Congenital tracheoesophageal fistula without esophageal atresia.

Abstract:

:The authors report a series of eight cases of isolated tracheoesophageal fistula without esophageal atresia (or an H type fistula), treated in three pediatric ENT departments. This is a rare malformation whose diagnosis requires investigation for associated anomalies. The clinical signs are mainly respiratory but also digestive and the symptomatology can be severe. The diagnosis can be made with a barium swallow combined with cineradiography, but a tracheoesophageal endoscopy remains the investigation of choice. The treatment is surgical. In most cases, the fistula is accessible by a right or left cervicotomy, depending on the surgeon's practice, with a much lower postoperative morbidity as compared to a thoracotomy. The postoperative management was straightforward in most of our cases. We discuss the role of gastro-esophageal reflux with respect to postoperative morbidity as well as systematic treatment for reflux peri-operatively. The pros and cons of the various surgical approaches are also discussed.

authors

Genty E,Attal P,Nicollas R,Roger G,Triglia JM,Garabedian EN,Bobin S

doi

10.1016/s0165-5876(99)00039-7

subject

Has Abstract

pub_date

1999-05-25 00:00:00

pages

231-8

issue

3

eissn

0165-5876

issn

1872-8464

pii

S0165587699000397

journal_volume

48

pub_type

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