Jiangtao Dai1,2, Zhengxia Pan1, Quan Wang1, Yuhao Wu1, Junke Wang1, Gang Wang1, Chun Wu3, Yi Wang4. 1. Department of Cardio-Thoracic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China. 2. Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China. 3. Department of Cardio-Thoracic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China. daijiangtao2001@aliyun.com. 4. Pediatric Intensive Care Unit, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China. 475203558@qq.com.
Abstract
OBJECTIVE: To summarize the experience of the diagnosis and treatment of 31 H-type tracheoesophageal fistula (TEF) at the Children's Hospital of Chongqing Medical University, Chongqing, China. METHODS: A total of 31 patients with H-type TEF were enrolled in this retrospective study from January 2000 to July 2017, and the diagnosis and treatment of the disease were analyzed and summarized. RESULTS: Iodine oil examination of the esophagus, fiberoptic bronchoscopy combined with esophagoscopy and three-dimensional computed tomography (3-D CT) reconstruction of the trachea and esophagus was used separately in 31 patients. 1 patient who had his TEF ligatured directly experienced recurrence 1 month after surgery, but recovered after TEF suturing. Subsequently, the remaining 30 patients were treated by suturing after TEF excision. All patients were followed up for 3 months-2 years and did not suffer from anastomosis orifice stenosis, gastroesophageal reflux, and a recurrent respiratory tract infection. Three patients exhibited vocal cord paralysis and improved spontaneously after a follow-up of 3-6 months. CONCLUSION: H-type TEF is diagnosed by iodine oil examination of the esophagus, fiberoptic bronchoscopy combined with esophagoscopy, and 3-D CT reconstruction of the trachea and esophagus. Excision and suturing of the TEF separately are an effective treatment for the disease and are an excellent outcome.
OBJECTIVE: To summarize the experience of the diagnosis and treatment of 31 H-type tracheoesophageal fistula (TEF) at the Children's Hospital of Chongqing Medical University, Chongqing, China. METHODS: A total of 31 patients with H-type TEF were enrolled in this retrospective study from January 2000 to July 2017, and the diagnosis and treatment of the disease were analyzed and summarized. RESULTS:Iodine oil examination of the esophagus, fiberoptic bronchoscopy combined with esophagoscopy and three-dimensional computed tomography (3-D CT) reconstruction of the trachea and esophagus was used separately in 31 patients. 1 patient who had his TEF ligatured directly experienced recurrence 1 month after surgery, but recovered after TEF suturing. Subsequently, the remaining 30 patients were treated by suturing after TEF excision. All patients were followed up for 3 months-2 years and did not suffer from anastomosis orifice stenosis, gastroesophageal reflux, and a recurrent respiratory tract infection. Three patients exhibited vocal cord paralysis and improved spontaneously after a follow-up of 3-6 months. CONCLUSION:H-type TEF is diagnosed by iodine oil examination of the esophagus, fiberoptic bronchoscopy combined with esophagoscopy, and 3-D CT reconstruction of the trachea and esophagus. Excision and suturing of the TEF separately are an effective treatment for the disease and are an excellent outcome.
Authors: Augusto Zani; Luai Jamal; Giovanni Cobellis; Justyna M Wolinska; Samuel Fung; Evan J Propst; Priscilla P L Chiu; Agostino Pierro Journal: Pediatr Surg Int Date: 2016-11-28 Impact factor: 1.827
Authors: Ahmed H Al-Salem; Mohammed Al Mohaidly; Hussah M H Al-Buainain; Saud Al-Jadaan; Enaem Raboei Journal: Pediatr Surg Int Date: 2016-02-06 Impact factor: 1.827