The authors present a case of a 46-year-old woman who had esophageal adenocarcinoma after having had a tracheoesophageal fistula (TEF) repair as an infant. A Medline search, which identified 2 other patients in the world literature who developed esophageal cancer (squamous cell carcinoma [J Pediatr Surg 36(4) (2001) 629-630] and adenocarcinoma [J Pediatr Surg 24(8) (1989) 741-744]) after TEF repair, was performed. As such patients reach middle age, it is possible that they are at increased risk for the development of esophageal cancer. Practitioners should be aware of the possibility of increased risk in this population and perhaps the need for a study to screen patients who have had a TEF repair to assess the incidence of cancer.
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Staged thoracoscopic internal traction approach for early repair of long-gap esophageal atresia (LGEA) with distal tracheoesophageal fistula (TEF).
Pediatr Surg Int
January 2025
Department of Pediatric Surgery, Cleveland Clinic Children's Hospital, 8950 Euclid Avenue, Mail Code R3, Cleveland, OH, 44106, USA.
Background: Long-gap esophageal atresia (LGEA) can complicate the management of esophageal atresia (EA) with or without a tracheoesophageal fistula (TEF). This series describes a short interval, staged, thoracoscopic internal traction approach for LGEA with distal TEF to manage complex anastomotic tension or an anatomically impossible esophageal anastomosis.
Methods: A retrospective review (2018-2024) was performed across four tertiary centers to identify patients with LGEA and distal TEF, managed with a staged, thoracoscopic internal traction approach.
Endobronchial Suture of Tracheoesophageal Fistula Through Rigid Bronchoscopy Without Tracheostomy: A Preliminary, Observational Retrospective Study.
J Clin Med
December 2024
Department of Translational Medical Sciences, University of Campania L. Vanvitelli, 80131 Naples, Italy.
A tracheoesophageal fistula (TEF) represents a condition characterized by abnormal communication between the gastrointestinal tract and the airways. Although the current gold-standard treatment is surgery, pre-existing clinical conditions may represent contraindications. We therefore propose a bronchoscopic approach through rigid bronchoscopy without tracheostomy for total repair in patients suffering from benign tracheoesophageal fistulas.
View Article and Find Full Text PDFOutcomes After Thoracoscopic and Open Repair of Esophageal Atresia With Tracheoesophageal Fistula at US Children's Hospitals.
J Pediatr Surg
December 2024
Rady Children's Hospital San Diego, 3020 Children's Way, San Diego, CA 92123, USA; University of California San Diego School of Medicine, Department of Surgery, 9500 Gilman Dr., La Jolla, CA 92093, USA. Electronic address:
Background: Thoracoscopic repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) has been reported to have superior outcomes to the open approach. We sought to evaluate adoption of thoracoscopic repair at US children's hospitals and compare outcomes to open repair.
Methods: The Pediatric Health Information System database was used to identify patients with EA/TEF who underwent repair between 2016 and 2023.
Unlabelled: Children post-tracheoesophageal fistula (TEF) repair may present with chronic respiratory and gastrointestinal symptoms that can affect quality of life.
Objective: To identify factors associated with positive findings on triple endoscopy following neonatal TEF repair.
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The intraoperative localization in recurrent tracheoesophageal fistula after esophageal atresia repair: a comparative study.
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Department of Neonatal Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.
Article Synopsis
- Recurrent tracheoesophageal fistula (rTEF) is a rare but complex condition that can develop after initial esophageal atresia repair, with surgical challenges stemming from tissue adhesions and previous surgeries.
- The study introduced two new localization methods for identifying rTEF during surgery and evaluated their effectiveness compared to traditional approaches.
- Results showed that using localization techniques significantly reduced both operation time and postoperative recovery duration, leading to improved surgical outcomes for patients with rTEF.
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