Abstract：
BACKGROUND:A pull-back tube esophagogram (PBTE) is widely accepted in the literature as the radiological investigation of choice for the diagnosis of tracheoesophageal fistula without esophageal atresia. However, PBTE is rarely performed in our institution, as we have been successful in confirming the presence of such fistulae with a contrast material swallow (CS). We hypothesized that PBTE is not the radiological investigation of choice for the diagnosis of the fistula in this condition. OBJECTIVE:We sought to determine what proportion of patients with tracheoesophageal fistula without esophageal atresia can be diagnosed promptly by a CS and what the indications are for a PBTE. MATERIALS AND METHODS:We retrospectively analyzed the clinical and radiological findings in patients with tracheoesophageal fistula without esophageal atresia to determine whether the fistula was diagnosed with a CS or PBTE. RESULTS:We identified 20 children (13 female and 7 male) with tracheoesophageal fistula without esophageal atresia. Their age at diagnosis ranged from 3 days to 168 months with a median of 9 days. The diagnosis was documented by CS in 12, PBTE in 7 and CT in 1. In three of the seven who had the fistula documented by PBTE, a previous CS had shown contrast material in the trachea, but no fistulous tract or aspiration was identified. CONCLUSION:We believe that CS should be the examination of choice in most patients suspected of having a tracheoesophageal fistula without esophageal atresia. A PBTE is indicated in patients who are intubated or are at significant risk of aspiration. Furthermore, a PBTE is also indicated where contrast material is seen in the airway on CS and there is uncertainty whether this is due to aspiration or a fistula.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Laffan EE,Daneman A,Ein SH,Kerrigan D,Manson DEdoi
10.1007/s00247-006-0269-0subject
Has Abstractpub_date
2006-11-01 00:00:00pages
1141-7issue
11eissn
0301-0449issn
1432-1998journal_volume
36pub_type
杂志文章abstract：:Two adolescent girls with acquired vaginal occlusion and resultant hematometracolpos are presented. Both are long-term survivors of childhood malignancies, who prior to multiagent chemotherapy and pelvic irradiation had normal uteri by imaging. Both were amenorrheic post therapy. Routine follow-up computed tomography ...
journal_title：Pediatric radiology
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更新日期：2009-04-01 00:00:00
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更新日期：2007-09-01 00:00:00
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更新日期：2015-06-01 00:00:00
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journal_title：Pediatric radiology
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doi：10.1007/BF02021699
更新日期：1995-01-01 00:00:00
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journal_title：Pediatric radiology
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更新日期：1998-08-01 00:00:00
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更新日期：1992-01-01 00:00:00
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