H-Type Tracheoesophageal Fistula Masquerading as Grade V Gastroesophageal Reflux in a Neonate

2021 ◽  
pp. 097321792110406
Author(s):  
Nasreen Banu ◽  
VVS Chandrasekharam ◽  
Durga Prasad Koduru
Keyword(s):  
Congenital Anomaly ◽  
Early Diagnosis ◽  
Gastroesophageal Reflux ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Neonatal Period ◽  
Postoperative Outcome ◽  
Clinical Suspicion ◽  
Rare Congenital Anomaly ◽  
Cervical Approach

Tracheoesophageal fistula (TEF) without associated esophageal atresia is a rare congenital anomaly. Diagnosis in neonatal period is usually not made and most of the patients are treated as cases of pneumonia. We report a case of H-type TEF, which was initially diagnosed as grade V gastroesophageal reflux on contrast esophagogram and bronchoscopy done revealed H-type fistula. Through cervical approach, fistula was repaired and baby had uneventful postoperative outcome. High index of clinical suspicion and early diagnosis can provide a better prognosis.

scholarly journals Recurrent pneumonia-H type Tracheoesophageal fistula, diagnostic dilemma.

2014 ◽  
Vol 34 (1) ◽  
pp. 71-73
Author(s):  
S Adhikari ◽  
K Malla ◽  
P Poudyal
Keyword(s):  
Congenital Anomaly ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Definitive Diagnosis ◽  
Diagnostic Dilemma ◽  
Recurrent Pneumonia ◽  
Rare Congenital Anomaly

Tracheoesophageal fistula (TEF) without associated esophageal atresia (EA) is a rare congenital anomaly.  Most of the children are treated for episodes of pneumonia prior to definitive diagnosis.  A 5 months infant presented with recurrent pneumonia and diagnosis of H type TEF was made with contrast esophagram.DOI: http://dx.doi.org/10.3126/jnps.v34i1.8517   J Nepal Paediatr Soc 2014;34(1):71-73

scholarly journals Crossover Upper Pouch in Type C Esophageal Atresia: An Uncommon Variant Causing Diagnostic Dilemma

2018 ◽  
Vol 7 (2) ◽  
pp. 23
Author(s):  
Shailesh Solanki ◽  
Ravi Prakash Kanojia ◽  
Ram Samujh
Keyword(s):  
Congenital Anomaly ◽  
Early Diagnosis ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Morbidity And Mortality ◽  
Diagnostic Dilemma ◽  
Significant Length ◽  
Type C

Esophageal atresia with tracheoesophageal fistula (EA-TEF) is a well-known congenital anomaly and Type C variety of gross classification is the most common. Even for Type C variety, anatomy of upper pouch and lower pouch is not always the same. We are presenting three cases of Type C EA-TEF with unusual anatomy. In this type, upper pouch crosses over the lower pouch for a significant length. The cases are described here to highlight this variant of Type C EA-TEF which produces diagnostic dilemma. An early diagnosis of this variant, prevents morbidity and mortality.

Patterns of gastroesophageal reflux in children following repair of esophageal atresia and distal tracheoesophageal fistula

1980 ◽  
Vol 15 (6) ◽  
pp. 857-862 ◽  
Author(s):  
Stephen G. Jolley ◽  
Dale G. Johnson ◽  
Charles C. Roberts ◽  
John J. Herbst ◽  
Michael E. Matlak ◽  
...  
Keyword(s):  
Gastroesophageal Reflux ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula

scholarly journals H-type Tracheoesophageal Fistula in a Newborn: Determining the Exact Position of Fistula by Intra-operative Guidewire Placement

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Anko Antabak ◽  
Tomislav Luetic ◽  
Drago Caleta ◽  
Ivan Romic
Keyword(s):  
Congenital Anomaly ◽  
Tracheoesophageal Fistula ◽  
Rare Congenital Anomaly ◽  
Exact Position ◽  
Therapeutic Utility

H-type tracheoesophageal fistula is a rare congenital anomaly that is seldom diagnosed in the neonatal age. Documenting it and then locating it at surgery are both difficult. A case is presented to highlight the diagnostic and therapeutic utility of trans-fistula guidewire placement.

scholarly journals Esophagus atresia and duodenal obstruction: report of two cases

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Júlio Tavares ◽  
Mauro Basso ◽  
Andrea Miyasaki ◽  
Ricardo Parreira ◽  
Heloisa Menezes
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Digestive Tract ◽  
Esophageal Atresia ◽  
Pediatric Surgery ◽  
Duodenal Obstruction ◽  
Tracheoesophageal Fistula ◽  
Clinical Evolution ◽  
Congenital Duodenal Obstruction

Esophageal atresia, with or without tracheoesophageal fistula, and congenital duodenal obstructions are relatively frequent changes in the digestive tract in pediatric surgery. The combination of both, although described in the literature, is unusual. It is assumed that the early diagnosis with imaging tests and the combined surgical schedule, although still undefined, can reduce the mortality of these children. We report the cases of two newborns with esophageal atresia and congenital duodenal obstruction, concerning diagnosis, surgical treatment and clinical evolution.

Esophageal replacement in the neonatal period in infants with esophageal atresia and tracheoesophageal fistula

2007 ◽  
Vol 42 (9) ◽  
pp. 1471-1477 ◽  
Author(s):  
Devendra K. Gupta ◽  
Shilpa Sharma ◽  
Mahesh K. Arora ◽  
Gautam Agarwal ◽  
Malvika Gupta ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Neonatal Period ◽  
Esophageal Replacement

DOZ047.69: Tracking outcomes of tracheoesophageal fistula and esophageal atresia in pediatric population

2019 ◽  
Vol 32 (Supplement_1) ◽  
Author(s):  
I Sharma ◽  
S Thaker ◽  
T Jensen ◽  
C Finck
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Esophageal Atresia ◽  
Reflux Disease ◽  
Tracheoesophageal Fistula ◽  
Surgical Intervention ◽  
Clinical Pathways ◽  
Pediatric Population ◽  
Retrospective Chart Review ◽  
Congenital Deformity

Abstract Purpose The purpose of this study is to conduct a retrospective chart review of patients with a rare congenital deformity, tracheoesophageal fistula, and esophageal atresia treated at a small, freestanding Children's Hospital. The goal is to identify important variables to inform clinical pathways and prospective database creation. Current national surgical quality databases do not track tracheoesophageal fistula/esophageal atresia (TEF/EA)-specific data points such as TEF-type and incidence of postoperative complications such as gastroesophageal reflux disease (GERD) and esophageal stricture. Methods Patients diagnosed with esophageal atresia and trachesophageal fistula between January 2005 and January 2019 were identified using the appropriate ICD 9 or ICD 10 codes. Data for 35 variables including patient demographics and type of esophageal atresia were abstracted. SPSS 16.0 software was used for descriptive statistics. Results A total of 43 patients were identified, 64.3% female and 35.7% male. 77.5% were type C, 12.5% type A, 7.5% type H, and 2.5% type D. 15% were long-gap type. 53.8% had postoperative esophageal strictures, and 66.7% had postoperative gastroesophageal reflux disease. Of those who had strictures, 77.2% of patients required at least three postoperative dilations for stricture, with an overall mean six dilations. 26.2% of patients had tracheomalacia; of these, two patients underwent thoracoscopic aortopexy. Four patients were not included in subgroup analysis: two patients had missing variables, one patient passed away before surgical intervention, and one patient has not yet undergone surgical intervention for EA/TEF. Conclusions We conclude that, although a rare congenital anomaly, a database dedicated to tracheoesophageal fistula and esophageal atresia at a pediatric hospital can aid in reviewing trends in outcomes and inform standardization of management.

Congenital choanal atresia and nerve deafness

1979 ◽  
Vol 93 (12) ◽  
pp. 1223-1228 ◽  
Author(s):  
Israel Brama ◽  
Dan Engelhard
Keyword(s):  
Congenital Anomaly ◽  
Hearing Loss ◽  
Early Diagnosis ◽  
Sensorineural Hearing Loss ◽  
Congenital Anomalies ◽  
Neonatal Period ◽  
Choanal Atresia ◽  
Surgical Correction ◽  
Electric Response ◽  
Electric Response Audiometry

SummaryFOUR cases of bilateral congenital choanal atresia are presented. Three of them (75 per cent) were shown by Electric Response Audiometry (ERA) tests to have, in addition, congenital nerve deafness; and two had other congenital anomalies. Thus, congenital nerve deafness should be considered as a possible congenital anomaly associated with choanal atresia. Early diagnosis and treatment of congenital choanal atresia can prevent death from asphyxia during the neonatal period, but after surgical correction of the atresia the possible existence of additional anomalies has to be determined and treated.By the use of electric response audiometry we are able to detect sensorineural hearing loss during the neonatal period and can plan the rehabilitation of deaf infants.

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