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Tracheoesophageal Fistula in a Newborn
New England Journal of Medicine, Volume 371, Issue 16, October 2014. (Source: New England Journal of Medicine)
Source: New England Journal of Medicine - October 15, 2014 Category: Internal Medicine Tags: article Source Type: research

Quality of reporting of the literature on gastrointestinal reflux after repair of esophageal atresia–tracheoesophageal fistula
There is variation in the management of postoperative gastroesophageal reflux (GER) in esophageal atresia–tracheoesophageal fistula (EA-TEF). Well-reported literature is important for clinical decision-making. We assessed the quality of reporting (QOR) of postoperative GER management in EA-TEF. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 9, 2014 Category: Surgery Authors: Anna C. Shawyer, Julia Pemberton, David Kanters, Amar A.A. Alnaqi, Helene Flageole Source Type: research

Oesophageal atresia with tracheo-oesophageal fistula in a preterm neonate in Limbe, Cameroon: case report & brief literature review
Conclusion: A high index of suspicion for Oesophageal atresia/trachea-oesophageal fistula should prevail when faced with a neonate with the triad: respiratory distress during feeds, regurgitation and persistent frothy salivation. The case discusses the diagnostic dilemma and management difficulties in a preterm neonate with the above association in a low income setting. (Source: BioMed Central)
Source: BioMed Central - October 7, 2014 Category: Journals (General) Authors: Leopold N AmindeVeronica N EbenyeWalters T ArreyNoah F TakahGeorge Awungafac Source Type: research

Thoracoscopic repair of esophageal atresia with tracheoesophageal fistula: Overcoming the learning curve
We describe our initial experience of thoracoscopic esophageal atresia with distal tracheoesophageal fistula (EA/TEF) repair. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 1, 2014 Category: Surgery Authors: Sanghoon Lee, Suk-Koo Lee, Jeong-Meen Seo Source Type: research

A contemporary prediction rule for esophageal atresia (EA) and tracheo-esophageal fistula (TEF)
Existing prediction models for tracheo-esophageal fistula (TEF) and esophageal atresia (EA) are derived from small single-institution populations treated over long periods. A prediction rule developed in a contemporary, multicenter cohort is important for counseling, tailoring therapy, and benchmarking outcomes. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 1, 2014 Category: Surgery Authors: Benjamin Turner, Roshni Dasgupta, Mary Elizabeth Brindle Source Type: research

One shall become two: Separation of the esophagus and trachea from the common foregut tube
Abstract The alimentary and respiratory organ systems arise from a common endodermal origin, the anterior foregut tube. Formation of the esophagus from the dorsal region and the trachea from the ventral region of the foregut primordium occurs via a poorly understood compartmentalization process. Disruption of this process can result in severe birth defects, such as esophageal atresia and tracheoesphageal fistula (EA/TEF), in which the lumina of the trachea and esophagus remain connected. Here we summarize the signaling networks known to be necessary for regulating dorso‐ventral patterning within the common foregut tube a...
Source: Developmental Dynamics - October 1, 2014 Category: Molecular Biology Authors: Katherine Kretovich Billmyre, Mary Hutson, John Klingensmith Tags: Review Source Type: research

Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula in neonates: the current state of the art
This report evaluates the results and evolution of the technique over the last decade. Thoracoscopic esophageal atresia repair has proven to be an effective and safe technique. Initial experience resulted in a higher stricture rate but this improved with experience and changes in technique over the last decade. The outcomes are similar to or superior to that of an open thoracotomy and avoid the musculoskeletal morbidity associated with that technique. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - September 25, 2014 Category: Surgery Source Type: research

The management of postoperative reflux in congenital esophageal atresia–tracheoesophageal fistula: a systematic review
Conclusion The quality of literature regarding anti-reflux medication for GER post EA-TEF repair is poor. There are no well-outlined algorithms for anti-reflux agents, doses, or duration of therapy. Standardized protocols and reliable reporting are necessary to develop guidelines to better manage postoperative GER in EA-TEF patients. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - September 25, 2014 Category: Surgery Source Type: research

242 * repair of post-intubation tracheo-oesophageal fistulas through the left pre-sternocleidomastoid approach: a recent case series of 13 patients
Conclusion: The left pre-sternocleidomastoid incision is an excellent access for the repair of a post-intubation TOF avoiding tracheal resection. The interposition of the whole left pedicled sternocleidomastoid muscle between the suture lines of trachea and oesophagus prevents fistula recurrence and offers the best chance for cure. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Foroulis, C. N. N., Nana, C., Kleontas, A., Tagarakis, G., Tossios, P., Anastasiadis, K. Tags: Oesophagus Source Type: research

Thoracoscopic repair of congenital tracheo-oesophageal fistula manifesting in an adult
We report the case of a 23-year-old man diagnosed with an H-type TOF during workup undertaken for his symptoms of gastro-oesophageal reflux. This fistula located at the level of third thoracic vertebra was repaired successfully using a thoracoscopic approach. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 23, 2014 Category: Surgery Authors: Hrishikesh P SalgaonkarPradeep Chandra SharmaNippun ChhakarvartyRavindra RamadwarRajiv MehtaDeepraj S Bhandarkar Source Type: research

Analysis of renal anomalies in VACTERL association
ConclusionGiven the high prevalence of isolated VUR in our cohort, we recommend a screening VCUG or other imaging modality be obtained to evaluate for VUR if initial renal ultrasound shows evidence of obstruction or renal scarring, as well as ongoing evaluation of renal health. Birth Defects Research (Part A), 2014. © 2014 Wiley Periodicals, Inc. (Source: Birth Defects Research Part A: Clinical and Molecular Teratology)
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - September 5, 2014 Category: Perinatology & Neonatology Authors: Bridget K. Cunningham, Alina Khromykh, Ariel F. Martinez, Tyler Carney, Donald W. Hadley, Benjamin D. Solomon Tags: Brief Report Source Type: research

Difficult Esophageal Atresia: Trick and Treat
Although most patients with esophageal atresia (EA) and tracheo-esophageal fistula (TEF) may benefit from “standard” management, that is deferred emergency surgery, some may present unexpected elements that change this paradigm. Birth weight, associated anomalies and long gap can influence the therapeutic schedule of the patients with EA/TEF and make their treatment tricky. As a consequence, detailed information on these aspects gives the power to develop a decision making process as correct as possible. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 3, 2014 Category: Pediatrics Authors: Andrea Conforti, Francesco Morini, Pietro Bagolan Source Type: research

Ultrashort-Segment Tracheal Stenosis at Juxtacarinal Location: Is it Congenital Absence of Just the Single Cartilage or Part of a Spectrum of Anomalous Growth?
We report 3 such patients treated by excision of the affected segment and a direct anastomosis, with good result. PMID: 25193201 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Abelardo E, Muthialu N Tags: Ann Thorac Surg Source Type: research

Spontaneous viral tracheoesophageal fistula
(Source: Diseases of the Esophagus)
Source: Diseases of the Esophagus - September 1, 2014 Category: Gastroenterology Authors: D. Adão, J. R. M. Carlotto, P. R. L. Oyama, F. A. M. Herbella Tags: Images in esophageal diseases Source Type: research

Toxicity and survival outcomes of adjuvant chemoradiation for gastric and gastroesophageal junction cancer patients treated in period 2006-2009: an institutional experience.
Abstract Surgical resection is the mainstay of gastric or gastroesophageal junction cancer treatment and has curative potential for patients with early-stage disease. In order to improve the poor survival rates, there are two complementary treatment strategies used at most - perioperative chemotherapy based on UK Magic trial or adjuvant chemoradiation based on INT-0116 trial. Daily treatment decision making should be led also by institutional experiences with toxicity evaluation. We evaluated survival and toxicity outcomes of 47 consecutive patients who underwent adjuvant chemoradiation in our institution in the ye...
Source: Neoplasma - August 23, 2014 Category: Cancer & Oncology Authors: Slavik M, Burkon P, Kazda T, Budikova M, Slavikova M, Dvorakova E, Pospisil P, Gombosova J, Navratilova P, Slampa P Tags: Neoplasma Source Type: research

The Importance of Patient Advocacy and Family Care
By Kerry Sheeran, author of The Marathon, a novel based on the true, emotional journey of a mother and father forced to face their daughter’s life-threatening medical crisis.  Having held my daughter Emma’s hand through eight major surgeries, I consider myself well-versed in what it means to be a patient advocate. All parents are advocates for their children to a degree. From trying to feed them the right foods to connecting with their teachers, helping kids find their way in the world requires a lot of guidance and support from mom and dad. But when your child has a medical crisis, advocacy takes on a whole new ...
Source: Thrive, Children's Hospital Boston - August 7, 2014 Category: Pediatrics Authors: Guest Blogger Tags: All posts our patients' stories patient advocacy Source Type: news

Distal tracheoesophageal fistula in pediatric patient - an anesthetic challenge.
PMID: 25039876 [PubMed - in process] (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - July 22, 2014 Category: Anesthesiology Authors: Gupta B, Ayub A, Bindra A, Gupta S, Mishra B Tags: Paediatr Anaesth Source Type: research

What Causes Abdominal Distention?
Discussion Constipation generally is defined as infrequent or painful defecation. It often is due to passing large hard stool infrequently which causes painful defecation and then withholding behaviors. As stool withholding continues, the rectum dilates and gradually accommodates with the normal defecation urge disappearing. Chronic rectal distension results in both loss of rectal sensitivity, and loss of urge to defecate, which can lead to encopresis. Abdominal distention because of stool retention occurs frequently. Treatment includes colonic evacuation, establishing regular bowel habits, eating a balanced diet with diet...
Source: PediatricEducation.org - July 21, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Closure of a chronic tracheoesophageal fistula by use of a cardiac septal occluder
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - July 15, 2014 Category: Gastroenterology Authors: Vivek Kumbhari, Alba Azola, Patrick I. Okolo, Andrew Hughes, Payal Saxena, Vijay Bapat, Andrew C. Storm, Rex Yung, Mouen A. Khashab Tags: VideoGIE Source Type: research

Anterior Mediastinal Tracheostomy as Salvage Operation.
CONCLUSIONS: Our experience with AMT as salvage therapy has shown acceptable long-term results if complete resection is achieved. This procedure is not risk free, and very careful patient selection is required because of a tortuous postoperative course, especially in combined pharyngeal-esophageal and vascular reconstruction. PMID: 25038017 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Berthet JP, Garrel R, Gimferrer JM, Paradela M, Marty-Ané CH, Molins L, Gómez-Caro A Tags: Ann Thorac Surg Source Type: research

Treatment outcomes after intraluminal brachytherapy following definitive chemoradiotherapy in patients with esophageal cancer
Conclusion: ILRT boost following concurrent chemoradiotherapy is well tolerated and potentially improves outcomes. It might be beneficial in selected patients with esophageal carcinoma. Further studies are required to identify its role in definitive treatment. (Source: Journal of Cancer Research and Therapeutics)
Source: Journal of Cancer Research and Therapeutics - July 14, 2014 Category: Cancer & Oncology Authors: Krishna SharanDonald Jerard FernandesPU Prakash SaxenaSourjya BanerjeeBrijesh Sathian Source Type: research

Impact of short-term iv paracetamol in high risk neonates
Conclusion Short duration of IV paracetamol treatment in post-operative neonates on TPN, morphine and antibiotics has minimal impact on liver function in the absence of severe sepsis. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - July 11, 2014 Category: Pediatrics Authors: Windscheif, P., Mishra, G., Welsh, R., Lakhoo, K. Tags: POSTERS Source Type: research

Risk factors for tracheal necrosis after total pharyngolaryngectomy
ConclusionThe findings of this study will be useful for assessing the risk of tracheal necrosis after TPL. In patients at high risk for tracheal necrosis, efforts should be made to preserve the tracheal circulation and to prevent life‐threatening sequelae if tracheal necrosis occurs. © 2014 Wiley Periodicals, Inc. Head Neck, 2014 (Source: Head and Neck)
Source: Head and Neck - July 10, 2014 Category: ENT & OMF Authors: Masahide Fujiki, Shimpei Miyamoto, Minoru Sakuraba, Shogo Nagamatsu, Ryuichi Hayashi Tags: Original Article Source Type: research

Distal tracheoesophageal fistula in pediatric patient – an anesthetic challenge
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2014 Category: Anesthesiology Authors: Babita Gupta, Arshad Ayub, Ashish Bindra, Surendra Gupta, Biplab Mishra Tags: Correspondence Source Type: research

Early Experience of Thoracoscopic Aortopexy for Severe Tracheomalacia in Infants After Esophageal Atresia and Tracheo-esophageal Fistula Repair
Journal of Laparoendoscopic & Advanced Surgical Techniques Jul 2014, Vol. 24, No. 7: 508-512. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - July 2, 2014 Category: Surgery Tags: article Source Type: research

Heterozygous FGF8 mutations in patients presenting cryptorchidism and multiple VATER/VACTERL features without limb anomalies
ConclusionOur results suggest FGF8 mutations to contribute to the formation of the VATER/VACTERL association. Further studies are needed to support this observation. Birth Defects Research (Part A), 2014. © 2014 Wiley Periodicals, Inc. (Source: Birth Defects Research Part A: Clinical and Molecular Teratology)
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - July 1, 2014 Category: Perinatology & Neonatology Authors: Claudia Zeidler, Joachim Woelfle, Markus Draaken, Sadaf S. Mughal, Greta Große, Alina C. Hilger, Gabriel C. Dworschak, Thomas M. Boemers, Ekkehart Jenetzky, Nadine Zwink, Martin Lacher, Dominik Schmidt, Eberhard Schmiedeke, Sabine Grasshoff‐Derr, Stefa Tags: Original Research Article Source Type: research

The association between laryngeal cleft and tracheoesophageal fistula: Myth or reality?
ConclusionThe diagnosis and management of LC in patients with TEF is often delayed. If a child presents with persistent aspiration after TEF repair, a complete airway endoscopy should be performed to evaluate for vocal fold mobility and cleft. Endoscopic repair is the recommended approach for those patients requiring surgical intervention. Level of Evidence4. Laryngoscope, 2014 (Source: The Laryngoscope)
Source: The Laryngoscope - June 26, 2014 Category: ENT & OMF Authors: Jose Carlos Fraga, Eelam A. Adil, Amy Kacprowicz, Margaret L. Skinner, Russell Jennings, Craig Lillehei, Reza Rahbar Tags: Laryngology Source Type: research

Imaging of penetrating injuries of the head and neck:current practice at a level I trauma center in the United States.
Abstract Penetrating neck injuries are commonly related to stab wounds and gunshot wounds in the United States. The injuries are classified by penetration site in terms of the three anatomical zones of the neck. Based on this zonal classification system, penetrating injuries to the head and neck have traditionally been evaluated by conventional angiography and/or surgical exploration. In recent years, multidetector-row computed tomography (CT) angiography has significantly improved detectability of vascular injuries and extravascular injuries in the setting of penetrating injuries. CT angiography is a fast and mini...
Source: The Keio Journal of Medicine - June 25, 2014 Category: Universities & Medical Training Authors: Saito N, Hito R, Burke PA, Sakai O Tags: Keio J Med Source Type: research

Pharyngocutaneous fistula after total laryngectomy: A systematic review of risk factors
Abstract Background: Pharyngocutaneous fistula (PCF) is the most common surgical complication after total laryngectomy (TL). Controversy still remains regarding the multiple risk factors implicated. Aim: To evaluate the potential risk factors for PCF. Methods: The strategy of literature survey included research in MEDLINE up to December, 2013. The risk factors analyzed were: age, sex, smoking habit, alcohol use, comorbidity, preoperative hemoglobin level, blood transfusion, preoperative tracheotomy, previous radiotherapy and chemoradiotherapy, tumor primary site, T stage, cartilage invasion, tumor grade, surgical margins, ...
Source: Head and Neck - June 23, 2014 Category: ENT & OMF Authors: Rogério Aparecido Dedivitis, Felipe Toyama Aires, Claudio Roberto Cernea, Lenine Garcia Brandão Tags: Clinical Review Source Type: research

Maternal hyperthyroidism increases the prevalence of foregut atresias in fetal rats exposed to adriamycin
Gastrointestinal malformations such as esophageal atresia with tracheoesophageal fistula (EA/TEF) and duodenal atresia (DA) have been reported in infants born to hyperthyroid mothers or with congenital hypothyroidism. The present study aimed to test whether maternal thyroid status during embryonic foregut division has any influence on the prevalence of EA/TEF and DA in an accepted rat model of these malformations. Pregnant rats received either vehicle or 1.75 mg/kg i.p. adriamycin on gestational days 7, 8 and 9. Transient maternal hyper or hypothyroidism was induced by oral administration of levothyroxine (LT4, 50 μg/kg/d...
Source: Journal of Pediatric Surgery - June 20, 2014 Category: Surgery Authors: Federico G. Seifarth Tags: International Abstracts of Pediatric Surgery Source Type: research

Trans-cervical, trans-tracheal approach to proximal tracheo-oesophageal fistula: A novel technique
(Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - June 19, 2014 Category: ENT & OMF Authors: J.C Oosthuizen, R.R Ramli, O.M Aworanti, S. Awadalla, T. O'Dwyer Source Type: research

Clinical and etiological heterogeneity in patients with tracheo-esophageal malformations and associated anomalies.
Abstract Esophageal Atresia (EA) is a severe developmental defect of the foregut that presents with or without a Tracheo-Esophageal Fistula (TEF). The prevalence of EA/TEF over time and around the world has been relatively stable. EA/TEF is manifested in a broad spectrum of anomalies: in some patients it manifests as an isolated atresia or fistula, but in over half it affects several organ systems. While the associated malformations are often those of the VACTERL spectrum (Vertebral, Anorectal, Cardiac, Tracheo-Esophageal, Renal and Limb), many patients are affected by other malformations, such as microcephaly, mic...
Source: European Journal of Medical Genetics - June 12, 2014 Category: Genetics & Stem Cells Authors: Brosens E, Ploeg M, van Bever Y, Koopmans AE, IJsselstijn H, Rottier RJ, Wijnen R, Tibboel D, de Klein A Tags: Eur J Med Genet Source Type: research

Imaging of Penetrating Injuries of the Head and Neck:Current Practice at a Level I Trauma Center in the United States.
Abstract Penetrating neck injuries are commonly related to stab wounds and gunshot wounds in the United States. The injuries are classified by penetration site in terms of the three anatomical zones of the neck. Based on this zonal classification system, penetrating injuries to the head and neck have traditionally been evaluated by conventional angiography and/or surgical exploration. In recent years, multidetector-row computed tomography (CT) angiography has significantly improved detectability of vascular injuries and extravascular injuries in the setting of penetrating injuries. CT angiography is a fast and mini...
Source: The Keio Journal of Medicine - June 10, 2014 Category: Universities & Medical Training Authors: Saito N, Hito R, Burke PA, Sakai O Tags: Keio J Med Source Type: research

O-088 * how would you repair a broncho-oesophageal fistula?
Conclusions: Complex tracheoesophageal fistulas should be treated before respiratory complications or emergency contest, by combining a tracheo-bronchial reconstruction with intercostal flap, and transient stenting, allowing cicatrization of the bronchus without malacia and stenosis. Disclosure: No significant relationships. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - June 9, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Haddad, L., Peillon, C., Marc Baste, J., Litzler, P. Tags: SESSION XII: INTERESTING CASES Source Type: research

Slide tracheoplasty for the treatment of tracheoesophogeal fistulas
Conclusion: Slide tracheoplasty is an effective method to treat complex TE fistulas. The procedure was not associated with any recurrences. This is the first description of a novel, effective, and safe method to treat TE fistulas. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - June 1, 2014 Category: Surgery Authors: Matthew J. Provenzano, Michael J. Rutter, Daniel von Allmen, Peter B. Manning, R. Paul Boesch, Philip E. Putnam, Angela P. Black, Alessandro de Alarcon Tags: AAP Papers Source Type: research

A novel treatment approach to h-type esophageal lung in presence of pulmonary artery sling with pneumonectomy and intrathoracic tissue-expander placement.
Abstract Congenital tracheal anomalies occur in 1:10,000 births and can be associated with congenital cardiac disease. This patient presented with right mainstem atresia, right bronchoesophageal fistula without esophageal atresia (H-type esophageal lung), and left pulmonary arterial (PA) sling. Taking this into consideration, surgical management included right pneumonectomy and placement of expandable prosthesis into the thoracic cavity to buttress the mediastinum and prevent tracheal deviation-induced kinking of the PA sling, which provided pulmonary blood flow to the remaining functional lung. To our knowledge, t...
Source: Chest - June 1, 2014 Category: Respiratory Medicine Authors: Phillips MR, Dehmer JJ, Weiner TM, Lee S Tags: Chest Source Type: research

Tracheoesophageal fistula in a treatment naive patient with lung cancer.
PMID: 25038391 [PubMed - as supplied by publisher] (Source: Tuberkuloz ve Toraks)
Source: Tuberkuloz ve Toraks - June 1, 2014 Category: Respiratory Medicine Authors: Ozturk O, Koksal D, Emri S Tags: Tuberk Toraks Source Type: research

Complications of airway management.
This article also includes a review of complications of airway management pertaining to video laryngoscopy and supraglottic airway devices. Finally, potential strategies to prevent intubation-associated injuries are outlined. PMID: 24891204 [PubMed - in process] (Source: Respiratory Care)
Source: Respiratory Care - June 1, 2014 Category: Respiratory Medicine Authors: Pacheco-Lopez PC, Berkow LC, Hillel AT, Akst LM Tags: Respir Care Source Type: research

A Systematic review of transoral robotic surgery and radiotherapy for early oropharynx cancer: A systematic review
ConclusionThis review suggests that survival estimates are similar between the two modalities and that the differences lie in adverse events. Laryngoscope, 2014 (Source: The Laryngoscope)
Source: The Laryngoscope - May 27, 2014 Category: ENT & OMF Authors: John R. Almeida, James K. Byrd, Rebecca Wu, Chaz L. Stucken, Uma Duvvuri, David P. Goldstein, Brett A. Miles, Marita S. Teng, Vishal Gupta, Eric M. Genden Tags: Head and Neck Source Type: research

[Recurrent tracheoesophageal fistula in type III esophageal atresia: Diagnosis and treatment are not easy.]
Abstract Recurrent tracheoesophageal fistula (TEF) is possible after repair of congenital esophageal atresia. The frequency of recurrent TEF is observed in about 10% of the cases. Within a cohort of 67 children with type III esophageal atresia repaired between 1998 and 2009, we aimed to identify the number of children with recurrent TEF, the risk factors for this condition, and the treatment proposed. The sex ratio was 1.7. Surgery was performed between 4 and 36hours of life. Five children (7.5%) had a recurrent TEF, usually during the first 3months, revealed by respiratory symptoms related to feeding in some case...
Source: Archives de Pediatrie - May 20, 2014 Category: Pediatrics Authors: Lepeytre C, Roquelaure B, de Lagausie P, Merrot T, Dubus JC Tags: Arch Pediatr Source Type: research

Thoracoscopic operations in children.
Abstract Over the past two decades there has been an exponential growth in the use of thoracoscopy in children. Indeed, many advanced procedures-including lobectomy, repair of tracheoesophageal fistula, excision of mediastinal tumours, and diaphragmatic hernia repairs-can now be performed by this means in advanced paediatric surgical centres in the world. This review describes the historical perspectives and the current state of thoracoscopic surgery, including potential benefits and challenges, in children. PMID: 24812200 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - May 9, 2014 Category: Journals (General) Authors: Lau CT, Leung J, Hui TW, Wong KK Tags: Hong Kong Med J Source Type: research

Risk factors for tracheal necrosis following total pharyngolaryngectomy
Conclusions: The findings of this study will be useful for assessing the risk of tracheal necrosis following TPL. In patients at high risk for tracheal necrosis, efforts should be made to preserve the tracheal circulation and to prevent life‐threatening sequelae if tracheal necrosis occurs. Head Neck, 2014 (Source: Head and Neck)
Source: Head and Neck - May 6, 2014 Category: ENT & OMF Authors: Masahide Fujiki, Shimpei Miyamoto, Minoru Sakuraba, Shogo Nagamatsu, Ryuichi Hayashi Tags: Original Article Source Type: research

Cervical/thoracotomic/thoracoscopic approaches for H-type congenital tracheo-esophageal fistula: A systematic review
(Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - May 5, 2014 Category: ENT & OMF Authors: Filippo Parolini, Anna Morandi, Francesco Macchini, Valerio Gentilino, Andrea Zanini, Ernesto Leva Tags: Review article Source Type: research

Measured gap length and outcomes in oesophageal atresia
Oesophageal atresia (OA) with or without tracheoesophageal fistula (TOF) is the most common congenital anomaly of the oesophagus. There is limited literature suggesting a linear relationship between increasing gap length and the incidence of all major complications. We sought to assess whether measured gap length at the time of surgery was related to outcomes in our patients. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 5, 2014 Category: Surgery Authors: Hemanshoo S. Thakkar, Joseph Cooney, Neetu Kumar, Edward Kiely Source Type: research

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In conclusion, this initial series of 26 patients along with the updated additional series of 12 patients is the largest series thus far reported in the literature. All 38 patients represent the characteristics of recurrent tracheoesophageal fistulas, including techniques to make the diagnosis and to provide a secure closure of the fistula, and the long-term outcomes of these patients. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 1, 2014 Category: Surgery Authors: Federico G. Seifarth Tags: International Abstracts of Pediatric Surgery Source Type: research

A nationwide analysis of clinical outcomes among newborns with esophageal atresia and tracheoesophageal fistulas in the United States
Abstract: Background: The aim of this study was to examine national outcomes in newborn patients with esophageal atresia and tracheoesophageal fistula (EA/TEF) in the United Sates.Methods: Kid's Inpatient Database (KID) is designed to identify, track, and analyze national outcomes for hospitalized children in the United States. Inpatient admissions for pediatric patients with EA/TEF for kid's Inpatient Database years 2000, 2003, 2006, and 2009 were analyzed. Patient demographics, socioeconomic measures, disposition, survival and surgical procedures performed were analyzed using standard statistical methods.Results: A total...
Source: Journal of Surgical Research - April 30, 2014 Category: Surgery Authors: Bo Wang, Jun Tashiro, Bassan J. Allan, Juan E. Sola, Punam P. Parikh, Anthony R. Hogan, Holly L. Neville, Eduardo A. Perez Tags: Pediatric/Congenital/Developmental Source Type: research

A nationwide analysis of clinical outcomes among newborns with esophageal atresia and tracheoesophageal fistulas in the United States
(Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 28, 2014 Category: Surgery Authors: Bo Wang, Jun Tashiro, Bassan J. Allan, Juan E. Sola, Punam P. Parikh, Anthony R. Hogan, Holly L. Neville, Eduardo A. Perez Tags: Pediatric/Congenital/Developmental Source Type: research

Radiolucent esophageal foreign body presenting as a middle mediastinal mass and tracheoesophageal fistula
Esophageal foreign-body (FB) ingestion occurs in more than 100,000 cases per year.1 When it is recognized or suspected early, intervention is possible and is associated with limited morbidity and mortality. FB ingestion in adults is associated with a classic presentation, but the presentation may be obscure in the pediatric population. About 50% of patients have atypical symptoms or even no symptoms at all.2 Diagnosis is therefore often aided by radiographic imaging. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - April 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Joseph M. Baylan, Kelly D. Mattix Tags: Cardiothoracic imaging Source Type: research

Application of ECMO to the Treatment of Benign Double Tracheoesophageal Fistula: Report of a Case.
This report presents the extracorporeal membrane oxygenation (ECMO)-assisted surgical as a treatment of benign double tracheoesophageal fistula. The patient was a 43-year-old woman who presented the airway obstruction for 3 weeks after the esophagus metal stent implantation for the tracheoesophageal fistula 1 year ago. The airway obstruction was due to the expansion and piercing of the metal stent through the upper part of the esophagus into the tracheal cavity. In view of the failure of endotracheal intubation, we finally used ECMO-assisted surgery to remove the stent. And at the same time, cervical esophagostomy externa,...
Source: Annals of Thoracic and Cardiovascular Surgery - April 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Wang L, Xu XP, Zhan H, Zhang SM Tags: Ann Thorac Cardiovasc Surg Source Type: research