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Cystoscope Endoscopy in the H-Type Tracheoesophageal Fistula

Cystoscope Endoscopy in the H-Type Tracheoesophageal Fistula Abstract SURGICAL correction of congenital tracheoesophageal fistula without esophageal atresia (H-type) is dependent upon adequate demonstration of the fistula. Despite an increasing awareness of the anomaly and numerous attempts at diagnosis by conventional techniques, the fistula often is not demonstrated until repeated episodes of aspiration pneumonia have occurred. Schneider and Becker1 reviewed the results obtained with various techniques for diagnosis and concluded that cinefluororadiography offered the best chance for confirming the presence of a suspected tracheoesophageal fistula. Even with this method the diagnosis may be inconclusive because of spillover of contrast material from the esophagus into the trachea during swallowing. Because of the difficulty in establishing the diagnosis, the fistula has been demonstrated in a number of children only by operation or at autopsy.2,3 Swenson4 and Killen2 have recommended the use of a forward-viewing cystoscope for performance of tracheoscopy when an H-type tracheoesophageal fistula is suspected. It References 1. Schneider, K.M., and Becker, J.M.: The "H-Type" Tracheoesophageal Fistula in Infants and Children , Surgery 51:677-686 ( (May) ) 1962. 2. Killen, D.A.: Endoscopic Catheterization of H-Type Tracheoesophageal Fistula , Surgery 55:317-320 ( (Feb) ) 1964. 3. Moncrief, J.A., and Randolph, J.G.: Congenital Tracheoesophageal Fistula Without Atresia of the Esophagus , J Thorac and Cardiov Surg 51:434-442 ( (March) ) 1966. 4. Swenson, O.: Pediatric Surgery , New York: Appleton-Century-Crofts, Inc., 1958. 5. Killen, D.A., and Greenlee, H.B.: Transcervical Repair of H-Type Congenital Tracheoesophageal Fistula , Ann Surg 162:145-150 ( (July) ) 1965.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Cystoscope Endoscopy in the H-Type Tracheoesophageal Fistula

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01330030150031
Publisher site
See Article on Publisher Site

Abstract

Abstract SURGICAL correction of congenital tracheoesophageal fistula without esophageal atresia (H-type) is dependent upon adequate demonstration of the fistula. Despite an increasing awareness of the anomaly and numerous attempts at diagnosis by conventional techniques, the fistula often is not demonstrated until repeated episodes of aspiration pneumonia have occurred. Schneider and Becker1 reviewed the results obtained with various techniques for diagnosis and concluded that cinefluororadiography offered the best chance for confirming the presence of a suspected tracheoesophageal fistula. Even with this method the diagnosis may be inconclusive because of spillover of contrast material from the esophagus into the trachea during swallowing. Because of the difficulty in establishing the diagnosis, the fistula has been demonstrated in a number of children only by operation or at autopsy.2,3 Swenson4 and Killen2 have recommended the use of a forward-viewing cystoscope for performance of tracheoscopy when an H-type tracheoesophageal fistula is suspected. It References 1. Schneider, K.M., and Becker, J.M.: The "H-Type" Tracheoesophageal Fistula in Infants and Children , Surgery 51:677-686 ( (May) ) 1962. 2. Killen, D.A.: Endoscopic Catheterization of H-Type Tracheoesophageal Fistula , Surgery 55:317-320 ( (Feb) ) 1964. 3. Moncrief, J.A., and Randolph, J.G.: Congenital Tracheoesophageal Fistula Without Atresia of the Esophagus , J Thorac and Cardiov Surg 51:434-442 ( (March) ) 1966. 4. Swenson, O.: Pediatric Surgery , New York: Appleton-Century-Crofts, Inc., 1958. 5. Killen, D.A., and Greenlee, H.B.: Transcervical Repair of H-Type Congenital Tracheoesophageal Fistula , Ann Surg 162:145-150 ( (July) ) 1965.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1966

References