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Tracheo-Esophageal Fistula

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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

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

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

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

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

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

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

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

Feasibility of intensity-modulated and image-guided radiotherapy for locally advanced esophageal cancer
Conclusions: IMRT and IGRT may be effective for the treatment of locally advanced esophageal cancer with acceptable complications. (Source: BMC Cancer)
Source: BMC Cancer - April 17, 2014 Category: Cancer & Oncology Authors: Nam NguyenSiyoung JangJacqueline VockVincent Vinh-HungAlexander ChiPaul VosJudith PughRichard VoMisty CeizykAnand DesaiLexie Smith-Raymond Source Type: research

Radiolucent Esophageal Foreign Body Presenting as a Middle Mediastinal Mass and Tracheoesophageal Fistula
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - April 16, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Joseph M. Baylan, Kelly D. Mattix Source Type: research

A systematic review of transoral robotic surgery and radiotherapy for early oropharynx cancer
Conclusion: This review suggests that survival estimates are similar between the two modalities and the differences lie in adverse events. (Source: The Laryngoscope)
Source: The Laryngoscope - April 12, 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: Systematic Review Source Type: research

Closure of tracheoesophageal fistula with prefabricated deltopectoral flap.
Abstract Tracheoesophageal fistula (TEF) is a serious complication associated with impaired quality of life. However, a successful TEF closure is difficult owing to the high incidence of recurrence. We utilized a prefabricated deltopectoral (DP) flap for closure of a TEF that occurred after an extended total thyroidectomy. Prefabrication of the inner soft tissue lining the DP flap with a split skin graft was performed prior to surgical closure of a TEF. Esophageal and tracheal mucosa were sutured to the split thickness side and full thickness side of the prefabricated DP flap, respectively. A successful closure of ...
Source: Asian Journal of Surgery - March 24, 2014 Category: Surgery Authors: Murono S, Ishikawa E, Nakanishi Y, Endo K, Kondo S, Wakisaka N, Yoshizaki T Tags: Asian J Surg Source Type: research

Postoperative recurrent tracheoesophageal fistula: An unusual complication of oxidized regenerated cellulose (Surgicel®)
We present a case of recurrent tracheoesophageal fistula (RTEF) repaired by Surgicel®. In this case, tracheoesophageal fistula (TEF) recurred due to migration of Surgicel into the tracheal and esophageal lumen. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - March 14, 2014 Category: ENT & OMF Authors: Zafer Dokumcu, Kamer Polatdemir, Coskun Ozcan, Ata Erdener Tags: Case reports Source Type: research

Recurrent tracheoesophageal fistula in children with repaired esophageal atresia and the usefulness of flexible bronchoscopy.
PMID: 24630317 [PubMed - as supplied by publisher] (Source: Archivos de Bronconeumologia)
Source: Archivos de Bronconeumologia - March 13, 2014 Category: Respiratory Medicine Authors: Platnaris A, Lianou D, Kaditis AG Tags: Arch Bronconeumol Source Type: research

BMP antagonism by Noggin is required in presumptive notochord cells for mammalian foregut morphogenesis.
Abstract Esophageal atresia with tracheoesophageal fistula (EA/TEF) is a serious human birth defect, in which the esophagus ends before reaching the stomach, and is aberrantly connected with the trachea. Several mouse models of EA/TEF have recently demonstrated that proper dorsal/ventral (D/V) patterning of the primitive anterior foregut endoderm is essential for correct compartmentalization of the trachea and esophagus. Here we elucidate the pathogenic mechanisms underlying the EA/TEF that occurs in mice lacking the BMP antagonist Noggin, which display correct dorsal/ventral patterning. To clarify the mechanism of...
Source: Developmental Biology - March 12, 2014 Category: Biology Authors: Fausett SR, Brunet LJ, Klingensmith J Tags: Dev Biol Source Type: research

Tracheoplasty using the thymus against tracheo‐esophageal fistula due to necrotizing tracheobronchitis in a very low birth weight infant
We report a case of a very low birth weight infant treated successfully with tracheoplasty using the thymus against tracheo‐esophageal fistula due to necrotizing tracheobronchitis. A baby boy was born at 31 weeks gestation with a birth body weight of 1,230 g. Suddenly on Day 19, his respiration deteriorated, and a flexible bronchofiberscopy showed tracheostenosis, tracheomalacia, and tracheal diverticula. On Day 21, his abdomen became significantly distended, and a flexible bronchofiberscopy showed a tracheo‐esophageal fistula due to a rupture of the diverticula. On Day 105, during surgery, we confirmed necrosis of t...
Source: Pediatric Pulmonology - March 9, 2014 Category: Respiratory Medicine Authors: Hisaya Hasegawa, Yuzo Nagase, Miho Sakai, Nobuhide Henmi, Shio Tsuruta Tags: Case Report Source Type: research

Anaesthesia for specialist surgery in infancy
Abstract: Common indications for neonatal surgery include inguinal hernias and hypertrophic pyloric stenosis. Less common conditions that have major implications for anaesthesia include tracheoesophageal fistula, congenital diaphragmatic hernia, exomphalos, gastroschisis and congenital lobar emphysema. The anaesthetic management of these conditions is outlined in this article. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - March 1, 2014 Category: Anesthesiology Authors: Gillian Lauder, Helen Hume-Smith Tags: Neonatal anaesthesia Source Type: research

Post-operative management of esophageal atresia–tracheoesophageal fistula and gastroesophageal reflux: A Canadian Association of Pediatric Surgeons annual meeting survey
Conclusions: Most CAPS attendees treat postoperative GER prophylactically. However, there is no consistency in management strategy regarding which anti-reflux agent to use or for how long. A multi-centered study is required to establish a standardized protocol for the post-operative management of EA-TEF to prevent reflux and its effect on anastomotic strictures. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2014 Category: Surgery Authors: Anna C. Shawyer, Julia Pemberton, Helene Flageole Tags: CAPS Papers Source Type: research

Endoscopic clip for closure of persistent tracheoesophageal fistula in an infant
(Source: The Laryngoscope)
Source: The Laryngoscope - February 22, 2014 Category: ENT & OMF Authors: Evan J. Propst, Simon C. Ling, Alan Daneman, Jacob C. Langer Tags: How I Do It Source Type: research

[H-type tracheoesophageal fistula in neonates: Different therapeutic approaches.]
PMID: 24560732 [PubMed - as supplied by publisher] (Source: Anales de Pediatria)
Source: Anales de Pediatria - February 20, 2014 Category: Pediatrics Authors: González Temprano N, Viguria Sánchez N, Ayuso González L, Pérez Martínez A Tags: An Pediatr (Barc) Source Type: research

Efficacy of bronchial fiberscope in esophageal fistula caused by necrotizing bronchitis
This report describes a case in which the use of a bronchial fiberscope in making an early diagnosis facilitated appropriate management and survival. The proactive use of a bronchial fiberscope in regard to this disease, which has a high fatality rate, may save lives. (Source: Pediatrics International)
Source: Pediatrics International - February 18, 2014 Category: Pediatrics Authors: Jun Matsui, Sayuri Nakahara, Nanae Kikuoka, Hidemi Tsutsui, Ouki Furukawa, Shoji Kitamura, Takahide Yanagi, Shigeki Koshida, Hisaya Hasegawa Tags: PATIENT REPORT Source Type: research