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Tracheomegaly and tracheosephagial fistula following mechanical ventilation: A case report and review of the literature
We present a case of both tracheomegaly and tracheosephagial fistula following mechanical ventilation for 15 days, in the light of the literature. (Source: Respiratory Medicine Case Reports)
Source: Respiratory Medicine Case Reports - February 8, 2016 Category: Respiratory Medicine Source Type: research

Underlying genetic factors of the VATER/VACTERL association with special emphasis on the “Renal” phenotype
Abstract The acronym VATER/VACTERL association (OMIM #192350) refers to the rare non-random co-occurrence of the following component features (CFs): vertebral defects (V), anorectal malformations (A), cardiac defects (C), tracheoesophageal fistula with or without esophageal atresia (TE), renal malformations (R), and limb defects (L). According to epidemiological studies, the majority of patients with VATER/VACTERL association present with a “Renal” phenotype comprising a large spectrum of congenital renal anomalies. This finding is supported by evidence linking all of the human disease genes for the VATER/VACT...
Source: Pediatric Nephrology - February 8, 2016 Category: Urology & Nephrology Source Type: research

Congenital H-type tracheoesophageal fistula: a national multicenter study
Conclusions H-type TEF is very rare and commonly presents with recurrent chest infection, chocking and coughing during feeds and cyanosis. Physicians caring for these patients should be aware of this and a high index of suspicion is of paramount importance to avoid delay in diagnosis with its associated morbidity. A contrast esophagogram is valuable in confirming the diagnosis. The study however may need to be repeated. Preoperative bronchoscopy is valuable to localize and cannulate the fistula for easier access during surgery. Surgical repair is the treatment of choice and this should be performed through a righ...
Source: Pediatric Surgery International - February 6, 2016 Category: Surgery Source Type: research

What Are Risk Factors for Latex Allergy?
Discussion Latex comes from the Hevea brasiliensis plants. There are multiple potentially allergenic polypeptides within the plant’s fluid called Heb b 1-13. True sensitizers are Heb b 1, 5 and 6. Heb b 8 and 12 are cross-reacting proteins. The type of the latex product and how it is prepared makes a difference in exposure to the latex allergens. Certain extruded latex products such as catheters and rubber stoppers have higher concentrations of true sensitizer allergens. Products made from molds such as gloves have higher concentrations of potential allergens than latex made in sheets such as such as dental dams. Use...
Source: PediatricEducation.org - February 1, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Peri-operative management of neonates with oesophageal atresia and tracheo-oesophageal fistula
Oesphageal atresia is a relatively common congenital anomaly that requires urgent diagnosis, transfer to a neonatal surgical centre and management by a multidisciplinary team. Peri-operative management requires vigilant monitoring for the many possible associated morbidities. There are unique anaesthetic, airway and ventilatory considerations for this group of patients. Beyond the perinatal period, systematic neurodevelopmental follow-up is recommended to better understand the longer term outcomes for these children. (Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - January 29, 2016 Category: Respiratory Medicine Authors: Rod W Hunt, Elizabeth J Perkins, Sebastian King Source Type: research

The treatment strategy for tracheoesophageal fistula.
Authors: Ke M, Wu X, Zeng J Abstract With the development of endoscopic techniques, the treatment of tracheoesophageal fistula (TEF) has made marked progress. As surgical intervention is often not an advisable option due to advanced malignancy and poor performance status of the patients, bronchoscopic intervention provides a good choice to palliate symptoms and reconstruct the airway and esophagus. In this review, we focus on the application of interventional therapy of TEF, especially the application of airway stenting, and highlight some representative cases referred to our department for treatment. PMID: 26...
Source: Journal of Thoracic Disease - January 27, 2016 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

Tracheoesophageal Fistula-A Manifestation of Esophageal Cancer
(University of Tennessee College of Medicine at Chattanooga, Chattanooga, Tennessee, USA) (Clinical Images; p10) (Source: Journal of Pakistan Medical Students)
Source: Journal of Pakistan Medical Students - January 21, 2016 Category: Universities & Medical Training Authors: JPMS Source Type: research

Tracheoesophageal fistula
Publication date: May 2003 Source:Chest Surgery Clinics of North America, Volume 13, Issue 2 Author(s): Michael F Reed, Douglas J Mathisen (Source: Chest Surgery Clinics of North America)
Source: Chest Surgery Clinics of North America - January 19, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pneumopericardium due to ingestion of button battery
Jai Prakash Soni, Sandeep Choudhary, Pramod Sharma, Mohan MakwanaAnnals of Pediatric Cardiology 2016 9(1):94-95Mostly ingested button batteries passed through the gastrointestinal tract without any adverse effects. But button battery can lead to hazardous complications including tracheoesophageal fistula (TEF), especially when the battery is impacted in the esophagus. Urgent esophagoscopic removal of the battery is essential in all cases. Once the TEF is identified, conservative management is the initial treatment of choice. Delayed primary repair can be tried if spontaneous closure does not occur. Here in we want to repor...
Source: Annals of Pediatric Cardiology - January 19, 2016 Category: Cardiology Authors: Jai Prakash SoniSandeep ChoudharyPramod SharmaMohan Makwana Source Type: research

Tracheal agenesis, a frightening scenario.
CONCLUSION: There is a call for improved prenatal diagnosis to allow both adequate counselling of parents and preparation for multi-specialty management at delivery. In addition, these cases highlight the ongoing need for improved congenital anomaly data within the UK, with currently only 49 per cent of England's births being registered. PMID: 26740311 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 15, 2016 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

A Newly-Discovered Mutation in the RFX6 Gene of the Rare Mitchell-Riley Syndrome.
This report details the initial case of the classical Mitchell Riley syndrome in the Arab peninsula along with additional features and novel mutations in the RFX6 gene which have previously not been reported in patients with this syndrome. PMID: 26761945 [PubMed - as supplied by publisher] (Source: JCRPE Journal of Clinical Research in Pediatric Endocrinology)
Source: JCRPE Journal of Clinical Research in Pediatric Endocrinology - January 15, 2016 Category: Endocrinology Tags: J Clin Res Pediatr Endocrinol Source Type: research

Measurement of Gastric Circumference in Foetuses with Oesophageal Atresia.
Conclusion: Measurements of the gastric circumference below the 5th percentile should lead to further diagnostic measures, especially when associated with polyhydramnios. Although OA without a fistula is always conspicuous, only about one in three OAs with fistula are associated with a significantly smaller stomach. PMID: 26719598 [PubMed - as supplied by publisher] (Source: Geburtshilfe und Frauenheilkunde)
Source: Geburtshilfe und Frauenheilkunde - January 13, 2016 Category: OBGYN Tags: Geburtshilfe Frauenheilkd Source Type: research

Single-incision laparo-thoracoscopic minimally invasive oesophagectomy to treat oesophageal cancer [ORIGINAL ARTICLES]
CONCLUSIONS Single-port MIO seems to be a feasible option for treating patients with oesophageal cancer, which requires further evaluation and follow-up in the future. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Lee, J.-M., Yang, S.-M., Yang, P.-W., Huang, P.-M. Tags: Esophagus - cancer ORIGINAL ARTICLES Source Type: research

Monitoring pre- and postductal saturation - A must for neonates undergoing tracheoesophageal fistula repair.
PMID: 26725993 [PubMed - in process] (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - January 12, 2016 Category: Anesthesiology Authors: Dias R, Dave N, Munghate G, Parelkar SV, Garasia M Tags: Paediatr Anaesth Source Type: research

Tracheoesophageal puncture site closure with sternocleidomastoid musculocutaneous transposition flap
Conclusion: This method of closure is simple and effective for patients with pliable neck skin, who require permanent closure of the tracheoesophageal fistula. (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - January 4, 2016 Category: Cosmetic Surgery Authors: Dushyant JaiswalPrabha YadavVinay Kant ShankhdharRajendra Suresh GujjalanavarPrashant Puranik Source Type: research

Monitoring pre‐ and postductal saturation – A must for neonates undergoing tracheoesophageal fistula repair
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: Raylene Dias, Nandini Dave, Gayatri Munghate, Sandesh V. Parelkar, Madhu Garasia Tags: Correspondence Source Type: research

Outcome of esophageal atresia/tracheoesophageal fistula in extremely low birth weight neonates (<1000 grams)
Conclusion ELBW infants with EA/TEF are rare and result in high morbidity and mortality. Mortality is mainly related to complications not associated with EA/TEF repair. Fistula ligation followed by delayed anastomosis seems to achieve a better outcome in ELBW infants. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - January 1, 2016 Category: Surgery Source Type: research

A Multicenter Experience With the Placement of Self-Expanding Metallic Tracheobronchial Y Stents
Conclusion: The insertion of a metallic Y stent results in immediate palliation of malignant airway obstruction or airway fistulization near the tracheal carina with rapid improvement of symptoms. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Long-Term Outcomes of Patients with Tracheoesophageal Fistula/Esophageal Atresia: Survey Results from Tracheoesophageal Fistula/Esophageal Atresia Online Communities
Conclusion TEF/EA patients have long-term dysphagia and GERD that may be under reported. Retrospective studies of outcomes after TEF/EA repair may underestimate long-term esophageal dysmotility, dysphagia, GERD, and strictures that occur regardless of the type of repair and adversely affect quality of life. Fifteen percent of all TEF/EA patients surveyed required an antireflux procedure during childhood, and more than one-quarter of those required repeat surgery. These data demonstrate the need for long-term follow-up as pediatric patients transition to adult care.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle ...
Source: European Journal of Pediatric Surgery - December 21, 2015 Category: Surgery Authors: Acher, Charles WynnOstlie, Daniel J.Leys, Charles M.Struckmeyer, ShannonParker, MatthewNichol, Peter F. Tags: Original Article Source Type: research

[Esophageal Atresia Repair - Can We Influence the Schedule?]
Conclusion: As it is hardly possible to plan the surgical procedure, an experienced team as well as neonatal intensive care facilities and operation room access must be available throughout the week. PMID: 26679715 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - December 17, 2015 Category: Surgery Authors: Tröbs RB, Barenberg K, Nissen M Tags: Zentralbl Chir Source Type: research

A study of associated congenital anomalies with biliary atresia
Conclusions: The most common associated anomalies in our study were related to the vascular variation at the porta hepatis and the digestive system. The existence of anomalies in distantly developing anatomic regions in patients with EHBA supports the possibility of a "generalized" insult during embryogenesis rather than a "localized" defect. In addition, male infants were observed to have significantly more associated anomalies as compared with the female infants in contrast to earlier reports. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - December 17, 2015 Category: Surgery Authors: Lucky GuptaVeereshwar Bhatnagar Source Type: research

Motility, digestive and nutritional problems in Esophageal Atresia
Esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) is a rare congenital malformation. Digestive and nutritional problems remain frequent in children with EA both in early infancy and at long-term follow-up. These patients are at major risk of presenting with gastroesophageal reflux and its complications, such as anastomotic strictures. Esophageal dysmotility is constant, and can have important consequences on feeding and nutritional status. Patients with EA need a systematic follow-up with a multidisciplinary team. (Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - December 4, 2015 Category: Respiratory Medicine Authors: Madeleine Gottrand, Laurent Michaud, Rony Sfeir, Frederic Gottrand Source Type: research

The treatment of recurrent tracheo-oesophageal fistula with biosynthetic mesh.
Authors: van Niekerk ML PMID: 22984704 [PubMed - indexed for MEDLINE] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - December 2, 2015 Category: Surgery Tags: S Afr J Surg Source Type: research

[Voice rehabilitation after total laryngectomy : A chronological review of medical history].
Authors: Lorenz KJ Abstract BACKGROUND: Loss of voice is the consequence of laryngectomy most disturbing for the patient. As such, the notion of performing a laryngectomy has always been directly linked to the possibility of voice rehabilitation. The multitude of different technical and surgical approaches pays testimony to the problems associated with rehabilitation of speech and swallowing after laryngectomy. METHODS: Scientific online search engines and library facilities were used to search for recent publications and historical medical documents. Important works were identified and summarized. RESULTS:...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

Button battery injuries in the pediatric aerodigestive tract.
Abstract Children with a button battery impaction present with nonspecific symptoms that may account for a delay in medical care. We conducted a retrospective study of the clinical presentation, management, and complications associated with button battery ingestion in the pediatric aerodigestive tract and to evaluate the associated long-term morbidity. We reviewed the medical records of 23 patients who were treated for button battery impaction at our tertiary care children's hospital from Jan. 1, 2000, through July 31, 2013. This population was made up of 14 boys and 9 girls, aged 7 days to 12 years (mean: 4 yr). P...
Source: Ear, Nose and Throat Journal - December 1, 2015 Category: ENT & OMF Authors: Ettyreddy AR, Georg MW, Chi DH, Gaines BA, Simons JP Tags: Ear Nose Throat J Source Type: research

Developmental outcomes at three years of age of infants with esophageal atresia
Previous work assessing early developmental outcomes of infants at one year of age following surgery for esophageal atresia (OA) and/or tracheoesophageal fistula (TOF) found a significantly lower score in expressive language compared with control infants. The purpose of this study was to determine whether these differences were still evident at three years of age. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 30, 2015 Category: Surgery Authors: Karen Walker, Alison Loughran-Fowlds, Robert Halliday, Nadia Badawi, Jan Stewart, Andrew J.A. Holland, DAISy study Source Type: research

High-resolution manometry combined with impedance measurements discriminates the cause of dysphagia in children
Conclusion: Pressure-flow analysis enables differentiation of patients with dysphagia due to weak peristalsis (poor bolus clearance) from abnormal bolus flow resistance (esophageal outflow obstruction). This new dichotomous categorization of esophageal function may help guide the selection of optimal treatment such as pharmacological or endoscopic therapy. What is Known: • Pressure-flow analysis (PFA) can detect abnormalities in esophageal motility using integrated analysis of bolus propulsion and bolus flow dur...
Source: European Journal of Pediatrics - November 28, 2015 Category: Pediatrics Source Type: research

Communicating bronchopulmonary foregut malformation type IA: radiologic anatomy and clinical dilemmas
Conclusion CBPFM type IA is a rare condition and is extremely difficult to diagnose. However, CBPFM type IA should be suspected in patients manifesting EA and atelectasis of a unilateral lung on a chest radiograph. The decision to perform a pneumonectomy or bronchoplasty depends on the degree of exiting permitted due to pulmonary damage assessed by computed tomography. (Source: Surgical and Radiologic Anatomy)
Source: Surgical and Radiologic Anatomy - November 21, 2015 Category: Anatomy Source Type: research

Functional residual capacity and lung clearance index in infants treated for esophageal atresia and tracheoesophageal fistula
Newborn babies with esophageal atresia/tracheoesophageal fistula (EA/TEF) are prone to respiratory tract disorders. Functional residual capacity (FRC) and lung clearance index (LCI) are commonly considered useful and sensitive tools to investigate lung function and early detecting airways diseases. The aim of the present study is to report the first series of EA/TEF infants prospectively evaluated for FRC and LCI. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 19, 2015 Category: Surgery Authors: Francesca Landolfo, Andrea Conforti, Claudia Columbo, Ferdinando Savignoni, Pietro Bagolan, Andrea Dotta Source Type: research

Endoscopic palliation of advanced esophageal cancer.
Authors: Mocanu A, Bârla R, Hoara P, Constantinoiu S Abstract Esophageal cancer represents one of the most aggressive digestive tumors, with a survival rate at 5 years of only 10%. Globally, during the last three decades, there has been an increasing incidence of the esophageal cancer, approx. 400,000 new esophageal cancers being currently diagnosed annually. This represents the eighth leading cause of cancer incidence and the sixth leading cause of cancer death overall. Taking into account the population's global aging and thus, the increase in the number of patients who will not bear surgery, PCT and radiation, ...
Source: Journal of Medicine and Life - November 18, 2015 Category: Journals (General) Tags: J Med Life Source Type: research

PRO Case: That antibiotic prophylaxis should be used in children with repaired oesophageal atresia and trachea-oesophageal fistula.
(Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - November 16, 2015 Category: Respiratory Medicine Authors: Peter Merkus Source Type: research

That antibiotic prophylaxis should be used in children with repaired oesophageal atresia and or trachea-oesophageal fistula – The case in favour
Before we can determine whether prophylaxis with antibiotics is required in a patient with repaired Esophageal Atresia/trachea-esophageal fistula, it is appropriate to realize the impact and scope of the disorder. (Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - November 16, 2015 Category: Respiratory Medicine Authors: Peter J. Merkus Tags: Pro-Con Debate Source Type: research

Prophylactic antibiotics should be used in children with repaired esophageal atresia/tracheo-esophageal fistula- The Case against
(Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - November 13, 2015 Category: Respiratory Medicine Authors: Adilia Warris Source Type: research

Prophylactic antibiotics should be used in children with repaired oesophageal atresia and tracheo-oesophageal fistula: The case against
To address the question if children with repaired esophageal atresia (rEA)/trachea-esophageal fistula (TEF) will benefit from preventive antibiotics with the ultimate goal of preserving lung function, we need to have a clear understanding of the factors determining early and late complications influencing lung function. One of those factors may be the occurrence of (recurrent) pulmonary infections and/or an increased susceptibility to airway infections. If recurrent pulmonary infections do indeed play an important role in the pulmonary complications observed in this patient group, prophylactic antibiotics may be considered...
Source: Paediatric Respiratory Reviews - November 13, 2015 Category: Respiratory Medicine Authors: Adilia Warris Tags: Pro-Con Debate Source Type: research

Long-Term Prognosis of Patients with Esophageal Atresia and/or Tracheoesophageal Fistula
Conclusions The long-term complications and hospital visits are common in surviving cases of EA; however, they have normal cognitive functions and physical developmental characteristics. (Source: Indian Journal of Pediatrics)
Source: Indian Journal of Pediatrics - November 12, 2015 Category: Pediatrics Source Type: research

Alveolar Capillary Dysplasia as a Cause of Persistent Pulmonary Hypertension.
Abstract BACKGROUND: Persistent pulmonary hypertension (PPHN) in a term or late preterm has varied etiology. CASE CHARACTERISTICS: A late preterm neonate operated for esophageal atresia with tracheo-esophageal fistula was complicated by severe pulmonary hypertension and unable to be weaned off from respiratory support. OUTCOME: The neonate expired by 15 weeks of life; diagnosis was made on postmortem lung biopsy. MESSAGE: Alveolarcapillary dysplasia should be considered in a neonate with idiopathic refractory PPHN, if associated with anomalies. PMID: 26615352 [PubMed - in process] (Source: Indian Pediatrics)
Source: Indian Pediatrics - November 11, 2015 Category: Pediatrics Authors: Razak A, Mohanty PK, Nagesh NK Tags: Indian Pediatr Source Type: research

Ultrastructural Changes of the Smooth Muscle in Esophageal Atresia.
Abstract Esophageal atresia (EA) with or without tracheo-esophageal fistula (TEF) is a relatively rare congenital anomaly. Despite the advances in the management techniques and neonatal intensive care, esophageal dysmotility remains a very common problem following EA/TEF repair. Our current study aimed to describe the most significant ultrastructural changes of the smooth muscle cells (SMCs) trying to highlight some of the underlying mechanisms of esophageal dysmotility following EA/TEF repair. Twenty-three biopsies were obtained from the tip of the lower esophageal pouch (LEP) of 23 patients during primary repair ...
Source: Ultrastructural Pathology - November 10, 2015 Category: Pathology Authors: Al-Shraim MM, Eid RA, Musalam AO, Radad K, Ibrahim AH, Malki TA Tags: Ultrastruct Pathol Source Type: research

Pro -con debate: “That antibiotic prophylaxis should be used in children with repaired oesophageal atresia and tracheo-oesophageal fistula”
Oesophageal atresia [OA], most commonly occurring in association with a tracheo-oesophageal fistula [TOF] occurs in around 1:3500 live births, placing it between cystic fibrosis and congenital diaphragmatic hernia in terms of “common” congenital problems in paediatric respiratory medicine [1–3]. OA/TOF is a condition which is well understood in terms of the anatomy and mechanics of its surgical reconstruction in early infancy but under-appreciated as a cause of significant long term respiratory morbidity through childhood and into adulthood [4,5]. (Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - November 7, 2015 Category: Respiratory Medicine Authors: Dominic A. Fitzgerald Tags: Editorial Source Type: research

“That antibiotic prophylaxis should be used in children with repaired oesophageal atresia and tracheo-oesophageal fistula.”
(Source: Paediatric Respiratory Reviews)
Source: Paediatric Respiratory Reviews - November 7, 2015 Category: Respiratory Medicine Authors: Dominic A. Fitzgerald Tags: Commentary Source Type: research

Comparison of environmental risk factors for esophageal atresia, anorectal malformations, and the combined phenotype in 263 German families
Summary Esophageal atresia with or without tracheoesophageal fistula (EA/TEF) and anorectal malformations (ARM) represent the severe ends of the fore‐ and hindgut malformation spectra. Previous research suggests that environmental factors are implicated in their etiology. These risk factors might indicate the influence of specific etiological mechanisms on distinct developmental processes (e.g. fore‐ vs. hindgut malformation). The present study compared environmental factors in patients with isolated EA/TEF, isolated ARM, and the combined phenotype during the periconceptional period and the first trimester of pregnancy...
Source: Diseases of the Esophagus - November 6, 2015 Category: Gastroenterology Authors: N. Zwink, V. Choinitzki, F. Baudisch, A. Hölscher, T. M. Boemers, S. Turial, R. Kurz, A. Heydweiller, K. Keppler, A. Müller, S. Bagci, M. Pauly, U. Brokmeier, A. Leutner, P. Degenhardt, E. Schmiedeke, S. Märzheuser, S. Grasshoff‐Derr, S. Holland‐Cu Tags: Original Article Source Type: research

Neonate with VACTERL Association and a Branchial Arch Anomaly without Hydrocephalus
We report the unique case of an infant of diabetic mother with VACTERL association and a branchial arch anomaly—in the absence of hydrocephalus.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 2, 2015 Category: Perinatology & Neonatology Authors: Velazquez, DanitzaPereira, ElaineHavranek, Thomas Tags: Case Report Source Type: research

Airway Covered Metallic Stent Based on Different Fistula Location and Size in Malignant Tracheoesophageal Fistula
Conclusions: Airway stent insertion provides an effective approach to improve symptoms and quality of life. The choice of stent based on different fistula location and size may be a reasonable way in clinical practice. (Source: The American Journal of the Medical Sciences)
Source: The American Journal of the Medical Sciences - October 30, 2015 Category: Journals (General) Tags: Clinical Investigation Source Type: research

The place of airway stenting in the medico-surgical management of iatrogenic tracheal injuries: A 10 years retrospective analysis
Conclusions: Conservative management should be considered in non-ventilated patients and in ventilated-patients presenting ITI located in the upper trachea. Airway stenting should be considered as a valid option in ventilated-patients whose ITI are located in the lower trachea. Surgery should be reserved in case of TEF or conservative management failure. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 30, 2015 Category: Respiratory Medicine Authors: Tazi-Mezalek, R., Laroumagne, S., Astoul, P., Thomas, P., Dutau, H. Tags: 1.4 Interventional Pulmonology Source Type: research

Patients with anorectal malformation and upper limb anomalies: genetic evaluation is warranted
Conclusion: Genetic disorders are twice as frequently diagnosed in ARM patients with upper limb anomalies than in those with other anomalies. As they also frequently meet the VACTERL criteria, it is important to consider VACTERL as a diagnosis per exclusionem. Genetic counseling is certainly warranted in these patients. What is Known: • Anorectal malformations (ARMs) often co-occur with other congenital anomalies, including upper limb anomalies, mainly of pre-axial origin. • Co-occurrence of ARMs and upper limb...
Source: European Journal of Pediatrics - October 24, 2015 Category: Pediatrics Source Type: research

The Harlequin phenomenon after thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: Is there any coincidence?
Publication date: November 2015 Source:Journal of Pediatric Surgery Case Reports, Volume 3, Issue 11 Author(s): Katarzyna A. Maścianica, Robert Śmigiel, Dariusz Patkowski The experience and number of endoscopic surgery procedures applied in newborns are constantly growing, showing efficacy in many thoracic and abdominal conditions. However, there is an ongoing debate concerning the safety of this technique and the influence on the developing organism. Due to the relatively recent introduction of these methods in the therapy of congenital anomalies, we still have quite little knowledge about their long-term sequelae....
Source: Journal of Pediatric Surgery Case Reports - October 22, 2015 Category: Surgery Source Type: research

Large tracheobronchial fistula due to esophageal stent migration: Let it be!
We report tracheal-bronchial migration of a covered esophageal self-expanding metal stent used to relieve dysphagia in a patient with advanced esophageal cancer. The stent eroded the trachea and completely occluded the main left bronchus. Surgery was contraindicated due to her poor clinical condition, and insertion of another stent in the trachea, esophagus, or both was contraindicated due to extension of the fistula. Esophageal exclusion with a combination of cervical esophagostomy and an enteral feeding tube was the only feasible treatment to minimize spoilage by aspirated saliva and provide enteral nutrition. (Source: A...
Source: Asian Cardiovascular and Thoracic Annals - October 18, 2015 Category: Cardiology Authors: Fiorelli, A., Esposito, G., Pedicelli, I., Reginelli, A., Esposito, P., Santini, M. Tags: Thoracic Source Type: research

The presumed central nervous system effects of rocuronium in a neonate and its reversal with sugammadex
We describe a 2‐day‐old male infant who received rocuronium as part of general anesthesia for a tracheal esophageal fistula repair. Postoperatively, he had prolonged central and peripheral neuromuscular blockade despite cessation of the rocuronium infusion several hours previously. This case discusses the presumed central nervous system effects of rocuronium in a neonate and its effective reversal with sugammadex. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 12, 2015 Category: Anesthesiology Authors: Ross J. Langley, Jillian McFadzean, Jon McCormack Tags: Case Report Source Type: research

Self-expanding metal stent placement for oesophageal cancer without fluoroscopy is safe and effective.
CONCLUSION: The endoscopic placement technique described is a viable and safe option with a low periprocedural complication rate. It is of particular use in situations of restricted access to fluoroscopic guidance. PMID: 26428593 [PubMed - in process] (Source: South African Medical Journal)
Source: South African Medical Journal - October 4, 2015 Category: African Health Tags: S Afr Med J Source Type: research

Concurrent Esophageal Atresia with Tracheoesophageal Fistula and Hirschsprung Disease
We describe two cases of concomitant Hirschsprung disease and esophageal atresia and tracheoesophageal fistula in the newborn, both of which were successfully diagnosed and managed in the neonatal period. This is the first report in the English literature to identify the coexistence of these distinct congenital malformations. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - October 4, 2015 Category: Surgery Source Type: research

Tracheostomy Tube Placement: Early and Late Complications
Tracheostomy tube placement is a therapeutic procedure that has gained increased favor over the past decade. Upper airway obstructions, failure to liberate from the ventilator, and debilitating neurological conditions are only a few indications for tracheostomy tube placement. Tracheostomy tubes can be placed either surgically or percutaneously. A percutaneous approach offers fewer surgical site infections and postsurgical bleeding than a surgical approach. A surgical placement posses a lower risk of injury to the posterior tracheal wall and spontaneous decannulation is less common. Late complications of both approaches in...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2015 Category: Respiratory Medicine Tags: Review Articles Source Type: research