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Evaluation and Diagnosis of the Dysmorphic Infant
Neonatologists have a unique opportunity to be the first to identify abnormalities in a neonate. In this review, multiple anomalies and physical features are discussed along with the potential associated genetic syndromes. The anomalies and physical features that are discussed include birth parameters, aplasia cutis congenita, holoprosencephaly, asymmetric crying facies, preauricular ear tags and pits, cleft lip with or without cleft palate, esophageal atresia/tracheoesophageal fistula, congenital heart defects, ventral wall defects, and polydactyly. (Source: Clinics in Perinatology)
Source: Clinics in Perinatology - May 29, 2015 Category: Perinatology & Neonatology Authors: Kelly L. Jones, Margaret P. Adam Source Type: research
“Rendez-vous” over-the-scope endoclipping for tracheoesophageal fistula: case report and review of the literature
Conclusions The OVESCO R system seems to be safe and effective in the treatment of small tracheoesophageal fistula. (Source: European Surgery)
Source: European Surgery - May 29, 2015 Category: Surgery Source Type: research
Minimally invasive management of tracheoesophageal fistula with T‐tube
(Source: The Laryngoscope)
Source: The Laryngoscope - May 28, 2015 Category: ENT & OMF Authors: Christopher Tran, Daniel S. Fink, Melda Kunduk, Andrew J. McWhorter Tags: Laryngology Source Type: research
Oesophageal atresia and tracheo‐oesophageal fistula in Western Australia: Prevalence and trends
ConclusionsA higher prevalence of OA±TOF in WA was observed with increase over time attributable to increase with associated anomalies. Consistent reporting, availability of prenatal diagnosis and ascertainment of cases following TOPFA or post‐mortem examinations can significantly affect prevalence of OA and/or TOF. (Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - May 15, 2015 Category: Pediatrics Authors: Emanuele Leoncini, Carol Bower, Natasha Nassar Tags: Original Article Source Type: research
Upper Airway Anomalies in Congenital Tracheoesophageal Fistula and Esophageal Atresia Patients.
CONCLUSION: Patients diagnosed with congenital TEF/EA have a high rate of secondary upper airway anomalies. Consideration should be given to perform a complete airway evaluation in all of these patients. PMID: 25969571 [PubMed - as supplied by publisher] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - May 12, 2015 Category: ENT & OMF Authors: Hseu A, Recko T, Jennings R, Nuss R Tags: Ann Otol Rhinol Laryngol Source Type: research
Advantages of a latissimus dorsi muscle flap to close a gastric tube-to-tracheal fistula and prevent tracheobronchial complications after salvage surgery for esophageal cancer: report of three cases
Abstract Tracheobronchial fistulae after esophagectomy are rare but critical complications because they frequently cause severe pneumonia. In three cases with esophageal cancer, we used the latissimus dorsi muscle after esophagectomy to reinforce the fragile tracheobronchus. In cases 1 and 2 with gastric tube-to-tracheal fistula, the gastric tube was pulled out from the posterior mediastinum, the fistula was excised, and the trachea was covered with the pedicle latissimus dorsi muscle flap followed by reconstruction of the digestive conduit by the subcutaneous route. Case 3 had relapsed esophageal cancer after def...
Source: Esophagus - May 5, 2015 Category: Gastroenterology Source Type: research
Anesthetic management for surgery of esophagus atresia in a newborn with Goldenhar's syndrome
Conclusions The finding of a patient with Goldenhar's syndrome and esophageal atresia assumes an exceptional situation and a challenge for anesthesiologists, since the anesthetic management depends on the patient comorbidity, the type of tracheoesophageal fistula, the usual hospital practice and the skills of the anesthesiologist in charge, with the main peculiarity being maintenance of adequate pulmonary ventilation in the presence of a communication between the airway and the esophagus. Intubation with fibrobronchoscope distal to the fistula deals with the management of a probably difficult airway and limits the passage ...
Source: Brazilian Journal of Anesthesiology - April 29, 2015 Category: Anesthesiology Source Type: research
Esophageal Dysmotility Is Present Before Surgery in Isolated Tracheoesophageal Fistula
ABSTRACT: After surgical correction of esophageal atresia with or without tracheoesophageal fistula, esophageal body motility dysfunction has been reported in nearly all patients. Using high-resolution esophageal manometry before surgical repair in 2 children with isolated tracheoesophageal fistula, we sought to determine whether dysmotility was present before any surgical insult to test the hypothesis that dysmotility associated with esophageal atresia with or without tracheoesophageal fistula is related to intrinsic primary factors linked to abnormal development of the esophagus. Both had an abnormal esophageal motility:...
Source: Journal of Pediatric Gastroenterology and Nutrition - April 25, 2015 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
VACTERL associations in children undergoing surgery for esophageal atresia and anorectal malformations: Implications for pediatric surgeons
The aim of this study was to compare the frequency and nature of VACTERL associations between children who underwent surgery for esophageal atresia/tracheoesophageal fistula (EA/TEF) and anorectal malformation (ARM). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - April 22, 2015 Category: Surgery Authors: Timothy B. Lautz, Ankur Mandelia, Jayant Radhakrishnan Source Type: research
Early complications after esophageal atresia repair: analysis of a German health insurance database covering a population of 8 million
SummaryThe treatment of esophageal atresia is not centralized in Germany. Therefore, high numbers of departments are involved. Data on the results of esophageal atresia repair from Germany are lacking. The aim of this study was to evaluate the early postoperative results after repair of esophageal atresia based on unbiased data of a German health insurance. We aimed to determine whether characteristics of the departments had an impact on outcome and compared the results from this study with the literature data from centers with a high caseload. Data of a German health insurance covering ∼10% of the population were analyz...
Source: Diseases of the Esophagus - April 20, 2015 Category: Gastroenterology Authors: C. Dingemann, J. Dietrich, J. Zeidler, J. Blaser, J.‐H. Gosemann, B. M. Ure, M. Lacher Tags: Original Article Source Type: research
Tracheoesophageal fistula in adults due to corrosive ingestion: challenges in management
Abstract Esophagorespiratory fistula in adults as a result of corrosive ingestion is a rare occurrence and is a difficult problem to manage. Three young (15–19 years) patients (2F, 1M) out of 115 (incidence 2.6 %) of corrosive ingestion who had tracheoesophageal fistula (TEF) were reviewed retrospectively. After initial management, enteral route of nutrition was established. Based on the extent of concomitant esophageal stricture, the fistulae were classified as: type I (short) and type II (long segment). Fistula was repaired through thoracotomy and formation of a neomembranous trachea. Esophageal stricture co...
Source: Updates in Surgery - April 17, 2015 Category: Surgery Source Type: research
Unusual airway complication after percutaneous tracheotomy: Case report and literature review
We report a case of a 59‐year‐old male who experienced tracheoesophageal fistula and grade IV subglottic stenosis after percutaneous dilation tracheotomy. Although percutaneous tracheotomy is considered a safe procedure that is often performed in the intensive care unit setting, it is not without complications. While subglottic stenosis and tracheoesophageal fistula are known complications of percutaneous tracheotomy, this report discusses a patient who experienced both complications simultaneously. The purpose of this report is to discuss potential serious complications of percutaneous tracheotomy and their management...
Source: The Laryngoscope - April 15, 2015 Category: ENT & OMF Authors: Christopher Roxbury, Jesse Qualliotine, Daniela Molena, Young Kim Tags: Head and Neck Source Type: research
Placement of a 16-French Voice Prosthesis at the time of Secondary Tracheoesophageal Voice Restoration
Conclusions Placement of 16-French TEVPs is effective and safe, with an acceptable rate of minor complications attributable to the prosthesis. Therefore, a smaller prosthesis may be primarily placed at the time of secondary TEP and is our preference. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 7, 2015 Category: Endocrinology Source Type: research
Case report: Acquired esophago-pulmonary fistula
We report a case of 17-year-old girl with esophago-pulmonary fistula. She experienced a long history of cough and expectoration. CT scans of the chest demonstrated right lower and middle lung lobes multiple cavitary lesions with marked dilatation of the esophagus and a communicating fistula between the esophagus and parenchyma of the right lower lobe of the lung. Excision of the fistula and right bilobectomy were done via right thoracotomy. The patient was markedly improved after surgery in terms of clinical symptoms and radiologic findings and discharged 18 days after surgery. Although quite rare, brocho-esophageal fist...
Source: Esophagus - April 2, 2015 Category: Gastroenterology Source Type: research
Right thoracotomy approach for patients with congenital tracheoesophageal fistula associated with right-sided aortic arch: a multicentric study
Conclusion: Repair of congenital TEF associated with RAA can be performed through right thoracotomy safely but with some difficulty and longer time. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2015 Category: Surgery Tags: Original Articles Source Type: research
Treatment outcomes for eosinophilic esophagitis in children with esophageal atresia
Summary Eosinophilic esophagitis (EoE) has been reported to be more prevalent in patients with esophageal atresia/tracheoesophageal fistula (EA‐TEF). To date, there is limited data on the management of EoE in this group of patients. The aim of this study is to evaluate the treatment outcomes of EoE in children with EA‐TEF. A retrospective chart review was performed on all EA‐TEF children who were diagnosed with and treated for EoE between January 2000 and September 2013 at the Sydney Children's Hospital. Data collected included details of the patient's treatment, post‐treatment endoscopy, symptoms and nutrition. Tw...
Source: Diseases of the Esophagus - April 1, 2015 Category: Gastroenterology Authors: L. J. Chan, L. Tan, J. Dhaliwal, F. Briglia, C. Clarkson, U. Krishnan Tags: Original Article Source Type: research
Use of jet ventilation in thoracoscopic tracheo‐esophageal fistula repair—can both surgeons and anesthesiologists be happy?
We describe three cases in which jet ventilation provided not only superior ventilation with a return to normocapnea but also ideal operating conditions. In addition, jet ventilation utilizes lower mean airway pressures which typically results in improved cardiac output. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - March 30, 2015 Category: Anesthesiology Authors: Melissa Ehlers, Chad Pezzano, Laura Leduc, John Brooks, Plinio Silva, Helena Oechsner, Anica Crnkovic, Igor Galay, Farzana Afroze Tags: Case Report Source Type: research
Direct tracheobronchopexy to correct airway collapse due to severe tracheobronchomalacia: Short-term outcomes in a series of 20 patients
This study describes patient outcomes undergoing direct tracheobronchopexy for TBM. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 30, 2015 Category: Surgery Authors: Sigrid Bairdain, Charles Jason Smithers, Thomas E. Hamilton, David Zurakowski, Lawrence Rhein, John E. Foker, Christopher Baird, Russell W. Jennings Source Type: research
Postpneumonectomy syndrome in a newborn after esophageal atresia repair
Conclusions Neonatologists and paediatric surgeons should be aware of this rare association that may cause acute life threatening and worsening of patient’s clinical status. Prompt realignment of the mediastinum in the normal position is critical to obtain rapid improvement of the patient’s clinical conditions. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 28, 2015 Category: Surgery Source Type: research
Mitochondria DNA Depletion Syndrome in a Infant with Multiple Congenital Malformations, Severe Myopathy, and Prolonged Postoperative Paralysis
We describe a newborn with multiple congenital malformations including a right aberrant subclavian artery and a trachea-oesophageal fistula in whom mitochondrial depletion syndrome was unmasked by perioperative muscle relaxation. After vecuronium infusion, the infant developed an irreversible postoperative paralysis, leading to death 32 days after surgery. The present case highlights (a) the clinical heterogeneity of mitochondrial depletion syndrome; (b) the importance of rigorous antemortem and postmortem investigations when the cause of a severe myopathy is uncertain; (c) the possible coexistence of mitochondrial depleti...
Source: Journal of Child Neurology - March 23, 2015 Category: Neurology Authors: Thomas, M., Salpietro, V., Canham, N., Ruggieri, M., Phadke, R., Kinali, M. Tags: Brief Communication Source Type: research
Recurrence of a mediastinal liposarcoma 20 years after surgery: A case of carbon ion radiotherapy resulting in fatal tracheoesophageal fistula
Publication date: Available online 16 March 2015 Source:Respiratory Investigation Author(s): Takahisa Kawamura , Keisuke Tomii , Yutaka Takahashi , Akihiko Okada , Yusuke Demizu , Nobukazu Fuwa , Yukihiro Imai (Source: Respiratory Investigation)
Source: Respiratory Investigation - March 17, 2015 Category: Respiratory Medicine Source Type: research
Unilateral pulmonary agenesis and esophageal atresia with a tracheoesphageal fistula-23 year followup
Publication date: April 2015 Source:Journal of Pediatric Surgery Case Reports, Volume 3, Issue 4 Author(s): Michael Curci , Albert Dibbins Pulmonary agenesis, esophageal atresia and a tracheoesophageal fistula (EA + TEF) are a rare combined congenital anomalies associated with a high morbidity and mortality. For those patients that have survived these malformation, there has been limited long-term follow up. This case report describes a 23-year followup with evaluation of the patient's pulmonary, cardiac and gastrointestinal function. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - March 12, 2015 Category: Surgery Source Type: research
Endoscopic Occlusion of Tracheoesophageal Fistula in Ventilated Patients Using an Amplatzer Septal Occluder
We present our experience using a cardiac Amplatzer ASD septal occluder for an endoscopic TEF repair in ventilation-dependent patients. Two high risk patients underwent the procedure under general anesthesia and close respiratory monitoring. In one patient the device was inserted through the trachea and in the other through the esophagus. In both cases fistula closure was achieved for different periods of time allowing the patients a temporary relief of symptoms. The procedure was well tolerated by the patients, and no significant adverse effect documented. The technique was successful as a temporary solution for unstable ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 11, 2015 Category: ENT & OMF Source Type: research
Advanced esophageal cancer with tracheobronchial fistula successfully treated by esophageal bypass surgery
Conclusion This bypass procedure is a treatment option for patients with tracheobronchial fistula from advanced esophageal cancer. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 5, 2015 Category: Surgery Source Type: research
A comparison of surgical outcomes between in-hours and after-hours tracheoesophageal fistula repairs
Emerging literature has found increased complications for some patients undergoing nonemergent surgeries performed after-hours. For infants born with esophageal atresia and tracheoesophageal fistula (EA/TEF), no literature exists addressing the impact of the timing of surgery on outcomes. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 2, 2015 Category: Surgery Authors: Anthony Yeung, Sonia A. Butterworth Source Type: research
Respiratory Care of Infants and Children with Congenital Tracheo-Oesophageal Fistula and Oesophageal Atresia.
This article will discuss the aetiology, classification, diagnosis and treatment of congenital TOF, with an emphasis on post-surgical respiratory management, recognition of early and late onset complications, and long-term clinical outcomes. (Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - March 2, 2015 Category: Respiratory Medicine Authors: Sara C. Sadreameli, Sharon A. McGrath-Morrow Source Type: research
Initial experience with thoracoscopic esophageal atresia and tracheoesophageal fistula repair: lessons learned and technical considerations to achieve success.
Abstract The minimally invasive surgical (MIS) repair of esophageal atresia/tracheoesophageal fistula (EA/TEF) is challenging and requires advanced endoscopic skills. The purpose of this study was to provide insight in successfully introducing the MIS repair based on the initial cases performed by a single pediatric surgeon and review of the experience of others. A retrospective review of all MIS TEF repairs performed by a single surgeon was conducted. Data gathered included patient demographics, technical details of repair including operative time, short- and long-term postoperative morbidity, length of stay, and ...
Source: The American Surgeon - March 1, 2015 Category: Surgery Authors: Robie DK Tags: Am Surg Source Type: research
Vascular Anomalies Associated with Esophageal Atresia and Tracheoesophageal Fistula
To report the incidence of congenital vascular anomalies in a cohort of patients with esophageal atresia (EA) and tracheoesophageal fistula (TEF) while describing the clinical presentation, diagnosis, and consequences, and to evaluate the diagnostic value of esophagram in diagnosing an aberrant right subclavian artery (ARSA). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - February 23, 2015 Category: Pediatrics Authors: Stéphanie Berthet, Estelle Tenisch, Marie Claude Miron, Nassiba Alami, Jennifer Timmons, Ann Aspirot, Christophe Faure Tags: Original Article Source Type: research
Unilateral Pulmonary Agenesis and Esophageal Atresia with a Tracheoesphageal Fistula-23 Year Follow Up
Publication date: Available online 17 February 2015 Source:Journal of Pediatric Surgery Case Reports Author(s): Michael Curci , Albert Dibbins Pulmonary agenesis, esophageal atresia and a tracheoesophageal fistula (EA+TEF) are a rare combined congenital anomalies associated with a high morbidity and mortality. For those patients that have survived these malformation, there has been limited long-term follow up. This case report describes a 23-year followup with evaluation of the patient’s pulmonary, cardiac and gastrointestinal function. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - February 20, 2015 Category: Surgery Source Type: research
Detection of ideal reservoir level after laryngectomy using endoilluminator in voice rehabilitation
ConclusionEndoilluminator increases the success rate of the insufflation test by accurately predicting a patient's ability to achieve effective speech after application of voice prosthesis. Level of Evidence4. Laryngoscope, 2015 (Source: The Laryngoscope)
Source: The Laryngoscope - February 20, 2015 Category: ENT & OMF Authors: Ali Ahmet Sirin, Ibrahim Erdim, Bahadir Baykal, Fatih Oghan, Rasim Yilmazer, Ali Guvey, Fatma Tulin Kayhan Tags: Laryngology Source Type: research
Esophageal lung resection and prosthesis placement in a preterm neonate
This report describes a successful outcome in a preterm baby with an esophageal atresia and tracheo-esophageal fistula, who initially underwent a primary esophageal repair; but a persistent nonexpanding lung on the side of surgery led to further investigations. A further diagnosis of an esophageal lung resulted in pneumonectomy and prophylactic placement of an intra-thoracic prosthesis to prevent post-pneumonectomy syndrome. To the best of our knowledge, this is the first report of a prophylactic placement of an intra-thoracic prosthesis in a neonate with the condition of esophageal atresia and tracheo-esophageal fistula a...
Source: Journal of Indian Association of Pediatric Surgeons - February 17, 2015 Category: Surgery Authors: Lalit ParidaKamalesh PalHussah A BuainainKhalid U Al-Umran Source Type: research
A cross-sectional nationwide survey on esophageal atresia and tracheoesophageal fistula
Our study aims at disclosing epidemiology and most relevant clinical features of esophageal atresia (EA) pointing to a model of multicentre collaboration. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 9, 2015 Category: Surgery Authors: A. Pini Prato, M. Carlucci, P. Bagolan, P.G. Gamba, M. Bernardi, E. Leva, G. Paradies, C. Manzoni, B. Noccioli, A. Tramontano, V. Jasonni, F. Vaccarella, S. De Pascale, D. Alberti, G. Riccipetitoni, D. Falchetti, F. Caccia, G. Pelizzo, J. Schleef, M. Lima Source Type: research
Temporary gastric banding in a premature infant with esophageal atresia and severe respiratory distress syndrome
We present a case of a premature, very low weight infant in whom we used a technique of temporary gastric banding to control the air leak through the fistula. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - January 29, 2015 Category: Surgery Source Type: research
Split Latissimus Dorsi Muscle Flap Repair of Acquired, Nonmalignant, Intrathoracic Tracheoesophageal and Bronchoesophageal Fistulas
The development of a fistula between the tracheobronchial tree and oesophagus due to nonmalignant causes is uncommon. Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence as well as providing a robust blood supply to aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial and oesophageal). (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - January 27, 2015 Category: Cardiology Authors: Ziyad S. Hammoudeh, Eti Gursel, Frank A. Baciewicz Source Type: research
Primary Prosthetic Voice Rehabilitation in Patients After Laryngectomy: Applications and Pitfalls.
Authors: Calkovsky V, Hajtman A Abstract The use of the tracheoesophageal (T-E) silicone rubber voice prosthesis is the most effective and well-established procedure to restore the voice in patients after laryngectomy. The prosthesis is usually well-tolerated with only minor complications. Severe complications are rare. In this article we present our experience with the prosthetic technique at the Clinic of Otorhinolaryngology and Head and Neck Surgery in University Hospital in Martin, Slovakia between the years 2005-2013 and report a case of a 48-year-old man with secondary prosthesis inserted through a T-E shunt ...
Source: Advances in Experimental Medicine and Biology - January 26, 2015 Category: Research Tags: Adv Exp Med Biol Source Type: research
Postprandial Hyperinsulinaemic Hypoglycaemia Secondary to a Congenital Portosystemic Shunt
Conclusion: PSS can rarely be associated with HH, possibly due to lack of insulin degradation in the liver. Surgical closure of the shunt resolves the hypoglycaemia.Horm Res Paediatr (Source: Hormone Research in Paediatrics)
Source: Hormone Research in Paediatrics - January 21, 2015 Category: Endocrinology Source Type: research
Gastrotracheal fistula: Treatment with a covered elf-expanding Y-shaped metallic stent.
Abstract A 67-year-old man had a sev-ere cough and pulmonary infection for 1 wk before seeking evaluation at our hospital. He had undergone esophagectomy with gastric pull-up and radiotherapy for esophageal cancer 3 years previously. After admission to our hospital, gastroscopy and bronchoscopy revealed a fistulous communication between the posterior tracheal wall near the carina and the upper residual stomach. We measured the diameter of the trachea and bronchus and determined the site and size of the fistula using multislice computed tomography and gastroscopy. A covered self-expanding Y-shaped metallic stent was...
Source: World Journal of Gastroenterology - January 21, 2015 Category: Gastroenterology Authors: Wang F, Yu H, Zhu MH, Li QP, Ge XX, Nie JJ, Miao L Tags: World J Gastroenterol Source Type: research
Rare association of pulmonary artery sling with tracheo-oesophageal fistula and patent ductus arteriosus
Congenital tracheo-oesophageal fistula (TEF) is a life-threatening complication caused by communication between the oesophagus and the tracheobronchial tree within the neck or the thorax. TEF without oesophageal atresia is commonly known as ‘H’-type TEF, and it is extremely rare in infants, accounting for ~2–4% of all congenital tracheo-oesophageal malformations. Here, we report a rare case of a pulmonary artery sling with TEF and patent ductus arteriosus. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 20, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Zhang, J., Deng, L., Tang, M. Tags: Congenital - cyanotic, Great vessels, Wound treatment Source Type: research
Fully Covered Self-Expandable Metal Stent in Tracheobronchial Disorders: Clinical Experience
Conclusions: The Silmet stent is effective, safe and simple to implant and remove. We suggest its use in cases of tight stenoses, in the treatment of small- to medium-caliber airways or in cases of tortuous airways. (Source: Respiration)
Source: Respiration - January 15, 2015 Category: Respiratory Medicine Source Type: research
Tracheobronchial Fistula During the Perioperative Period of Esophagectomy for Esophageal Cancer
Conclusion Careful dissection with direct vision of the esophagus, as well as oversewing of the staplers on the gastric tube, is mandatory for preventing TB injury and fistula formation. Appropriate drainage is effective in cases with peri-tracheal abscesses. If the TB fistula fails to heal within a 4- to 6-week period, conservative management should be abandoned. Direct surgical intervention with coverage by a muscle flap is important for TB fistulas. (Source: World Journal of Surgery)
Source: World Journal of Surgery - January 15, 2015 Category: Surgery Source Type: research
A prospective nonrandomized phase I/II study of carbon ion radiotherapy in a favorable subset of locally advanced non–small cell lung cancer (NSCLC)
CONCLUSIONSShort‐course CIRT monotherapy shows promise as an effective nonsurgical treatment for inoperable LA‐NSCLC. Cancer 2014. © 2014 American Cancer Society. (Source: Cancer)
Source: Cancer - January 13, 2015 Category: Cancer & Oncology Authors: Wataru Takahashi, Mio Nakajima, Naoyoshi Yamamoto, Hideomi Yamashita, Keiichi Nakagawa, Tadaaki Miyamoto, Hiroshi Tsuji, Tadashi Kamada, Takehiko Fujisawa Tags: Original Article Source Type: research
Emergency open surgery for aorto-oesophageal and aorto-bronchial fistulae after thoracic endovascular aortic repair: a single-centre experience [AORTIC SURGERY]
CONCLUSIONS AOF and ABF represent uncommon but fatal complications—if treated conservatively—after TEVAR that may occur during short- and mid-term follow-up. Surgery for AOF/ABF requires early diagnosis and should be performed promptly and in a radical fashion to totally excise all infected tissues in these high-risk patients. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 7, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Luehr, M., Etz, C. D., Nozdrzykowski, M., Garbade, J., Lehmkuhl, L., Schmidt, A., Misfeld, M., Borger, M. A., Mohr, F.-W. Tags: Cerebral protection, Pericardium AORTIC SURGERY Source Type: research
Incidental Tracheal Diverticulum Discovered 30 Years After Tracheo-esophageal Fistula Repair
Tracheo-esophageal fistula is a well-described congenital abnormality treated surgically upon diagnosis. Although respiratory-related and reflux-related complications are frequent, recurrent fistula and diverticulum can occur. This case report describes the rare occurrence of a gross type B fistula repaired at birth, which was then asymptomatic for nearly 30 years until presentation with chest pain. Upon workup, the patient was found to have an isolated tracheal diverticulum without recurrent fistula. We highlight the need for a focused workup despite the length of time since fistula repair and the varied treatment modalit...
Source: Journal of Bronchology and Interventional Pulmonology - January 1, 2015 Category: Respiratory Medicine Tags: Case Reports Source Type: research
Absent upper blind Pouch in a case of tracheo-esophageal fistula.
We present a newborn with suspected tracheo-esophageal fistula that was diagnosed intraoperatively to have absent upper blind pouch of the esophagus and on autopsy found to have laryngeal atresia with absent vocal cords and a common aerodigestive tract continuing distally with trachea. The neonate was ventilated with endotracheal tube (ETT) placement which in retrospect we came to know that it was in the esophagus. The neonate also had associated multiple congenital anomalies of VACTERL association. The importance of teamwork between neonatologist, pediatric surgeon, anesthesiologist, and radiologist is highlighted for dia...
Source: Hand Surgery - January 1, 2015 Category: Surgery Authors: Harjai MM, Badal S, Khanna S, Singh AK Tags: J Indian Assoc Pediatr Surg Source Type: research
Modified End-to-End Anastomosis for the Treatment of Congenital Tracheal Stenosis With a Bridging Bronchus.
Abstract An infant with a ventricular septal defect; Vertebral anomalies, Anal atresia, Cardiac anomalies, Tracho Esophageal fistula (TEF), Renal anomalies, Limb anomalies syndrome; and tracheal stenosis with a bridging bronchus underwent repair of the ventricular septal defect and trachea-bronchial reconstruction at age 11 months. Herein we describe our surgical approach to resection of the bridging bronchus and a technique using a modified end-to-end tracheal anastomosis for the correction of this complex anomaly. PMID: 25555968 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Stock C, Nathan M, Murray R, Rahbar R, Fynn-Thompson F Tags: Ann Thorac Surg Source Type: research
Reconstruction of expanding tracheoesophageal fistulae in post radiated total laryngectomy patients with a bipaddled radial forearm free flap: report of 8 cases
Conclusions: Several TEF treatment approaches have been reported. Our 87.5% esophageal lumen preservation success rate, reestablishment of adequate airway, and uncomplicated postoperative courses demonstrates the reliability of this surgical approach. This article is protected by copyright. All rights reserved. (Source: Head and Neck)
Source: Head and Neck - December 24, 2014 Category: ENT & OMF Authors: Eliza H. Dewey, Jerry R. Castro, Jacqueline Mojica, Cathy L. Lazarus, Henry K. Su, Erin H. Alpert, Laura L. DosReis, Mark L. Urken Tags: Original Article Source Type: research
Endoscopic closure of acquired esophagorespiratory fistulas with cardiac occluders or vascular plugs
In conclusion, this procedure maybe effective in selective patients in a short-term. However, excision of the fistula with repair of the esophageal and tracheobronchial defects after the occlusion procedure needs to be considered when the patient's condition improved. (Source: European Respiratory Journal)
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Li, J., Wang, S., Gao, X., Chen, J., Zeng, G., He, B. Tags: 1.4 Interventional Pulmonology Source Type: research
Advantages of percutaneus dilatational tracheostomy
CONCLUSIONS: PDT is minimally invasive, less traumatic and is reasonably safe. Our experience allows to recommend PDT as an alternative to conventional tracheostomy in patients on prolonged mechanical ventilation with forecasting long-term respiratory support hardware. (Source: European Respiratory Journal)
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Pakhomov, G., Eshonkhodjaev, O., Hayaliev, R., Yormuhammedov, A. Tags: 8.1 Thoracic Surgery Source Type: research
Outcome and Safety of the Montgomery T-Tube for Laryngotracheal Stenosis: A Single-Center Retrospective Analysis of 546 Cases
Conclusion: This large clinical series demonstrated the safety and effectiveness of the T-tube for grade 1 and 2 stenosis with stenosed segments of 6 cm, tracheal end-to-end anastomosis is not appropriate and long-term placement of a T-tube is recommended. Our findings provide useful guidance for preoperatively selecting patients with laryngotracheal stenosis of various causes and differing severity.ORL 2014;76:314-320 (Source: ORL)
Source: ORL - December 19, 2014 Category: ENT & OMF Source Type: research
Results from the French National Esophageal Atresia register: one-year outcome
Conclusions: Digestive and respiratory morbidities remain frequent during the first year of life and are associated with difficult anastomosis and lack of full oral feeding. (Source: Orphanet Journal of Rare Diseases)
Source: Orphanet Journal of Rare Diseases - December 11, 2014 Category: Internal Medicine Authors: Anne SchneiderSébastien BlancArnaud BonnardNaziha Khen-DunlopFrédéric AuberAnne BretonGuillaume PodevinRony SfeirVirginie FouquetCatherine JacquierJean-Louis LemelleFrédéric LavrandFrançois BecmeurThierry PetitMarie-Laurence Poli-MerolFrédéric Elb Source Type: research