020 Mar 8.

Department of Pediatric Surgery, Children's Mercy Kansas City, Kansas City, Missouri, United States.

The thoracoscopic repair of esophageal atresia with tracheoesophageal fistula is a complex neonatal minimally invasive procedure. The thoracoscopic approach is now nearing its third decade of experience and but is overall still not widely utilized, only in skilled centers and by experienced surgeons. This article will summarize the recent advancements in technique and knowledge in the thoracoscopic approach to this challenging neonatal congenital abnormality. Read More

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http://dx.doi.org/10.1055/s-0040-1702140DOI Listing

The burden of esophageal dilatations following repair of esophageal atresia.

J Pediatr Surg 2020 Feb 19. Epub 2020 Feb 19.

Department of Paediatric Surgery, The Royal Children's Hospital, 50 Flemington Road, Parkville, VIC 3052, Australia; F. Douglas Stephens Surgical Research Group, Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC 3010, Australia; Department of Gastroenterology and Clinical Nutrition, The Royal Children's Hospital, 50 Flemington Road, Parkville, VIC 3052, Australia.

Aim: To describe the burden of esophageal dilatations in patients following esophageal atresia (EA) repair.

Method: A retrospective review was performed at The Royal Children's Hospital, Melbourne, of all neonates undergoing operative repair for EA over a 17-year period (1999-2015). Stricture was defined by radiological and/or intra-operative findings of narrowing at the esophageal anastomosis. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.02.018DOI Listing
February 2020

Risk factors for bronchiolitis hospitalization in infants: A French nationwide retrospective cohort study over four consecutive seasons (2009-2013).

PLoS One 2020 6;15(3):e0229766. Epub 2020 Mar 6.

Translational Health Economics Network (THEN), Paris, France.

Objectives: Large studies are needed to update risk factors of bronchiolitis hospitalization. We performed a nationwide analysis of hospitalization rates for bronchiolitis over four consecutive bronchiolitis seasons to identify underlying medical disorders at risk of bronchiolitis hospitalization and assess their frequency.

Methods: Data were retrieved from the French National Hospital Discharge database. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229766PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059917PMC

Insufflation in minimally invasive surgery: Is there any advantage in staying low?

J Pediatr Surg 2020 Jan 26. Epub 2020 Jan 26.

Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital, Paediatric Surgery, London, United Kingdom; Stem Cell and Regenerative Medicine Section, DBC, University College London, Great Ormond Institute of Child Health, London, United Kingdom. Electronic address:

Aim: Minimally invasive repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) and congenital diaphragmatic hernia (CDH) is feasible and confers benefits compared to thoracotomy or laparotomy. However, carbon dioxide (CO) insufflation can lead to hypercapnia and acidosis. We sought to determine the effect of lower insufflation pressures on patients' surrogate markers for CO absorption - arterial partial pressure of CO (PaCO), end tidal CO (EtCO) and pH. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.11.026DOI Listing
January 2020

Esophageal self-expandable metal stent placement for the palliation of dysphagia due to lung cancer.

Turk Gogus Kalp Damar Cerrahisi Derg 2019 Jan 1;27(1):88-92. Epub 2019 Jan 1.

Department of Thoracic Surgery, Medicine Faculty of Trakya University, Edirne, Turkey.

Background: This study aims to report our experience with esophageal self-expendable metal stents for the palliation of malignant dysphagia and tracheoesophageal fistulas caused by lung cancer.

Methods: Esophageal self-expandable metal stents were deployed in 56 patients (55 males, 1 female; mean age 63.5 years; range, 42 to 79 years) with malignant dysphagia due to lung cancer between August 2002 and May 2018. Read More

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http://dx.doi.org/10.5606/tgkdc.dergisi.2019.16755DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021379PMC
January 2019

A rare case of acquired benign tracheoesophageal fistula.

J Surg Case Rep 2020 Feb 15;2020(2):rjaa001. Epub 2020 Feb 15.

Department of Otolaryngology, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, UK.

Acquired benign tracheoesophageal fistula (TOF) is a rare medical condition that usually results from trauma, foreign bodies or granulomatous infections. This is an unusual presentation of a male patient with a history of laryngectomy who has had over a period of several years inappropriately and vigorously used valve cleaning brushes to clean tracheal secretions, which has led to the formation of a TOF. Due to the patient's obsessive habit, we could not manage him using conventional surgical methods. Read More

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http://dx.doi.org/10.1093/jscr/rjaa001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021918PMC
February 2020

[Effect of partial cricotracheal resection and extended cricotracheal resection for severe laryngotracheal stenosis].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Feb;55(2):94-97

Department of Otorhinolaryngology Head and Neck Surgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China.

To assess the outcomes of partial cricotracheal resection (CTR) and extended cricotracheal resection (ECTR) for severe laryngotracheal stenosis. From November 2009 to September 2017, 18 patients underwent CTR and ECTR at the Department of Otorhinolaryngology Head and Neck Surgery, Tangdu Hospital, Air Force Medical University for severe laryngotracheal stenosis were reviewed retrospectively. There were 12-male and 6-female patients, with the age ranged from 4 to 56 years (median 25 years). Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2020.02.003DOI Listing
February 2020

Management and Outcomes of Button Batteries in the Aerodigestive Tract: A Multi-institutional Study.

Laryngoscope 2020 Feb 18. Epub 2020 Feb 18.

Division of Pediatric Otolaryngology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Objectives/hypothesis: To describe the clinical presentation, management, and complications associated with button battery impaction in the aerodigestive tract in children.

Study Design: Retrospective case series.

Methods: This multi-institutional study, endorsed by the American Society of Pediatric Otolaryngology research consortium, is a retrospective medical record review, including all children at five tertiary-care institutions presenting with button batteries impacted in the aerodigestive tract between January 2002 and December 2014. Read More

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http://dx.doi.org/10.1002/lary.28568DOI Listing
February 2020
2.032 Impact Factor

Esophageal Button Battery in the Pediatric Population: Experience from a Tertiary Care Center.

Indian J Pediatr 2020 Feb 15. Epub 2020 Feb 15.

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Objectives: To highlight different patterns of clinical presentation, share authors' experience in the management of children following button battery ingestion and their outcomes.

Methods: This is a single center descriptive cohort study with a total duration of 5 y (January 2014 through December 2018). Battery removal was performed by urgent rigid esophagoscopy following department protocols. Read More

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http://dx.doi.org/10.1007/s12098-020-03222-1DOI Listing
February 2020

Magnamosis for esophageal atresia is associated with anastomotic strictures requiring an increased number of dilatations.

J Pediatr Surg 2020 May 30;55(5):821-823. Epub 2020 Jan 30.

Departments of Surgery, Division of Pediatric Surgery, Pediatrics and Child Health, Children's Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:

Background/purpose: Magnamosis is a novel technique which utilizes high power magnets to anastomose the esophageal ends in children with esophageal atresia (EA) with or without a tracheoesophageal fistula (TEF), theoretically avoiding the need for thoracotomy. The objective of this study was to compare anastomotic stricture formation requiring dilatation after magnamosis versus after conventional anastomosis.

Methods: Our center treated the first 3 cases of EA ± TEF with magnamosis in Canada. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.01.022DOI Listing

Nationwide analysis of mortality and hospital readmissions in esophageal atresia.

J Pediatr Surg 2020 May 12;55(5):824-829. Epub 2020 Feb 12.

Dewitt-Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine. Electronic address:

Purpose: The purpose of this study is to identify determinants of mortality and hospital readmission in infants born with esophageal atresia ± tracheoesophageal fistula.

Methods: The Nationwide Readmissions Database (2010-2014) was queried for newborns with a diagnosis of esophageal atresia. Outcomes included mortality and readmissions at 30-day and 1-year. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.01.025DOI Listing

Outcome of thoracoscopic repair of type-C esophageal atresia: a single-center experience from North Africa.

Dis Esophagus 2020 Feb 12. Epub 2020 Feb 12.

Pediatric Surgical Department, Cairo University Specialized Pediatric Hospital, Cairo, Egypt.

Thoracoscopic repair of esophageal atresia is gaining popularity worldwide attributable to availability and advances in minimally invasive instruments. In this report, we presented our experience with thoracoscopic esophageal atresia/tracheoesophageal fistula (EA/TEF) repair in our tertiary care institute. A prospective study on short-gap type-C EA/TEF was conducted at Cairo University Specialized Pediatric Hospital between April 2016 and 2018. Read More

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http://dx.doi.org/10.1093/dote/doaa001DOI Listing
February 2020

Genetic counseling for fetal gastrointestinal anomalies.

Curr Opin Obstet Gynecol 2020 Apr;32(2):134-139

Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia.

Purpose Of Review: Congenital gastrointestinal anomalies are common findings with relatively established methods of treatment. However, the genetic cause of how these defects occur and how that may impact a child's lifelong care is less established. Genetic testing has improved significantly in recent years, yet reviews documenting prenatal genetic counseling and testing guidelines have not been comprehensively updated. Read More

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http://dx.doi.org/10.1097/GCO.0000000000000613DOI Listing

Rapid Progression of Tracheoesophageal Fistula Caused by Immunotherapy Administered after Tracheal Stent Placement.

Biomed Hub 2019 May-Aug;4(2):1-5. Epub 2019 Jul 25.

Department of Thoracic Surgery, Osaka City General Hospital, Osaka, Japan.

Development of a tracheoesophageal fistula (TEF) is a serious complication of treatment for esophageal or lung cancer, especially following radiation therapy. However, development of a TEF as a complication of chemotherapy or tracheal stenting after surgical debulking is quite uncommon. We herein report a rare case involving a patient with advanced adenocarcinoma invading the mediastinum who rapidly developed a TEF after placement of a tracheal stent and administration of nivolumab immunotherapy. Read More

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http://dx.doi.org/10.1159/000501157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6985888PMC

Gastrointestinal diseases among relatives of patients with esophageal atresia with or without tracheoesophageal fistula.

Transl Pediatr 2019 Dec;8(5):378-382

Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany.

Background: Several studies have identified genetic factors that are associated with the formation of isolated and non-isolated esophageal atresia with or without tracheoesophageal fistula (EA/TEF) in human and mice. Some of these genetic factors like FOXF1/Foxf1 are associated with Barrett syndrome, esophageal carcinoma or tumors of the gastrointestinal tract. Here, we investigated the prevalence of common gastrointestinal diseases among EA/TEF patients and their first- and second-degree relatives (parents and grandparents). Read More

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http://dx.doi.org/10.21037/tp.2019.04.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970114PMC
December 2019

Autologous pedicled pericardial patch repair of tracheobronchial defect.

Multimed Man Cardiothorac Surg 2020 Jan 27;2020. Epub 2020 Jan 27.

Tracheal Team Great Ormond Street Hospital for Children London, UK.

An acquired posterior tracheal wall defect, most commonly an acquired tracheoesophageal fistula, is a challenging clinical scenario. Autologous pedicled pericardial patch repair is a versatile and sustainable technique for the repair of a large tracheal defect, from primary management to airway salvage. This video tutorial demonstrates the technical aspects of this technique using step-by-step video. Read More

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http://dx.doi.org/10.1510/mmcts.2020.005DOI Listing
January 2020