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Targeted Re‐Sequencing of 29 Candidate Genes and Mouse Expression Studies Implicate ZIC3 and FOXF1 in Human VATER/VATER Association
This article is protected by copyright. All rights reserved (Source: Human Mutation)
Source: Human Mutation - August 22, 2015 Category: Genetics & Stem Cells Authors: Alina C. Hilger, Jan Halbritter, Tracie Pennimpede, Amelie der Ven, Georgia Sarma, Daniela A. Braun, Jonathan D. Porath, Stefan Kohl, Daw‐Yung Hwang, Gabriel C. Dworschak, Bernhard G. Hermann, Anna Pavlova, Osman El‐Maarri, Markus M. Nöthen, Michael Tags: Brief Report Source Type: research
Traqueoesophageal fistula patients fed through percutaneous endoscopic gastrostomy/gastrojejunostomy: nutritional status and clinical outcome.
CONCLUSION: PEG/PEG-J was safe in TEF-patients, but cancer patients underwent gastrostomy too late. In TEF-patients, PEG/PEG-J should be considered in a regular basis, earlier in the disease evolution, before established malnutrition. PMID: 26268100 [PubMed - as supplied by publisher] (Source: Nutricion Hospitalaria)
Source: Nutricion Hospitalaria - August 15, 2015 Category: Nutrition Authors: Santos CA, Pereira M, Martins VS, Fonseca J Tags: Nutr Hosp Source Type: research
An Update on Diagnosis of Tracheomalacia in Children
Eur J Pediatr SurgDOI: 10.1055/s-0035-1559816Congenital tracheomalacia is the most common congenital tracheal abnormality and occurs in approximately 1:2,100 children. Tracheomalacia can be isolated or associated with other airway anomalies such as laryngomalacia, bronchomalacia, and large laryngeal clefts. Also, an abnormal division of the embryonic foregut is frequently associated with congenital tracheomalacia; mostly in the form of proximal esophageal atresia with distal tracheoesophageal fistula. In such cases, the ratio between the cartilage ring and the posterior membranous wall drops from the normal ratio of 4 to 5...
Source: European Journal of Pediatric Surgery - August 15, 2015 Category: Surgery Authors: Snijders, DeborahBarbato, Angelo Tags: Review Article Source Type: research
P-292 * on the surgical repair of cervical benign tracheo-oesophageal or pharyngeal fistula in tetraparetic patients under mechanical ventilation
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - August 7, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Daddi, N., Tassi, V., Lugaresi, M., Belloni, G. P., Conte, M., Mattioli, S. Tags: DISPLAY POSTERS Source Type: research
O-115 * how to solve the disaster of a corrosive trachea-oesophageal fistula
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - August 7, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Depypere, L., Nafteux, P., Depraetere, H., Stanzi, A., De Leyn, P., Witters,, P. Tags: SESSION XII: INTERESTING CASES Source Type: research
The Harlequin phenomenon after thoracoscopic repair of oesophageal atresia and tracheoesophageal fistula: is there any coincidence?
Publication date: Available online 3 August 2015 Source:Journal of Pediatric Surgery Case Reports 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. Th...
Source: Journal of Pediatric Surgery Case Reports - August 4, 2015 Category: Surgery Source Type: research
Clinical outcomes of tracheoesophageal diversion and laryngotracheal separation for aspiration in patients with severe motor and intellectual disability.
CONCLUSIONS: Tracheoesophageal diversion (TED) and laryngotracheal separation (LTS) can prevent aspiration pneumonia and improve the morbidity of patients with severe motor and intellectual disability (SMID). By improving hospitalization rates and care needs, the quality-of-life can be improved for the patients and their parents. OBJECTIVES: This study evaluated the clinical outcomes of TED and LTS in patients with intractable aspiration and SMID. METHODS: This study retrospectively reviewed patients with SMID and intractable aspiration pneumonia who underwent TED or LTS at the institution between January 2008 and ...
Source: Acta Oto-Laryngologica - July 25, 2015 Category: ENT & OMF Authors: Takano K, Kurose M, Mitsuzawa H, Nagaya T, Himi T Tags: Acta Otolaryngol Source Type: research
Lung maturity in esophageal atresia: Experimental and clinical study
This study examined fetal lung growth and maturity in rats and patients with EA-TEF. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - July 25, 2015 Category: Surgery Authors: Ana Catarina Fragoso, Leopoldo Martinez, José Estevão-Costa, Juan A. Tovar Source Type: research
Esophageal Bypass Using a Y-Shaped Gastric Tube for Advanced Esophageal Cancer: Transabdominal Placement of the Decompression Tube
Therapeutic outcomes for esophageal cancer have improved with recent developments in multimodal therapy that include surgery, chemotherapy, radiotherapy, and chemoradiotherapy. Despite these advances, the quality of life for patients with inoperable esophageal cancer remains poor because of swallowing difficulties caused by esophageal stenosis and tracheoesophageal fistula formation. The insertion of a self-expandable metallic stent has become the first-choice treatment for these patients because of its simplicity, safety, and minimal invasiveness. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - July 24, 2015 Category: Surgery Authors: Yoshifumi Baba, Takahiko Akiyama, Keisuke Kosumi, Kazuto Harada, Hironobu Shigaki, Masaaki Iwatsuki, Yasuo Sakamoto, Naoya Yoshida, Masayuki Watanabe, Hideo Baba Source Type: research
The evaluation of deglutition with videofluoroscopy after repair of esophageal atresia and/or tracheoesophageal fistula
A retrospective study was performed to evaluate the functional disorders of deglutition with videofluoroscopy (VFS), in children operated for esophageal atresia (EA) and/or tracheoesophageal fistula (TEF). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - July 22, 2015 Category: Surgery Authors: Sule Yalcin, Numan Demir, Selen Serel, Tutku Soyer, F. Cahit Tanyel Source Type: research
Closure of esophagotracheal fistula after esophagectomy for esophageal cancer
Abstract Fistula between the trachea and esophagogastric anastomosis after esophagectomy is rare. We successfully treated a 75-year-old woman with such a lesion by single-stage repair. The patient had undergone radical esophagectomy 20 years ago, and repeatedly developed aspiration pneumonia for recent 5 years. Radiological and endoscopic examinations demonstrated the fistula between the trachea at the level of sternal notch and esophagogastric anastomosis. The fistula was separated and the defects on both sides were closed. A sternocleidomastoid muscle flap was inserted between the two structures. The postopera...
Source: General Thoracic and Cardiovascular Surgery - July 19, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research
Modified technique for tracheobronchial Y-stent insertion using flexible bronchoscope for stent guidance
Airway obstruction may be caused by malignant and nonmalignant processes. The most common cause is bronchogenic carcinoma. Distal tracheal obstruction with or without involvement of the carina and the proximal main stem bronchi is an extremely challenging problem. Tracheobronchial silicone Y-stent insertion can be effective for both endoluminal obstruction and extrinsic airway compression and can achieve improvement of symptoms and quality of life. Y-stents also are effective in the treatment of tracheoesophageal fistula when it involves the distal trachea or carina. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - July 10, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Jordan Kazakov, Mohamed Khereba, Vicky Thiffault, André Duranceau, Pasquale Ferraro, Moishe Liberman Tags: Surgical technique Source Type: research
Ultrasound-guided thoracic paravertebral block catheter experience in 2 neonates
The study objective is to describe our experience with placement and management of thoracic paravertebral block catheters in 2 neonates. The design is retrospective chart review of 2 consecutive newborns undergoing repair of tracheoesophageal fistula. Ultrasound-guided oblique intercostal approach for catheter placement and infusions of dilute ropivicaine for 4-5 days. The measurements are postoperative narcotics and sedatives administered. The main results are neither infant required continuous infusions of sedatives or narcotics. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 8, 2015 Category: Anesthesiology Authors: Mark E. Thompson, Brittany Haynes Tags: Case Report Source Type: research
Airway and Ventilatory Management Options in Congenital Tracheoesophageal Fistula Repair
MANAGEMENT OF AIRWAY and ventilation in tracheoesophageal fistula (TEF) repair is challenging. A thoughtful approach with alternative options readily available as well as an understanding of the merits and pitfalls of each strategy is important. In this review, the authors focus only on important aspects of airway and ventilation management based on the most common type of TEF—esophageal atresia and distal tracheoesophageal fistula (type C)—which accounts for 86% of cases of this congenital anomaly. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 4, 2015 Category: Anesthesiology Authors: Anthony M.-H. Ho, Joanna M. Dion, Joyce C.P. Wong Tags: Review Article Source Type: research
Chemocauterization with trichloroacetic acid in congenital and recurrent tracheoesophageal fistula: a minimally invasive treatment
Conclusion Endoscopic management of congenital and recurrent TEF with the use of 50 % TCA is as a minimally invasive, effective, simple and safe technique in these patients and avoids the morbidity of open surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - July 3, 2015 Category: Surgery Source Type: research
Long-term survival for advanced esophageal cancer patients with an esophago-bronchial fistula can be achieved by timely multimodality therapy
We reported four consecutive advanced esophageal cancer patients with esophago-bronchial fistula (EBF) who were managed well and achieved long-term survival with timely multimodality therapy including bypass operation. Eighty-four patients with esophageal cancer located in the upper or middle esophagus who were treated in our institute from 2005 to 2013 were diagnosed with cT4 at the time of admission. Eight (9.5 %) of those 84 cT4 patients developed the esophago-bronchial/tracheal fistula. Out of eight patients, four (50 %) who responded to prior chemotherapy or chemoradiotherapy received esophageal bypass operations to...
Source: Esophagus - July 1, 2015 Category: Gastroenterology Source Type: research
Pharyngocutaneous fistula after total laryngectomy: Systematic review of risk factors
ConclusionChronic obstructive pulmonary disease (COPD), previous hemoglobin <12.5g/dL, blood transfusion, previous radiotherapy or chemoradiotherapy, advanced primary tumors, supraglottic subsite, hypopharyngeal tumor site, positive surgical margins, and the performance of neck dissection were risk factors for PCF. © 2014 Wiley Periodicals, Inc. Head Neck, 2014 (Source: Head and Neck)
Source: Head and Neck - June 26, 2015 Category: ENT & OMF Authors: Rogério Aparecido Dedivitis, Felipe Toyama Aires, Claudio Roberto Cernea, Lenine Garcia Brandão Tags: Clinical Review Source Type: research
Reconstruction of expanding tracheoesophageal fistulae in post‐radiation therapy patients who undergo total laryngectomy with a bipaddled radial forearm free flap: Report of 8 cases
ConclusionSeveral 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. © 2015 Wiley Periodicals, Inc. Head Neck, 2015 (Source: Head and Neck)
Source: Head and Neck - June 18, 2015 Category: ENT & OMF Authors: Eliza H. Dewey, Jerry R. Castro, Jacqueline Mojica, Cathy L. Lazarus, Henry K. Su, Erin H. Alpert, Laura L. Dos Reis, Mark L. Urken Tags: Original Article Source Type: research
Long-term burden of care and radiation exposure in survivors of esophageal atresia
Patients with esophageal atresia with or without tracheoesophageal fistula (EA/TEF) historically have had a high risk of neonatal mortality but the majority of patients are now expected to live into adulthood. However, the long-term burden of care among recent EA/TEF survivors has not been documented. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - June 16, 2015 Category: Surgery Authors: Paul Zamiara, Karen E. Thomas, Bairbre L. Connolly, Hillary Lane, Margaret A. Marcon, Priscilla P. Chiu Source Type: research
PCSK5 mutation in a patient with the VACTERL association
Conclusions: Further studies are necessary to clarify the etiological role of the PCSK5 mutation in the VACTERL association. (Source: BMC Research Notes)
Source: BMC Research Notes - June 9, 2015 Category: Research Authors: Yukio NakamuraShingo KikugawaShoji SekiMasahiko TakahataNorimasa IwasakiHidetomi TeraiMitsuhiro MatsubaraFumio FujiokaHidehito InagakiTatsuya KobayashiTomoatsu KimuraHiroki KurahashiHiroyuki Kato Source Type: research
Ground zero: not asthma at all
This article is protected by copyright. All rights reserved. (Source: Pediatric Allergy and Immunology)
Source: Pediatric Allergy and Immunology - June 9, 2015 Category: Allergy & Immunology Authors: Fernando Maria Benedictis, Diletta Benedictis, Lorenzo Mirabile, Marco Pozzi, Arcangela Guerrieri, Sabrina Di Pillo Tags: Original Article Source Type: research
Performance of prenatal diagnosis in esophageal atresia
ConclusionPrenatal diagnosis of EA remains challenging. MRI and AF biochemistry may prove useful in the diagnosis of EA. Prenatal ultrasound and MRI examination should also focus on associated anomalies. This article is protected by copyright. All rights reserved. (Source: Prenatal Diagnosis)
Source: Prenatal Diagnosis - June 8, 2015 Category: Perinatology & Neonatology Authors: Emmanuel Spaggiari, Giuliana Faure, Veronique Rousseau, Pascale Sonigo, Anne‐Elodie Millischer, Elsa Kermorvant‐Duchemin, Francoise Muller, Isabelle Czerkiewicz, Yves Ville, Laurent J. Salomon Tags: Original Article Source Type: research
Closure of Nonmalignant Tracheoesophageal Fistula Using an Atrial Septal Defect Occluder: Case Report and Review of the Literature
We present a case of nonmalignant TEF closure using an atrial septal defect (ASD) occluder. A 53-year-old man with a severe TEF was admitted to our hospital for TEF caused by stenting of an esophagogastric anastomotic stricture. He was successfully treated with closure of the TEF using an endotracheal ASD occluder. Three hundred and eighteen days after placement of the occluder, he suddenly developed a severe cough after dilatation of the esophagogastric anastomosis and spontaneously coughed out the occluder. The fistula was repaired and complete closure that was confirmed on esophagography. He had no recurrence of fistula...
Source: CardioVascular and Interventional Radiology - June 6, 2015 Category: Radiology Source Type: research
The use of self-expanding plastic stents in the management of oesophageal leaks and spontaneous oesophageal perforations.
Authors: Moyes LH, Mackay CK, Forshaw MJ Abstract Leakage after oesophageal anastomosis or perforation remains a challenge for the surgeon. Traditional management has been operative repair or intensive conservative management. Both treatments are associated with prolonged hospitalisation and high morbidity and mortality rates. Self-expanding metallic stents have played an important role in the palliation of malignant oesophageal strictures and the treatment of tracheoesophageal fistulae. However, self-expanding metal stents in benign oesophageal disease are associated with complications such as bleeding, food bolus...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Clinical Application and Outcomes of Over the Scope Clip Device: Initial US Experience in Humans.
Conclusion. The OTSC provides a safe alternative to manage fistula, perforation, and bleeding. No significant difference was seen for closure of early fistula or perforations as compared to chronic fistula. Rat-tooth forceps or suction was superior to the dedicated devices. PMID: 23935261 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Prevalence of congenital heart disease in patients undergoing surgery for major gastrointestinal malformations: an Indian study
Conclusions We found the frequency of CHD in patients with GI malformations was very high, the most common presentation being ASD. Our study indicates the need for larger scale studies to determine the prevalence of CHD in patients with GI malformations in the Indian population. (Source: Heart Asia)
Source: Heart Asia - June 5, 2015 Category: Cardiology Authors: Gokhroo, R. K., Gupta, S., Arora, G., Bisht, D. S., Padmanabhan, D., Soni, V. Tags: Original research Source Type: research
Prenatal diagnosis of the VACTERL association using routine ultrasound examination
ConclusionFurther studies of fetuses with the VACTERL association are necessary to better delineate the malformations spectrum observed prenatally to improve the early recognition of the VACTERL association. Birth Defects Research (Part A), 2014. © 2015 Wiley Periodicals, Inc. (Source: Birth Defects Research Part A: Clinical and Molecular Teratology)
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - June 2, 2015 Category: Perinatology & Neonatology Authors: Anne Debost‐Legrand, Carole Goumy, Hélène Laurichesse‐Delmas, Pierre Déchelotte, Isabelle Perthus, Christine Francannet, Didier Lémery, Denis Gallot Tags: Original Article Source Type: research
Button Battery Intake as Foreign Body in Chinese Children: Review of Case Reports and the Literature
Conclusions: A small number of children with button battery as foreign body were reported in China, which is 1 of the biggest countries with large population of children. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research
Evaluation and Diagnosis of the Dysmorphic Infant
Neonatologists have a unique opportunity to be the first to identify abnormalities in a neonate. In this review, multiple anomalies and physical features are discussed along with the potential associated genetic syndromes. The anomalies and physical features that are discussed include birth parameters, aplasia cutis congenita, holoprosencephaly, asymmetric crying facies, preauricular ear tags and pits, cleft lip with or without cleft palate, esophageal atresia/tracheoesophageal fistula, congenital heart defects, ventral wall defects, and polydactyly. (Source: Clinics in Perinatology)
Source: Clinics in Perinatology - May 29, 2015 Category: Perinatology & Neonatology Authors: Kelly L. Jones, Margaret P. Adam Source Type: research
“Rendez-vous” over-the-scope endoclipping for tracheoesophageal fistula: case report and review of the literature
Conclusions The OVESCO R system seems to be safe and effective in the treatment of small tracheoesophageal fistula. (Source: European Surgery)
Source: European Surgery - May 29, 2015 Category: Surgery Source Type: research
Minimally invasive management of tracheoesophageal fistula with T‐tube
(Source: The Laryngoscope)
Source: The Laryngoscope - May 28, 2015 Category: ENT & OMF Authors: Christopher Tran, Daniel S. Fink, Melda Kunduk, Andrew J. McWhorter Tags: Laryngology Source Type: research
Oesophageal atresia and tracheo‐oesophageal fistula in Western Australia: Prevalence and trends
ConclusionsA higher prevalence of OA±TOF in WA was observed with increase over time attributable to increase with associated anomalies. Consistent reporting, availability of prenatal diagnosis and ascertainment of cases following TOPFA or post‐mortem examinations can significantly affect prevalence of OA and/or TOF. (Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - May 15, 2015 Category: Pediatrics Authors: Emanuele Leoncini, Carol Bower, Natasha Nassar Tags: Original Article Source Type: research
Upper Airway Anomalies in Congenital Tracheoesophageal Fistula and Esophageal Atresia Patients.
CONCLUSION: Patients diagnosed with congenital TEF/EA have a high rate of secondary upper airway anomalies. Consideration should be given to perform a complete airway evaluation in all of these patients. PMID: 25969571 [PubMed - as supplied by publisher] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - May 12, 2015 Category: ENT & OMF Authors: Hseu A, Recko T, Jennings R, Nuss R Tags: Ann Otol Rhinol Laryngol Source Type: research
Advantages of a latissimus dorsi muscle flap to close a gastric tube-to-tracheal fistula and prevent tracheobronchial complications after salvage surgery for esophageal cancer: report of three cases
Abstract Tracheobronchial fistulae after esophagectomy are rare but critical complications because they frequently cause severe pneumonia. In three cases with esophageal cancer, we used the latissimus dorsi muscle after esophagectomy to reinforce the fragile tracheobronchus. In cases 1 and 2 with gastric tube-to-tracheal fistula, the gastric tube was pulled out from the posterior mediastinum, the fistula was excised, and the trachea was covered with the pedicle latissimus dorsi muscle flap followed by reconstruction of the digestive conduit by the subcutaneous route. Case 3 had relapsed esophageal cancer after def...
Source: Esophagus - May 5, 2015 Category: Gastroenterology Source Type: research
Anesthetic management for surgery of esophagus atresia in a newborn with Goldenhar's syndrome
Conclusions The finding of a patient with Goldenhar's syndrome and esophageal atresia assumes an exceptional situation and a challenge for anesthesiologists, since the anesthetic management depends on the patient comorbidity, the type of tracheoesophageal fistula, the usual hospital practice and the skills of the anesthesiologist in charge, with the main peculiarity being maintenance of adequate pulmonary ventilation in the presence of a communication between the airway and the esophagus. Intubation with fibrobronchoscope distal to the fistula deals with the management of a probably difficult airway and limits the passage ...
Source: Brazilian Journal of Anesthesiology - April 29, 2015 Category: Anesthesiology Source Type: research
Esophageal Dysmotility Is Present Before Surgery in Isolated Tracheoesophageal Fistula
ABSTRACT: After surgical correction of esophageal atresia with or without tracheoesophageal fistula, esophageal body motility dysfunction has been reported in nearly all patients. Using high-resolution esophageal manometry before surgical repair in 2 children with isolated tracheoesophageal fistula, we sought to determine whether dysmotility was present before any surgical insult to test the hypothesis that dysmotility associated with esophageal atresia with or without tracheoesophageal fistula is related to intrinsic primary factors linked to abnormal development of the esophagus. Both had an abnormal esophageal motility:...
Source: Journal of Pediatric Gastroenterology and Nutrition - April 25, 2015 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
VACTERL associations in children undergoing surgery for esophageal atresia and anorectal malformations: Implications for pediatric surgeons
The aim of this study was to compare the frequency and nature of VACTERL associations between children who underwent surgery for esophageal atresia/tracheoesophageal fistula (EA/TEF) and anorectal malformation (ARM). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - April 22, 2015 Category: Surgery Authors: Timothy B. Lautz, Ankur Mandelia, Jayant Radhakrishnan Source Type: research
Early complications after esophageal atresia repair: analysis of a German health insurance database covering a population of 8 million
SummaryThe treatment of esophageal atresia is not centralized in Germany. Therefore, high numbers of departments are involved. Data on the results of esophageal atresia repair from Germany are lacking. The aim of this study was to evaluate the early postoperative results after repair of esophageal atresia based on unbiased data of a German health insurance. We aimed to determine whether characteristics of the departments had an impact on outcome and compared the results from this study with the literature data from centers with a high caseload. Data of a German health insurance covering ∼10% of the population were analyz...
Source: Diseases of the Esophagus - April 20, 2015 Category: Gastroenterology Authors: C. Dingemann, J. Dietrich, J. Zeidler, J. Blaser, J.‐H. Gosemann, B. M. Ure, M. Lacher Tags: Original Article Source Type: research
Tracheoesophageal fistula in adults due to corrosive ingestion: challenges in management
Abstract Esophagorespiratory fistula in adults as a result of corrosive ingestion is a rare occurrence and is a difficult problem to manage. Three young (15–19 years) patients (2F, 1M) out of 115 (incidence 2.6 %) of corrosive ingestion who had tracheoesophageal fistula (TEF) were reviewed retrospectively. After initial management, enteral route of nutrition was established. Based on the extent of concomitant esophageal stricture, the fistulae were classified as: type I (short) and type II (long segment). Fistula was repaired through thoracotomy and formation of a neomembranous trachea. Esophageal stricture co...
Source: Updates in Surgery - April 17, 2015 Category: Surgery Source Type: research
Unusual airway complication after percutaneous tracheotomy: Case report and literature review
We report a case of a 59‐year‐old male who experienced tracheoesophageal fistula and grade IV subglottic stenosis after percutaneous dilation tracheotomy. Although percutaneous tracheotomy is considered a safe procedure that is often performed in the intensive care unit setting, it is not without complications. While subglottic stenosis and tracheoesophageal fistula are known complications of percutaneous tracheotomy, this report discusses a patient who experienced both complications simultaneously. The purpose of this report is to discuss potential serious complications of percutaneous tracheotomy and their management...
Source: The Laryngoscope - April 15, 2015 Category: ENT & OMF Authors: Christopher Roxbury, Jesse Qualliotine, Daniela Molena, Young Kim Tags: Head and Neck Source Type: research
Placement of a 16-French Voice Prosthesis at the time of Secondary Tracheoesophageal Voice Restoration
Conclusions Placement of 16-French TEVPs is effective and safe, with an acceptable rate of minor complications attributable to the prosthesis. Therefore, a smaller prosthesis may be primarily placed at the time of secondary TEP and is our preference. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 7, 2015 Category: Endocrinology Source Type: research
Case report: Acquired esophago-pulmonary fistula
We report a case of 17-year-old girl with esophago-pulmonary fistula. She experienced a long history of cough and expectoration. CT scans of the chest demonstrated right lower and middle lung lobes multiple cavitary lesions with marked dilatation of the esophagus and a communicating fistula between the esophagus and parenchyma of the right lower lobe of the lung. Excision of the fistula and right bilobectomy were done via right thoracotomy. The patient was markedly improved after surgery in terms of clinical symptoms and radiologic findings and discharged 18 days after surgery. Although quite rare, brocho-esophageal fist...
Source: Esophagus - April 2, 2015 Category: Gastroenterology Source Type: research
Right thoracotomy approach for patients with congenital tracheoesophageal fistula associated with right-sided aortic arch: a multicentric study
Conclusion: Repair of congenital TEF associated with RAA can be performed through right thoracotomy safely but with some difficulty and longer time. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2015 Category: Surgery Tags: Original Articles Source Type: research
Treatment outcomes for eosinophilic esophagitis in children with esophageal atresia
Summary Eosinophilic esophagitis (EoE) has been reported to be more prevalent in patients with esophageal atresia/tracheoesophageal fistula (EA‐TEF). To date, there is limited data on the management of EoE in this group of patients. The aim of this study is to evaluate the treatment outcomes of EoE in children with EA‐TEF. A retrospective chart review was performed on all EA‐TEF children who were diagnosed with and treated for EoE between January 2000 and September 2013 at the Sydney Children's Hospital. Data collected included details of the patient's treatment, post‐treatment endoscopy, symptoms and nutrition. Tw...
Source: Diseases of the Esophagus - April 1, 2015 Category: Gastroenterology Authors: L. J. Chan, L. Tan, J. Dhaliwal, F. Briglia, C. Clarkson, U. Krishnan Tags: Original Article Source Type: research
Use of jet ventilation in thoracoscopic tracheo‐esophageal fistula repair—can both surgeons and anesthesiologists be happy?
We describe three cases in which jet ventilation provided not only superior ventilation with a return to normocapnea but also ideal operating conditions. In addition, jet ventilation utilizes lower mean airway pressures which typically results in improved cardiac output. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - March 30, 2015 Category: Anesthesiology Authors: Melissa Ehlers, Chad Pezzano, Laura Leduc, John Brooks, Plinio Silva, Helena Oechsner, Anica Crnkovic, Igor Galay, Farzana Afroze Tags: Case Report Source Type: research
Direct tracheobronchopexy to correct airway collapse due to severe tracheobronchomalacia: Short-term outcomes in a series of 20 patients
This study describes patient outcomes undergoing direct tracheobronchopexy for TBM. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 30, 2015 Category: Surgery Authors: Sigrid Bairdain, Charles Jason Smithers, Thomas E. Hamilton, David Zurakowski, Lawrence Rhein, John E. Foker, Christopher Baird, Russell W. Jennings Source Type: research
Postpneumonectomy syndrome in a newborn after esophageal atresia repair
Conclusions Neonatologists and paediatric surgeons should be aware of this rare association that may cause acute life threatening and worsening of patient’s clinical status. Prompt realignment of the mediastinum in the normal position is critical to obtain rapid improvement of the patient’s clinical conditions. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 28, 2015 Category: Surgery Source Type: research
Mitochondria DNA Depletion Syndrome in a Infant with Multiple Congenital Malformations, Severe Myopathy, and Prolonged Postoperative Paralysis
We describe a newborn with multiple congenital malformations including a right aberrant subclavian artery and a trachea-oesophageal fistula in whom mitochondrial depletion syndrome was unmasked by perioperative muscle relaxation. After vecuronium infusion, the infant developed an irreversible postoperative paralysis, leading to death 32 days after surgery. The present case highlights (a) the clinical heterogeneity of mitochondrial depletion syndrome; (b) the importance of rigorous antemortem and postmortem investigations when the cause of a severe myopathy is uncertain; (c) the possible coexistence of mitochondrial depleti...
Source: Journal of Child Neurology - March 23, 2015 Category: Neurology Authors: Thomas, M., Salpietro, V., Canham, N., Ruggieri, M., Phadke, R., Kinali, M. Tags: Brief Communication Source Type: research
Recurrence of a mediastinal liposarcoma 20 years after surgery: A case of carbon ion radiotherapy resulting in fatal tracheoesophageal fistula
Publication date: Available online 16 March 2015 Source:Respiratory Investigation Author(s): Takahisa Kawamura , Keisuke Tomii , Yutaka Takahashi , Akihiko Okada , Yusuke Demizu , Nobukazu Fuwa , Yukihiro Imai (Source: Respiratory Investigation)
Source: Respiratory Investigation - March 17, 2015 Category: Respiratory Medicine Source Type: research
Unilateral pulmonary agenesis and esophageal atresia with a tracheoesphageal fistula-23 year followup
Publication date: April 2015 Source:Journal of Pediatric Surgery Case Reports, Volume 3, Issue 4 Author(s): Michael Curci , Albert Dibbins Pulmonary agenesis, esophageal atresia and a tracheoesophageal fistula (EA + TEF) are a rare combined congenital anomalies associated with a high morbidity and mortality. For those patients that have survived these malformation, there has been limited long-term follow up. This case report describes a 23-year followup with evaluation of the patient's pulmonary, cardiac and gastrointestinal function. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - March 12, 2015 Category: Surgery Source Type: research