4,911 results match your criteria Tracheoesophageal Fistula


Surgical Treatment Outcomes of Acquired Benign Tracheoesophageal Fistula: A Literature Review.

J Chest Surg 2021 May 12. Epub 2021 May 12.

Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Yangsan, Korea.

Background: Tracheoesophageal fistula (TEFs) is a rare condition that requires complex surgical treatment. We analyzed the surgical outcomes of TEF reported in the literature and at Pusan National University Yangsan Hospital using standardized techniques.

Methods: This retrospective study included 8 patients diagnosed with acquired benign TEF between March 2010 and December 2019. Read More

View Article and Full-Text PDF

Diagnostic accuracy of ultrasonography for the prenatal diagnosis of esophageal atresia and tracheoesophageal fistula.

Exp Ther Med 2021 Jun 18;21(6):643. Epub 2021 Apr 18.

Department of Ultrasonography, Affiliated Hospital of Jining Medical University, Jining, Shandong 272000, P.R. China.

Ultrasound is recommended as a first-line requirement prior to MRI or amniotic fluid analysis, which have high diagnostic accuracy for esophageal atresia (EA). Therefore, the aim of the present prospective study was to evaluate the accuracy of high-performance ultrasound for the prenatal examination of EA/tracheoesophageal fistula (TOF). In total, 64 pregnant women with fetuses suspected of having EA/TOF participated in the study. Read More

View Article and Full-Text PDF

Tracheomediastinal Fistula Formation After Endobronchial Ultrasound Transbronchial Needle Aspiration While on Bevacizumab Treatment.

Cureus 2021 Mar 30;13(3):e14189. Epub 2021 Mar 30.

Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, USA.

A 63-year-old male with non-small-cell lung cancer (NSCLC) developed a tracheomediastinal fistula after endobronchial ultrasound transbronchial needle aspiration while on treatment with bevacizumab. This vascular endothelial growth factor-specific angiogenesis inhibitor is a first-line treatment for unresectable or metastatic NSCLC and has been reported to cause fatal non-gastrointestinal fistulas. Respiratory tract fistulas are a known rare complication after bevacizumab therapy characterized by a high mortality rate. Read More

View Article and Full-Text PDF

Unilateral repair of tracheoesophageal fistula with dilatation of incomplete subglottic stenosis.

Clin Case Rep 2021 Apr 16;9(4):2036-2039. Epub 2021 Feb 16.

Department of Surgery School of Medicine Shahed University Tehran Iran.

A case of TEF along with subglottic stenosis in a patient as a result of prolong intubation. We performed left unilateral tracheal repair to avoid injury to left recurrent laryngeal nerve followed by endoscopic balloon repair of stenosis. Due to critical condition of the patient and COVID-19 infection, she expired. Read More

View Article and Full-Text PDF

Survival Trends and Syndromic Esophageal Atresia.

Pediatrics 2021 May;147(5)

Departments of Paediatric Surgery,

Background And Objectives: Presence of a syndrome (or association) is predictive of poor survival in esophageal atresia (EA). However, most reports rely on historical patient outcomes, limiting their usefulness when estimating risk for neonates born today. We hypothesized improved syndromic EA survival due to advances in neonatal care. Read More

View Article and Full-Text PDF

Impact of preservation of the azygos vein during surgical repair of esophageal atresia-tracheoesophageal fistula (EA-TEF): a systematic review and meta-analysis.

Pediatr Surg Int 2021 Apr 27. Epub 2021 Apr 27.

Department of Pediatric Surgery, AIIMS, New Delhi, India.

Esophageal atresia-tracheoesophageal fistula (EA-TEF) is one of the common congenital anomalies occurring in newborns. Over the last eight decades, various technical modifications have been proposed in the surgical repair of EA-TEF. Preservation of azygos vein is one such modification that has gained considerable attention. Read More

View Article and Full-Text PDF

External fixation of airway stents for upper tracheal stenosis and tracheoesophageal fistula.

Interact Cardiovasc Thorac Surg 2021 Apr 20. Epub 2021 Apr 20.

Department of Respiratory Medicine, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.

Objectives: Stent migration is a common complication of airway stent placement for upper tracheal stenosis and tracheoesophageal fistula. Although several researchers have reported that external fixation is effective in preventing stent migration, the usefulness and safety of external fixation have not been proved because their cohorts were small. We therefore investigated the efficacy and safety of external fixation during upper tracheal stenting. Read More

View Article and Full-Text PDF

Prevalence of acid gastroesophageal reflux disease in infants with esophageal atresia/tracheoesophageal fistula.

Pediatr Res 2021 Apr 16. Epub 2021 Apr 16.

Univ. Lille, CHU Lille, INSERM U1286, Reference Center for Congenital Abnormalities of the Esophagus, Lille, France.

Background: Given the high prevalence and complication risks of acid gastroesophageal reflux (GERD) in the first months of life in infants with esophageal atresia, the ESPGHAN/NASPGHAN consensus statement recommends systematic treatment with proton pump inhibitors (PPIs) until the age of 1 year and checking for acid GERD thereafter. However, these recommendations have not been evaluated.

Methods: This prospective study was conducted from 2007 to 2016. Read More

View Article and Full-Text PDF

Complications following secondary voice prosthesis insertion and impact of previous irradiation on their appearance.

Niger J Clin Pract 2021 Apr;24(4):470-475

Faculty of Medicine, University of Novi Sad; Clinical Centre of Vojvodina, Clinic for Otorhinolaryngology and Head and Neck Surgery, Novi Sad, Serbia.

Objective: The aim of this study was to analyze the complications following secondary voice prosthesis insertion and impact of previous irradiation on their appearance.

Methods: This study included 106 totally laryngectomized patients who underwent secondary Provox 2 voice prosthesis insertion. Among them, 79 (74. Read More

View Article and Full-Text PDF

Perforator-Based Intercostal Artery Muscle Flap: A Novel Approach for the Treatment of Tracheoesophageal or Bronchoesophageal Fistulas.

Plast Reconstr Surg 2021 May;147(5):795e-800e

From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, INSERM U1236, and the Department of Hepatobiliary and Digestive Surgery, University of Rennes 1; SITI Laboratory, Etablissement Français du Sang Bretagne, Rennes University Hospital; and the Department of Plastic, Reconstructive, and Aesthetic Surgery, Cliniques Universitaires Saint-Luc.

Summary: Postoperative tracheoesophageal or bronchoesophageal fistulas represent a major surgical challenge. The authors report the description of an original perforator-based intercostal artery muscle flap, aiming to cover all types of intrathoracic fistulas, from any location, in difficult cases such as postoperative fistulas after esophagectomy in an irradiated field. Between June of 2016 and January of 2019, eight male patients were treated with a perforator-based intercostal artery muscle flap. Read More

View Article and Full-Text PDF

Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision.

Case Rep Surg 2021 30;2021:6645518. Epub 2021 Mar 30.

School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.

COVID-19 associated severe respiratory failure frequently requires admission to an intensive care unit, tracheal intubation, and mechanical ventilation. Among the risks of prolonged mechanical ventilation under these conditions, there is the development of tracheoesophageal fistula. We describe a case of a severe COVID-19 associated respiratory failure, who developed a tracheoesophageal fistula. Read More

View Article and Full-Text PDF

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

Exp Ther Med 2021 May 23;21(5):537. Epub 2021 Mar 23.

Discipline of Pediatrics, Department of Pediatrics, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

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. Read More

View Article and Full-Text PDF

Evaluation of pulmonary complications and affecting factors in children for repaired esophageal atresia and tracheoesophageal fistula.

Respir Med 2021 Mar 28;181:106376. Epub 2021 Mar 28.

Hacettepe University, Ihsan Dogramacı Children's Hospital, Pediatric Pulmonology, Ankara, Turkey. Electronic address:

Introduction: Recurrent pulmonary infections, wheezing and stridor due to swallowing dysfunction, esophageal dysmotility, gastroesophageal reflux, tracheomalacia and bronchomalacia are frequently seen complications after esophageal atresia and tracheo-esophageal fistula (EA-TEF) surgeries. This study aimed to investigate the frequency and causes of respiratory problems and to evaluate the factors that affect respiratory morbidity in patients who had undergone EA-TEF repair in a tertiary referral center.

Methods: Preoperative and postoperative records of patients with EA, TEF + EA and isolated EA were examined retrospectively. Read More

View Article and Full-Text PDF

Identification of acquired tracheoesophageal fistula after tracheostomy decannulation by videofluoroscopic swallowing study: A case report.

Medicine (Baltimore) 2021 Apr;100(13):e25349

Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital.

Rationale: Videofluoroscopic swallowing study (VFSS) is a noninvasive radiographic procedure that examines the oral, pharyngeal, and cervical esophageal stages of swallowing. Tracheoesophageal fistula (TEF) is difficult to diagnose depending on its size and location. However, how VFSS can be of benefit in the diagnosis of TEF has not been reported yet. Read More

View Article and Full-Text PDF

Battery swallow-induced tracheoesophageal fistula in a pediatric patient.

Clin Case Rep 2021 Mar 9;9(3):1725-1727. Epub 2021 Feb 9.

Departments of Anesthesiology and Otolaryngology University of Oklahoma Health Sciences Center Oklahoma City OK USA.

Tracheoesophageal fistula (TEF) is an abnormal connection between the trachea and esophagus. Rare acquired TEF arises from trauma, caustic fluids ingestion, and iatrogenic injuries (ventilation, esophageal atresia repair, radiation, or tracheal/esophageal stents). We discuss the diagnosis, anesthetic management, and surgical correction of battery swallow-induced TEF, not previously reported in the pediatric anesthesia and otorhinolaryngology literatures. Read More

View Article and Full-Text PDF

A New Montgomery® Salivary Bypass Tube Placement Technique: Report of Procedures Performed on Patients With Tracheoesophageal Fistula or Pharyngoesophageal Stenosis.

Ear Nose Throat J 2021 Mar 25:1455613211006002. Epub 2021 Mar 25.

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.

Salivary Bypass Tube is an important tool to prevent or treat some complications of laryngeal and hypopharyngeal surgery and its placement may prove difficult. In this article, we propose a new technique to simplify its management by using an Oral/Nasal Tracheal Tube Cuffed-Reinforced that allowed us to reduce operating times, complications related to prolonged general anesthesia, and the traumas on the tissues incurred during the forced positioning of the device with standard techniques. Read More

View Article and Full-Text PDF

Various Uses of Laryngeal Mask Airway during Tracheal Surgery.

Thorac Cardiovasc Surg 2021 Mar 19. Epub 2021 Mar 19.

Department of Thoracic Surgery, Gazi University Faculty of Medicine, Ankara, Turkey.

Background:  The use of laryngeal mask airway (LMA) ventilation in surgeries to be performed in upper tracheal stenosis has been reported in the case series. However, there is no generally accepted standardized approach for the use of LMA. In this study, LMA usage areas and advantages of trachea surgery were examined. Read More

View Article and Full-Text PDF

Closure of a chronic complex tracheoesophageal fistula by using endoscopic suturing.

VideoGIE 2021 Mar 28;6(3):119-121. Epub 2020 Dec 28.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS of Rome, Rome, Italy.

View Article and Full-Text PDF

Development of patient specific, realistic, and reusable video assisted thoracoscopic surgery simulator using 3D printing and pediatric computed tomography images.

Sci Rep 2021 Mar 18;11(1):6191. Epub 2021 Mar 18.

Department of Biomedical Engineering, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Herein, realistic and reusable phantoms for simulation of pediatric lung video-assisted thoracoscopic surgery (VATS) were proposed and evaluated. 3D-printed phantoms for VATS were designed based on chest computed tomography (CT) data of a pediatric patient with esophageal atresia and tracheoesophageal fistula. Models reflecting the patient-specific structure were fabricated based on the CT images. Read More

View Article and Full-Text PDF

Autologous platelet-rich fibrin: a novel method for tracheoesophageal puncture site closure: a case report.

J Wound Care 2021 Mar;30(3):234-237

Otolaryngology Head and Neck Surgery Department, S.Orsola-Malpighi University Hospital, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Closure of a tracheoesophageal puncture site performed during voice prosthesis implantation may sometimes be required. Besides local techniques, more elaborate procedures, such as closure by means of free microvascular flaps, have been advocated. In this report, we describe a case of local treatment of a hard-to-heal fistula with local application of autologous platelet-rich fibrin matrix in a 77-year-old male patient. Read More

View Article and Full-Text PDF

Effectiveness and safety of a newly designed partially covered tracheal metallic Y-shaped stent for the treatment of high cervical gastro-tracheal or tracheo-esophageal fistula: A retrospective observational study.

Medicine (Baltimore) 2021 Mar;100(11):e25132

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Interventional Therapy Institute of Zhengzhou University, Zhengzhou, China.

Abstract: The aim of this study was to evaluate the effectiveness and safety of a partially covered metallic tracheal Y-shaped stent for the treatment of high cervical gastro-tracheal fistula (GTF) and tracheo-esophageal fistula (TEF). From January 2017 to January 2019, 16 patients with high cervical GTF and TEF received partially covered metallic Y-shaped stent placement under fluoroscopic guidance. The technical and clinical success rates, incidence of major complications, and survival outcomes were analyzed. Read More

View Article and Full-Text PDF

Recurrent Laryngeal Nerve Monitoring in Pediatric Surgery Using a Modified Dragonfly Electrode.

Laryngoscope 2021 Mar 15. Epub 2021 Mar 15.

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, USA.

View Article and Full-Text PDF

Staged repair of truncus arteriosus with double aortic arch, tracheoesophageal fistula, and choanal atresia via a multi-disciplinary approach: a case report.

Transl Pediatr 2021 Feb;10(2):454-458

Division of Pediatric Cardiac Surgery, Department of Cardiovascular Surgery, The Mount Sinai Hospital, New York, NY, USA.

The previously unreported case of a child with an exceedingly rare amalgamation of complex defects, including truncus arteriosus (TA), double aortic arch (DAA), tracheoesophageal fistula, and choanal atresia is presented. First, on day-of-life (DOL) 2, with a joint effort involving Pediatric Cardiac Surgery, General Surgery, and Otolaryngology, division of tracheoesophageal fistula and repair of esophageal atresia, along with choanal atresia repair, was carried out. Via a right thoracotomy, the tracheoesophageal fistula, located medial to the azygous vein, was skeletonized and ligated. Read More

View Article and Full-Text PDF
February 2021

Benchmarking utilization, length of stay, and complications following minimally invasive repair of major congenital anomalies.

Surg Endosc 2021 Mar 10. Epub 2021 Mar 10.

Center for Surgical Outcomes Research, The Research Institute at Nationwide Children's Hospital, 611 Livingston Avenue, Suite 3A.3, Columbus, OH, 43205, USA.

Introduction: Infants with newborn congenital anomalies are increasingly undergoing minimally invasive surgical (MIS) repair. Currently available data on outcomes are limited. This study provides national estimates for length of stay and 30-day complications following MIS for congenital anomalies. Read More

View Article and Full-Text PDF

Hypopharyngeal Perforation Mimicking Esophageal Atresia: A Case Report of an Extremely Low Birth Weight Infant Emphasizing the Need for Preoperative Endoscopy.

A A Pract 2021 Mar 8;15(3):e01414. Epub 2021 Mar 8.

From the Department for Pediatric Anesthesia and Endoscopy, Children's Hospital, Cologne, Germany.

We report a case of an extremely low birth weight premature infant born at 27 weeks of gestation, transferred to our tertiary pediatric referral center for surgical repair of an esophageal atresia. Endoscopic evaluation before the start of surgery revealed a hypopharyngeal perforation, resulting in the false impression of esophageal atresia. If no tracheoesophageal fistula is found during tracheoscopy, esophagoscopy should be done before surgical intervention as the inability to pass a nasogastric tube into the stomach is not sufficiently reliable for a correct diagnosis of esophageal atresia. Read More

View Article and Full-Text PDF

Congenital malformations potentially affecting respiratory function: multidisciplinary approach and follow-up.

Acta Biomed 2020 09 4;92(1):e2021069. Epub 2020 Sep 4.

Pediatric Clinic, Dept of Medicine and Surgery, Pietro Barilla Children's Hospital, University of Parma, Italy.

Background And Aim: Congenital malformations such as oesophageal atresia (OA) and tracheoesophageal fistula (TOF), congenital pulmonary airway malformations (CPAMs), congenital diaphragmatic hernia (CDH) and vascular rings (VRs) can affect lung development and respiratory function. This observational study describes our multidisciplinary approach and respiratory follow-up of children with such congenital malformations.

Methods: Clinical data of children followed at the Pediatric Respiratory Unit of Parma University Hospital (Italy) between January 2015 and January 2020 were collected. Read More

View Article and Full-Text PDF
September 2020

Early presentation of post-intubation tracheoesophageal fistula with severe tracheal stenosis in COVID-19 patient.

Ann R Coll Surg Engl 2021 May 8;103(5):e144-e147. Epub 2021 Mar 8.

Universidad El Bosque, Bogota, Colombia.

The current global COVID-19 pandemic is caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Currently, acquired tracheoesophageal fistulas are mainly iatrogenic lesions produced by prolonged tracheal intubation. We present a case of tracheoesophageal fistula with severe tracheal stenosis following tracheal intubation in a patient with SARS-CoV-2 infection. Read More

View Article and Full-Text PDF

Finding the bubble: atypical and unusual extrapulmonary air in the chest.

Radiologia 2021 Mar 4. Epub 2021 Mar 4.

Servicio de radiodiagnóstico, Hospital Vall de Hebron, Barcelona, España.

Objective: To describe the radiologic findings of extrapulmonary air in the chest and to review atypical and unusual causes of extrapulmonary air, emphasizing the importance of the diagnosis in managing these patients.

Conclusion: In this article, we review a series of cases collected at our center that manifest with extrapulmonary air in the thorax, paying special attention to atypical and uncommon causes. We discuss the causes of extrapulmonary according to its location: mediastinum (spontaneous pneumomediastinum with pneumorrhachis, tracheal rupture, dehiscence of the bronchial anastomosis after lung transplantation, intramucosal esophageal dissection, Boerhaave syndrome, tracheoesophageal fistula in patients with esophageal tumors, bronchial perforation and esophagorespiratory fistula due to lymph-node rupture, and acute mediastinitis), pericardium (pneumopericardium in patients with lung tumors), cardiovascular (venous air embolism), pleura (bronchopleural fistulas, spontaneous pneumothorax in patients with malignant pleural mesotheliomas and primary lung tumors, and bilateral pneumothorax after unilateral lung biopsy), and thoracic wall (infections, transdiaphragmatic intercostal hernia, and subcutaneous emphysema after lung biopsy). Read More

View Article and Full-Text PDF

Prenatal diagnosis of persistent left superior vena cava, polyhydramnios and a small gastric bubble in a fetus with VACTERL association.

Taiwan J Obstet Gynecol 2021 Mar;60(2):355-358

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Department of Bioengineering, Tatung University, Taipei, Taiwan.

Objective: We reported a fetus that presenting with persistent left superior vena cava (PLSVC), polyhydramnios, and a small gastric bubble during prenatal examination and identified VACTERL association after birth.

Case Report: A 34-year-old woman underwent amniocentesis at 18 weeks of gestation because of advanced maternal age and the result was normal. Subsequently, an ultrasound revealed single umbilical artery (SUA) at 21 weeks of gestation. Read More

View Article and Full-Text PDF

Risk Factors of Early Mortality and Morbidity in Esophageal Atresia with Distal Tracheoesophageal Fistula: A Population-Based Cohort Study.

J Pediatr 2021 Mar 2. Epub 2021 Mar 2.

University Hospital of Clermont Ferrand, France.

Objective: To identify the risk factors for early mortality and morbidity in a population with distal esophageal atresia (EA)-tracheoesophageal fistula.

Study Design: Cohort study from a national register. Main outcomes and measures included early mortality, hospital length of stay (LoS), need for nutritional support at 1 year of age as a proxy measure of morbidity, and complications during the first year of life. Read More

View Article and Full-Text PDF