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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

Esophageal atresia and prenatal exposure to mycophenolate
We present four newborns with esophageal atresia and other congenital anomalies, prenatally exposed to mycophenolate mofetil during the first trimester. Two of the cases had other defects related to the embryopathy: microtia, eye abnormalities and oral clefts. Two cases did not show major craniofacial anomalies. We propose that esophageal atresia with or without tracheoesophageal fistula is a feature of mycophenolate embryopathy even without the presence of other major craniofacial anomalies. The human teratogenicity of MMF is reinforced by this report, and the current contraceptive recommendations about its use in fertile...
Source: Reproductive Toxicology - December 11, 2014 Category: Toxicology Source Type: research

Suspected Spontaneous Reports of Birth Defects in the UK Associated with the Use of Carbimazole and Propylthiouracil in Pregnancy.
Authors: Bowman P, Vaidya B Abstract The concept of a carbimazole embryopathy underlies current Endocrine Society advice to avoid this drug in early pregnancy, favouring propylthiouracil as an alternative for the treatment of maternal hyperthyroidism. We aimed to establish whether suspected spontaneous reporting of adverse drug reactions in the UK via the Yellow Card Scheme supports a carbimazole embryopathy and the lack of association between propylthiouracil and congenital anomalies. All birth defects related to maternal treatment with carbimazole or propylthiouracil reported over a 47-year period via the Yellow ...
Source: Journal of Thyroid Research - December 2, 2014 Category: Endocrinology Tags: J Thyroid Res Source Type: research

Adult presentation of laryngeal cleft: Utility of the modified barium swallow study in diagnosis and management.
We present a case of laryngeal cleft in a 41-year-old man to illustrate the co-occurrence of laryngeal cleft and tracheoesophageal fistula. We advocate the use of the modified barium swallow study in the diagnosis of laryngeal cleft. We also review the advantages and limitations of the various diagnostic methods, as well as the potential for known tracheoesophageal fistula to mask laryngeal cleft. Finally, we discuss the importance of early identification of laryngeal cleft in the context of its potentially serious health implications. PMID: 25531847 [PubMed - in process] (Source: Ear, Nose and Throat Journal)
Source: Ear, Nose and Throat Journal - December 1, 2014 Category: ENT & OMF Authors: Houdet-Cote G, McVaugh-Smock SR Tags: Ear Nose Throat J Source Type: research

Veno-venous extracorporeal membrane oxygenation and apnoeic oxygenation for tracheo-oesophageal fistula repair in a previously pneumonectomised patient
We report the use of intraoperative veno-venous ECMO support for a patient with a previous left pneumonectomy who required a right-sided thoracotomy for repair of a tracheo-oesophageal fistula. To avoid traumatising or pressurising the fistula, a spontaneous ventilation technique was used prior to intubation with a single-lumen endotracheal tube positioned above the level of the fistula. The ECMO cannulas were inserted after induction and ECMO was instituted prior to transfer to the lateral position. Oxygenation during ECMO was augmented with apnoeic oxygen delivery via the breathing circuit. This was associated with an in...
Source: Anaesthesia and Intensive Care - December 1, 2014 Category: Anesthesiology 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: Journal of Indian Association of Pediatric Surgeons - November 27, 2014 Category: Surgery Authors: Man Mohan HarjaiSachendra BadalSangeeta KhannaAjit Kumar Singh Source Type: research

Gap measurement in patients with esophageal atresia: Not a trivial matter
In their recent paper, Thakkar and co-workers [1] report their experience with 122 consecutive patients treated for esophageal atresia (EA) with/without tracheoesophageal fistula (TEF). They focus on the impact of gap length on some well-known postoperative complications, such as anastomotic leak, anastomotic stricture, and gastroesophageal reflux disease. Interestingly, gap length did not seem to have an influence on the development of the outcomes analyzed except for the need for fundoplication. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 24, 2014 Category: Surgery Authors: Francesco Morini, Pietro Bagolan Tags: Correspondence Source Type: research

Revisional surgery for recurrent tracheoesophageal fistula and anastomotic complications after repair of esophageal atresia in 258 infants
We assessed the occurrence and outcome of major reoperations following repair of esophageal atresia with or without tracheoesophageal fistula (TOF). Major outcome measures were survival, preservation of native esophagus, and long–term esophageal function. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 24, 2014 Category: Surgery Authors: Antti I. Koivusalo, Mikko P. Pakarinen, Harry G. Lindahl, Risto J. Rintala Source Type: research

Aberrant right subclavian artery-esophageal fistula: massive upper gastrointestinal hemorrhage secondary to prolonged intubation
We report a rare case of a patient who survived after emergent surgical procedure for massive upper gastrointestinal bleeding secondary to aberrant right subclavian artery-esophageal fistula after prolonged intubation. (Source: Brazilian Journal of Anesthesiology)
Source: Brazilian Journal of Anesthesiology - November 23, 2014 Category: Anesthesiology Source Type: research

Hypercapnia and acidosis during the thoracoscopic repair of oesophageal atresia and congenital diaphragmatic hernia
Thoracoscopic operations in neonates, such as repair of oesophageal atresia and tracheooesophageal fistula or congenital diaphragmatic hernia, can be associated with intraoperative acidosis and hypercapnia in the absence of hypoxia. These derangements in intraoperative gas exchanges seem to be related to the insufflation and absorption of medical CO2. The effects on the developing brain are unknown, and further prospective investigations are needed to elucidate whether different strategies should be implemented to avoid these intraoperative problems. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 22, 2014 Category: Surgery Authors: Agostino Pierro Source Type: research

Lower esophageal banding in extremely low birth weight infants with esophageal atresia and tracheoesophageal fistula is a life saving practice followed by a successful delayed primary thoracoscopy reconstruction
In extremely low birth weight (ELBW) infants, i.e. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 19, 2014 Category: Surgery Authors: Loren Margain, Eduardo Perez-Etchepare, François Varlet, Manuel Lopez Tags: Operative Techniques Source Type: research

Isolated esophageal atresia in both premature twins
Publication date: Available online 4 November 2014 Source:Pediatria Polska Author(s): Iwona Maroszyńska , Katarzyna Fortecka-Piestrzeniewicz , Marta Niedźwiecka , Alicja Żarkowska-Szaniawska An esophageal atresia is a rare congenital malformation of gastrointestinal tract. Its estimated incidence is 1–2 cases per 5000 live births. An esophageal atresia is more frequent in Caucasians and in children from twin pregnancy. However, it is extremely rare to observe this malformation in both twins. In 70% of cases an esophageal atresia is accompanied by other congenital malformations. The authors present a case of preterm ...
Source: Pediatria Polska - November 19, 2014 Category: Pediatrics Source Type: research

Esophageal atresia and malrotation: what association?
Conclusion There is a high incidence of malrotation in patients with pure EA. In the type A group an attempt to identify the DJF position at gastrostomy siting and/or performance of UGIS in the neonatal period should be undertaken. There should also be a low threshold for UGIS in all EA/TEF patients. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - November 17, 2014 Category: Surgery Source Type: research

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)
Conclusion Post-esophagectomy fistula is a morbid complication and the surgical treatments available are highly morbid and have variable success rates. Due to the development of new endoscopic technologies, the endotherapy has assumed new prominence for treatment of enteric fistula. This complex case illustrates feasibility of endoscopic fistula treatment using dual scope, biologic plug application which effectively controlled this patient’s EBF symptoms. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 11, 2014 Category: Surgery Source Type: research

Acellular dermal matrix for the treatment of a persistent tracheoesophegeal fistula
We report the use of Acellular dermal matrix (ADM) for the treatment of a persistent TEF in a 65 year old lady. The literature on ADM applications is reviewed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - November 11, 2014 Category: Cosmetic Surgery Authors: Waseem Bhat, Jonathan Wiper, Mark liddington Source Type: research

Pectoralis Major Myocutaneous Flap versus Free Fasciocutaneous Flap for Reconstruction of Partial Hypopharyngeal Defects: What Should We Be Doing?
Conclusions PMMF and FFC flaps are valid approaches to reconstructing partial hypopharyngeal defects, though rates in the literature of fistula, need for revisional surgery, and tracheoesophageal speech after laryngectomy are more favorable after free flap reconstruction.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - November 11, 2014 Category: Surgery Authors: Chao, Jerry W.Spector, Jason A.Taylor, Erin M.Otterburn, David M.Kutler, David I.Caruana, Salvatore M.Rohde, Christine H. Tags: Original Article Source Type: research

Post-radiation tracheoesophageal fistula following salvage laryngectomy: microsurgical repair using a “bi-laminar” lateral arm flap
We report using a free fasciocutaneous lateral arm flap, folded to create a bi-laminar (epithelial) reconstruction for salvage repair of large, high output persistent TOF initiated by tracheoesophageal puncture following total laryngectomy, two previous courses of radiotherapy and two unsuccessful repairs using small local flap and a pedicled pectoralis major. The folded lateral arm free flap provided resolution of the fistula, interposition of well-vascularised soft tissue, in addition to oesophageal lining and external tension-free cutaneous coverage, while maintaining a patent endotracheostomy. Chronic high output fistu...
Source: European Journal of Plastic Surgery - November 10, 2014 Category: Cosmetic Surgery Source Type: research

Esophageal lung – A rare bronchopulmonary foregut malformation
We report a case of a 6 month old girl who was previously operated for TEF repair, with esophageal lobe which was successfully excised. The relevant literature is reviewed. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - November 9, 2014 Category: Surgery Source Type: research

Management of Patients with Combined Tracheoesophageal Fistula, Esophageal Atresia, and Duodenal Atresia
Conclusion A staged approach of inserting a gastrostomy tube and repairing the EA/TEF first followed by a duodenoduodenostomy within one week resulted in excellent outcomes. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 7, 2014 Category: Surgery Source Type: research

Oesophageal atresia and tracheo-oesophageal fistula
Oesophageal atresia with tracheo-oesophageal fistula is a relatively common congenital anomaly occurring in around 1:2500 births. The aetiology and embryology of the condition remain unclear, whilst associations with other significant anomalies are common. Studies in rodent models are contributing to our understanding of the condition. Advances in surgical care and neonatal management have improved survival considerably to around 90%. Long-gap and isolated oesophageal atresia present significant management challenges. (Source: Early Human Development)
Source: Early Human Development - November 7, 2014 Category: Perinatology & Neonatology Authors: Nicola Smith Tags: Best practice guidelines Source Type: research

VACTERL rare association with rare survival pattern
Publication date: Available online 11 June 2014 Source:Journal of Indian College of Cardiology Author(s): Rajeev Gupta , Chandrabhushan Pandey , Sunil Tripathi Truncus Arteriosus (TA) as a cardiac anomaly is a rare occurrence in VACTERL (Vertebral defects, Anorectal malformations, Cardiac defects, Tracheo-Esophageal fistula, Renal & Limb anomalies) association and portends an extremely poor prognosis. The authors report here the case of a 37-year-old male who presented with complaints of recurrent respiratory tract infections and occasional syncopal attacks. The patient was subsequently found to possess an extrem...
Source: Journal of Indian College of Cardiology - November 3, 2014 Category: Cardiology Source Type: research

‘H’ type tracheo-oesophageal fistula – Case reports with review of the literature
We report two cases, one presented as a 3months female child with ‘nasal regurgitation of feeds, recurrent pneumonia and choking on feeding since 15days of life, while the other immediately after birth with classic triad of symptoms. A review of the literature is presented, with a focused discussion of presentation and treatment options. Confirmation of diagnosis was done by compiling clinical presentation, high index of suspicion and rigid tracheobronchoscopy findings. Management involved surgery by right transcervical approach. High index of clinical suspicion and early diagnosis can provide a better prognosis. (Source...
Source: Egyptian Journal of Ear, Nose, Throat and Allied Sciences - November 1, 2014 Category: ENT & OMF Source Type: research

Henry Barrett: pioneer paediatric surgeon
ConclusionHenry Barrett pioneered the undertaking of two complex paediatric surgical procedures in New Zealand. These operations were performed without specialist paediatric support at a time when procedures for these conditions, particularly patent ductus arteriosus, were viewed with suspicion. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 1, 2014 Category: Surgery Authors: Jonathan B. Koea Tags: Original Article Source Type: research

Therapeutic Bronchoscopy for Malignant Central Airway Obstruction: Success Rates and Impact on Dyspnea and Quality of Life.
Conclusions:Technical success rates were high overall, with the highest success rates associated with stent placement and endobronchial obstruction. Therapeutic bronchoscopy should not be withheld from patients based solely on an assessment of risk, since patients with the most dyspnea and lowest functional status benefitted the most. Background: There is significant variation between physicians in terms of how they perform therapeutic bronchoscopy but there is little data on whether these differences impact effectiveness. Methods: This was a multicenter registry study of patients undergoing therapeutic bronchoscop...
Source: Chest - October 30, 2014 Category: Respiratory Medicine Authors: Ost DE, Ernst A, Grosu HB, Lei X, Diaz-Mendoza J, Slade M, Gildea TR, Machuzak M, Jimenez CA, Toth J, Kovitz KL, Ray C, Greenhill S, Casal RF, Almeida FA, Wahidi M, Eapen GA, Feller-Kopman D, Morice RC, Benzaquen S, Tremblay A, Simoff M Tags: Chest Source Type: research

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

Martinez-Frias Syndrome: Evidence of Linkage to RFX6 Mutation
We present a case report of a preterm infant with a diagnosis of MFS, and a review of the literature. The constellation of symptoms described varies between the limited number of cases reported; this case presented is rare as the patient’s course was complicated by cerebral ischemia something not previously described. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - October 12, 2014 Category: Surgery Source Type: research

Anterior Tracheal Suspension for Tracheobronchomalacia in Infants and Children
Conclusions Anterior tracheal suspension is feasible and appears effective in dramatically improving respiratory clinical status. Tracheal suspension is applicable to a wide range of anatomic variants. Additional study is needed to characterize long-term functional outcomes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 12, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Physiological Studies at 7 Years of Age in Children Born with Esophageal Atresia
Conclusion This study confirms a high prevalence of respiratory and esophageal morbidity. In terms of respiratory function, the high proportion with a spirometric abnormality indicated an associated developmental delay/dysfunction in the central airways, whereas the peripheral airways appeared to have normal function at this age. Tracheomalacia may explain the spirometric abnormalities, but this need to be studied in more detail.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - October 10, 2014 Category: Surgery Authors: Olbers, JosefinGatzinsky, VladimirJönsson, LinusFriberg, Lars GöranAbrahamsson, KateSillén, UllaGustafsson, Per Tags: Original 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

Knowledge and management of endotracheal tube cuffs: A survey among 591 intensive care nurses
In the intensive care unit (ICU), intubation is a common procedure that requires the insertion of an endotracheal tube, usually equipped with a high-volume low-pressure (HVLP) cuff. Safe cuff pressure ranges between 20 and 30cmH2O or 15 and 22mmHg. Overinflation may cause alterations in swallowing, tracheal wall ischemia, stenosis, and tracheo-esophageal fistulae; underinflation may lead to the development of ventilator-associated pneumonia (VAP) through leakage of oropharyngeal and subglottic secretions into the tracheobronchial tree and micro-aspiration of pathogens from the gastrointestinal tract (Lorente et al., 2010)....
Source: International Journal of Nursing Studies - October 4, 2014 Category: Nursing Authors: Sonia O. Labeau, Marc Bleiman, Jordi Rello, Dominique M. Vandijck, Brigitte Claes, Stijn I. Blot Tags: Letters Source Type: research

Knowledge and management of endotracheal tube cuffs
In the intensive care unit (ICU), intubation is a common procedure that requires the insertion of an endotracheal tube, usually equipped with a high-volume low-pressure (HVLP) cuff. Safe cuff pressure ranges between 20 and 30cmH2O or 15 and 22mmHg. Overinflation may cause alterations in swallowing, tracheal wall ischemia, stenosis, and tracheo-esophageal fistulae; underinflation may lead to the development of ventilator-associated pneumonia (VAP) through leakage of oropharyngeal and subglottic secretions into the tracheobronchial tree and micro-aspiration of pathogens from the gastrointestinal tract (Lorente et al., 2010)....
Source: International Journal of Nursing Studies - October 4, 2014 Category: Nursing Authors: Sonia O. Labeau, Marc Bleiman, Jordi Rello, Dominique M. Vandijck, Brigitte Claes, Stijn I. Blot Tags: Letters 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