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.

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

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 Clinical Comparison Between Thoracoscopic and Thoracotomy Repair of Gross Type C Esophageal Atresia

2021 ◽  
Author(s):  
Shen Yang ◽  
Peize Wang ◽  
Zhi Yang ◽  
Siqi Li ◽  
Junmin Liao ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Anastomotic Leakage ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Operative Time ◽  
Anastomotic Stricture ◽  
Surgical Approaches ◽  
Invasive Technique ◽  
Thoracoscopic Approach ◽  
Type C

Abstract Background To compare the clinical outcomes between thoracoscopic approach and thoracotomy surgery in patients with Gross type C Esophageal atresia (EA) and tracheoesophageal fistula (TEF). Methods Patients with Gross type C EA/TEF who underwent surgery from January 2007 to January 2020 at Beijing Children’s Hospital were retrospectively analyzed. The patients were divided into 2 groups according to surgical approaches. The perioperative factors and postoperative complications were compared among the 2 groups. Results One hundred and ninety patients (132 boys and 58 girls) with a median birth weight of 2975 (2600, 3200) g were included. The primary operations were performed via thoracoscopic (n = 62) and thoracotomy (n = 128) approach. After comparison of clinical characteristics between the 2 groups, we found that there were statistically significant differences in associated anomalies, method of fistula closure, duration of mechanical ventilation after surgery, feeding option before discharge, management of pneumothorax, and prognosis (all P < 0.05). To a certain extent, thoracoscopic surgery reduced the incidence of anastomotic leakage and increased the incidence of anastomotic stricture in this study. However, there were no statistically significant differences between the 2 groups in terms of operative time, postoperative pneumothorax, anastomotic leakage, anastomotic stricture, and recurrent tracheoesophageal fistula (all P > 0.05). Conclusions Thoracoscopy surgery for Gross type C EA/TEF is a safe and effective, minimally invasive technique with comparable operative time and incidence of postoperative complications.

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.

Morbidity and mortality in esophageal atresia and tracheoesophageal fistula

2013 ◽  
Vol 9 (3) ◽  
pp. 93-98 ◽  
Author(s):  
Ahmed H. Al-Salem ◽  
Mukul Kothari ◽  
Mohammad Oquaish ◽  
Suzi Khogeer ◽  
Mohammed S. Desouky
Keyword(s):  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Morbidity And Mortality

A new variant of esophageal atresia with tracheoesophageal fistula and duodenal atresia: a diagnostic dilemma

1997 ◽  
Vol 12 (2-3) ◽  
pp. 186-187
Author(s):  
A. N. Gangopadhyay ◽  
S. P. Sahoo ◽  
C. K. Sinha ◽  
S. Chooramani Gopal ◽  
D. K. Gupta ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Duodenal Atresia ◽  
Diagnostic Dilemma ◽  
New Variant

A new variant of esophageal atresia with tracheoesophageal fistula and duodenal atresia: a diagnostic dilemma

1997 ◽  
Vol 12 (2-3) ◽  
pp. 186-187 ◽  
Author(s):  
C. K. Sinha ◽  
A. N. Gangopadhyay ◽  
S. P. Sahoo ◽  
S. Chooramani Gopal ◽  
D. K. Gupta ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Duodenal Atresia ◽  
Diagnostic Dilemma ◽  
New Variant

scholarly journals Expanding the BP1-BP2 15q11.2 Microdeletion Phenotype: Tracheoesophageal Fistula and Congenital Cataracts

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
D. Wong ◽  
S. M. Johnson ◽  
D. Young ◽  
L. Iwamoto ◽  
S. Sood ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Upper Airway ◽  
Chromosome 15 ◽  
Microdeletion Syndrome ◽  
Congenital Cataracts ◽  
Behavioral Abnormalities ◽  
Airway Infections ◽  
Type C ◽  
Motor Apraxia

The proximal q arm of chromosome 15 contains breakpoint regions BP1–BP5 with the classic deletion of BP1–BP3 best known to be associated with Prader-Willi and Angelman syndromes. The region is approximately 500 kb and microdeletions within the BP1-BP2 region have been reported in patients with developmental delay, behavioral abnormalities, and motor apraxia as well as dysmorphic features including hypertelorism, cleft or narrow palate, ear abnormalities, and recurrent upper airway infections. We report two patients with unique, never-before-reported 15q11.2 BP1-2 microdeletion syndrome findings, one with proximal esophageal atresia and distal tracheoesophageal fistula (type C) and one with congenital cataracts. Cataracts have been described in Prader-Willi syndrome but we could not find any description of cataracts in Angelman syndrome. Esophageal atresia and tracheoesophageal fistula have not been reported to our knowledge in either syndrome. A chance exists that both cases are sporadic birth defects; however, the findings of the concomitant microdeletion cannot be overlooked as a possible cause. Based on our review of the literature and the presentation of our patients, we recommend that esophageal atresia and distal tracheoesophageal fistula as well as congenital cataracts be included in the phenotypic spectrum of 15q11.2 BP1-2 microdeletion syndrome.

Sign in / Sign up

Export Citation Format

Share Document