Experience of diagnosis and treatment of 31 H-type tracheoesophageal fistula in a single clinical center

Experience of diagnosis and treatment of 31 H-type tracheoesophageal fistula in a single clinical... 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-dimen- sional 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 sutur- ing. 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Pediatric Surgery International Springer Journals

Experience of diagnosis and treatment of 31 H-type tracheoesophageal fistula in a single clinical center

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Pediatrics; Surgery; Pediatric Surgery
ISSN
0179-0358
eISSN
1437-9813
D.O.I.
10.1007/s00383-018-4293-6
Publisher site
See Article on Publisher Site

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-dimen- sional 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 sutur- ing. 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

Journal

Pediatric Surgery InternationalSpringer Journals

Published: May 31, 2018

References

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