5,835 results match your criteria: "Tracheoesophageal Fistula"
Silicone stent versus fully covered metallic stent in tracheoesophageal fistula: a single-center retrospective study.
BMC Pulm Med
December 2024
Department of Pulmonary and Critical Care Medicine, Jining NO.1 People's Hospital, Jining, Shandong, PR China.
Background: In cases of tracheoesophageal fistula (TEF), closure of the fistula by tracheal stent implantation is an effective treatment. In this study, we investigated the efficacy and complications of silicone and metallic tracheal stents for TEF.
Methods: We retrospectively reviewed all patients who underwent tracheal stent insertion for TEF between January 2021 and April 2024 at our institution.
Evaluating the Impact of Elective Endotracheal Tube Replacement on Postoperative Outcomes in Esophageal Atresia: A STROBE-guided Study.
J Indian Assoc Pediatr Surg
November 2024
Department of Pediatric Surgery, IMS-BHU, Varanasi, Uttar Pradesh, India.
Background: Elective ventilation and paralysis have been shown to decrease the anastomosis-related complications following primary repair of esophageal atresia (EA). Repeated endotracheal tube (ETT) block and replacement can increase these complications. We evaluated the results of our strategy of electively changing the ETT just before shifting the patient to the postoperative ward for elective ventilation.
View Article and Find Full Text PDFSpecific Findings of Blood Perfusion on Anastomosed Esophagus of Neonatal Esophageal Atresia and Tracheoesophageal Fistula Using Indocyanine Green Fluorescence During Thoracoscopic Surgery.
Asian J Endosc Surg
December 2024
Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.
We herein report a neonatal case showing specific findings of blood perfusion in the anastomosed esophagus of esophageal atresia (EA) and tracheoesophageal fistula (TEF) using indocyanine green (ICG) fluorescence during thoracoscopic surgery. The patient was a 3054 g, 0-day neonatal boy diagnosed with EA-TEF based on a coil-up sign of the nasogastric tube. Thoracoscopic surgery was performed on Day 4 after birth.
View Article and Find Full Text PDFChildhood Educational Outcomes of Infants Born With Esophageal Atresia With or Without Tracheoesophageal Atresia.
Birth Defects Res
December 2024
Arkansas Center for Birth Defects Research and Prevention, Little Rock, Arkansas, USA.
Article Synopsis
The intraoperative localization in recurrent tracheoesophageal fistula after esophageal atresia repair: a comparative study.
BMC Pediatr
December 2024
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.
Evaluation of Swallowing Function in Patients With H-type Tracheoesophageal Fistula.
J Pediatr Surg
November 2024
Hacettepe University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkiye. Electronic address:
Article Synopsis
- * Ten children with H-TEF were monitored using videofluoroscopic swallowing evaluation (VFSE), assessing factors like aspiration, oral phase efficiency, and esophageal motility during swallowing of liquids and solids.
- * Results showed modest swallowing impairments among the children, with some experiencing liquid aspiration and varying degrees of esophageal dysmotility, highlighting the need for regular swallowing function evaluations in H-TEF patients.
The Sternocleidomastoid Muscle Reverse Pad: A "Safety Net" in Catastrophic Tracheal Surgery Situation.
Life (Basel)
November 2024
Thoracic Surgery Department, San Camillo Forlanini Hospital, 00152 Rome, Italy.
Background: This paper presents the outcomes of employing the inferiorly based rotated sternocleidomastoid muscle flap in complex tracheal reconstruction/repair scenarios, focusing on the key objectives of ensuring stable airway, functional digestive tract and patient survival.
Methods: A retrospective analysis was performed for patients treated at two medical centers (A.O.
Thoracotomy vs. Thoracoscopy for Esophageal Atresia with Tracheoesophageal Fistula Repair: Is There a Difference in Quality of Life?
Children (Basel)
October 2024
Pediatric Surgery Unit, Salesi Children's Hospital, 60123 Ancona, Italy.
Aim: Esophageal atresia (EA) is the most common congenital esophageal malformation. Thoracoscopic repair is gaining popularity, but controversy persists regarding the ideal surgical approach for this challenging anomaly. This study's aim is to analyze outcomes in terms of quality of life (QoL) of children undergoing thoracotomy and thoracoscopy for type III EA repair.
View Article and Find Full Text PDFA case report of type II Floyd tracheal agenesis with staged tracheal and alimentary reconstructions.
Surg Case Rep
November 2024
Department of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, Gifu Prefecture, 501-1194, Japan.
Article Synopsis
- Tracheal agenesis is a rare congenital condition, particularly type II Floyd tracheal agenesis, which often leads to poor survival rates, but a specific case shows potential for recovery after reconstruction.
- An infant, delivered early due to distress, was diagnosed with tracheal agenesis after unsuccessful intubation; he underwent various surgical procedures and was able to tolerate oral feeding upon discharge.
- Continuous and early detection of respiratory issues is essential, as challenges remain due to the absence of a trachea and complications like tracheal tube displacement, which can lead to serious outcomes.
Role of the Pectoralis Major Muscle Flap in the Multidisciplinary Treatment of Esophageal Cancer.
Plast Reconstr Surg Glob Open
November 2024
Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Article Synopsis
[Post-traumatic esotracheal fistula caused by a knife: a case report].
Pan Afr Med J
November 2024
Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier National Universitaire de Fann, Dakar, Sénégal.
Article Synopsis
- Traumatic esophageal-tracheal fistulas (ETFs) from stab wounds are uncommon and often missed in diagnoses, requiring imaging for detection.
- A case study of a patient stabbed in the back showed complications including air bubbles in the mediastinum, necessitating surgical intervention to repair the small ETF.
- Successful treatment involved direct suture repair and careful postoperative monitoring, leading to a speedy recovery and the ability to resume oral feeding after two weeks.
Management of Tracheoesophageal Fistula and Tracheoinnominate Fistula.
Thorac Surg Clin
February 2025
Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, H4/318, Madison, WI 53792, USA. Electronic address:
Fistulization between the tracheobronchial tree and gastrointestinal tract is a challenging clinical situation that leads to life-threatening pulmonary contamination and inadequate nutrition. Operative management requires repair of both airway and esophageal defects with or without tracheal resection and reconstruction to restore a functional airway and maintain gastrointestinal continuity. Tracheoinnominate fistula is a rare communication between the airway and innominate artery that can result in fatal hemorrhage.
View Article and Find Full Text PDFThe Hidden Culprit: A Computed Tomography Diagnosis of H-Type Tracheoesophageal Fistula in an Adult Revealed After Two Decades of Pulmonary Infections.
Cureus
October 2024
Radiology, Souss Massa University Hospital, Agadir, MAR.
Article Synopsis
- A 41-year-old male with a history of cardiopathy and respiratory issues presented with severe symptoms related to heart failure, including significant dyspnea and edema after years of recurrent infections.
- Diagnostic tests revealed multiple complications including dilation of cardiac chambers and a rare congenital condition known as H-type tracheoesophageal fistula (TEF), which contributed to his respiratory problems.
- The patient was admitted to the ICU for intensive management, including treatment for pulmonary artery hypertension and preparation for surgical intervention to repair the fistula.
Common error traps in anesthesia for neonatal surgical emergencies.
Paediatr Anaesth
January 2025
Department of Anesthesiology, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.
Article Synopsis
- - Neonatal surgical emergencies present unique challenges for pediatric anesthesiologists, with high risks associated with each procedure.
- - Common error traps in these surgeries include issues with surgical timing, airway management, maintaining normal body temperature and blood sugar levels, and recognizing physiological differences in neonates.
- - The narrative review aims to help clinicians identify and plan for these error traps, ultimately reducing the chances of adverse events during emergencies.
The long lost denture: a rare case of an acquired, non-malignant tracheo-oesophageal fistula.
J Cardiothorac Surg
November 2024
Department of Thoracic Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Article Synopsis
Anastomotic Leak and its Implications: A Multicenter Analysis of "Type C" Esophageal Atresia / Tracheo-esophageal fistula (EA/TEF).
J Pediatr Surg
October 2024
Department of Surgery, Nemours Children's Hospital-DE, Wilmington, DE, USA.
Article Synopsis
- The study investigates the risk factors for esophageal anastomotic leak and its effect on hospital length of stay (LOS) in infants who underwent repair of type C esophageal atresia with tracheo-esophageal fistula (EA/TEF) using data from the Children's Hospitals Neonatal Database (CHND) from 2021 to 2023.
- In a sample of 365 infants from 36 centers, 15.1% experienced an anastomotic leak, with factors like thoracoscopic approach, low birth weight, and male sex being significantly associated with this outcome.
- The presence of a leak was linked to a longer hospital stay, emphasizing the need to identify best
Case Report: Esophageal squamous cell carcinoma in a 13-year-old boy with a history of esophageal atresia with tracheoesophageal fistula.
Front Pediatr
October 2024
Department of Pediatrics I, Medical University of Innsbruck, Innsbruck, Austria.
Article Synopsis
A Precious Puzzle: Unveiling a Suspected VACTERL (Vertebral, Anal, Cardiovascular Malformations, Tracheo-esophageal Fistula, Renal Anomalies, and Limb Defects) Association in a 28-Day-Old Neonate.
Cureus
September 2024
Pathology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Article Synopsis
- - VACTERL is an acronym for a group of congenital anomalies, including issues with vertebrae, trachea, anus, heart, kidneys, and limbs, indicating a possible shared cause.
- - A case study discusses a 28-day-old preterm neonate with suspected VACTERL association who had multiple defects, like vertebral and renal issues, an imperforate anus, and an absent pulmonary artery.
- - The report highlights the importance of pathologists in identifying fetal anomalies as essential members of a multidisciplinary team involved in managing complex pregnancies with such conditions.
Radiation Toxicity in MDA5+ and PL7-Positive Dermatomyositis: Heightened Risk in Autoimmune Subtypes.
Int J Part Ther
December 2024
Premier Radiation Oncology Associates, Clearwater, FL, USA.
Article Synopsis
- - The study highlights the need for heightened awareness regarding the risks of peri-radiation therapy (RT) in lung cancer patients who have active autoimmune conditions, suggesting the importance of molecular testing and consultation with rheumatology before treatment.
- - A case of a 42-year-old male with non-small cell lung cancer and an autoimmune disease showed that complications like shortness of breath and cough possibly stemmed from a rare subtype of dermatomyositis, following chemotherapy and proton therapy.
- - It emphasizes the significance of evaluating patients with autoimmune diseases for rare conditions that could complicate cancer treatment and suggests considering immunosuppressive treatments during RT to mitigate risks.
Thoracoscopic Repair for Kluth Type Ⅲb3 Esophageal Atresia and Distal Tracheoesophageal Fistula.
J Surg Res
November 2024
Department of Thoracic surgery, The Affiliated Huai'an No 1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu, PR China.
Introduction: This report aims to present our initial miniseries of successful thoracoscopic repair for esophageal atresia (EA) and distal tracheoesophageal fistula (TEF) of Kluth type Ⅲb3 in accordance with Kluth's classification.
Methods: From January 2012 to January 2024, ten patients with Kluth type Ⅲb3 EA-TEF were treated by thoracoscopic surgery. The therapeutic methods and surgical outcomes were retrospectively reviewed.
[Laryngotracheal resection with tracheoesophageal fistula closure in a patient with post-tracheostomy total cicatricial atresia of the larynx and tracheal stenosis combined with cricoid cartilage fracture].
Khirurgiia (Mosk)
October 2024
Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.
Treatment of patients with post-intubation (post-tracheostomy) stenotic laryngotracheal lesions combined with tracheoesophageal fistula is the most difficult problem for various specialists. A 20-year-old patient received a severe concomitant injury with necessary prolonged mechanical ventilation and tracheostomy. Decannulation was followed by shortness of breath and cough with discharge of sputum mixed with liquid and food.
View Article and Find Full Text PDFClosure of a secondary tracheoesophageal fistula in severe pneumonia using an Amplatzer Duct Occluder II during invasive mechanical ventilation: A case report.
Clin Case Rep
October 2024
Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine University of Science and Technology of China (USTC) Hefei Anhui China.
Article Synopsis
Esophagitis, treatment outcomes, and long-term follow-up in children with esophageal atresia.
J Pediatr Gastroenterol Nutr
December 2024
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Article Synopsis
Novel endoscopic approach for treatment of malignant tracheoesophageal fistula (TEF): A case report.
Respir Med Case Rep
September 2024
Department of Pulmonary and Critical Care Medicine, University of Kentucky, United States.
Article Synopsis
- A cardiac septal occluder (CSO) can be used endoscopically to treat tracheoesophageal fistula (TEF), particularly in complex cases.
- This case study discusses a patient with metastatic cervical cancer who developed a malignant TEF due to direct invasion of the trachea, despite prior treatment with radiotherapy and stenting.
- The use of a PFO occluder as a palliative measure effectively closed the TEF, helping to prevent aspiration pneumonia and enhance the patient's quality of life.
Surgical management protocol for disk battery ingestion.
Pediatr Surg Int
October 2024
Pediatric Surgery Department, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genoa, Italy.
Article Synopsis
- Disk battery ingestion in children can cause serious health issues and even death, prompting a study about effective management practices.
- The research involved analyzing cases from June 2010 to January 2024, using a set protocol that includes specialized scans and a team of various medical experts for treatment.
- The study treated 22 patients, all of whom survived, thanks to the established protocol, but some required additional surgeries due to complications; the findings emphasize the importance of a multidisciplinary approach for better patient outcomes.