Tracheoesophageal Fistula
Esophageal Atresia
Larynx, Artificial
Speech, Esophageal
Esophagus
Speech, Alaryngeal
Abnormalities, Multiple
Fistula
Esophageal atresia and tracheoesophageal fistula. (1/109)
Esophageal atresia, with or without tracheoesophageal fistula, is a fairly common congenital disorder that family physicians should consider in the differential diagnosis of a neonate who develops feeding difficulties and respiratory distress in the first few days of life. Esophageal atresia is often associated with other congenital anomalies, most commonly cardiac abnormalities such as ventricular septal defect, patent ductus arteriosus or tetralogy of Fallot. Prompt recognition, appropriate clinical management to prevent aspiration, and swift referral to an appropriate tertiary care center have resulted in a significant improvement in the rates of morbidity and mortality in these infants over the past 50 years. (+info)Respiratory function in childhood following repair of oesophageal atresia and tracheoesophageal fistula. (2/109)
AIM: To determine the relation between respiratory function in infancy and at school age in children who have undergone oesophageal atresia and tracheoesophageal fistula repair, and assess the value of infant respiratory function testing; and to examine the effect of bronchodilators. METHOD: Fourteen children (6 girls, and 8 boys) who had undergone respiratory function testing in infancy were retested at school age (7-12 years). Measurements included lung volume, airways resistance, peak flow, and spirometry. Clinical problems were investigated by questionnaire. Twelve children had repeat measurements after taking salbutamol. RESULTS: Predominant complaints were non-productive cough and dysphagia, but even those children with major problems in infancy reported few restrictions at school or in sport or social activities. Respiratory function and clinical findings at school age appeared unrelated to status in infancy, such that even the patients with severe tracheomalacia requiring aortopexy did not have lung function testing suggestive of malacia at school age. Most patients showed a restrictive pattern of lung volume which would appear to result from reduced lung growth after surgery rather than being a concomitant feature of the primary congenital abnormality. Although six children reported wheeze and four had a diagnosis of asthma, only one responded to salbutamol. This suggests that a tendency to attribute all lower respiratory symptoms to asthma may have led to an overdiagnosis of this condition in this patient group. CONCLUSION: Respiratory function testing in infancy is of limited value in medium term prognosis, but may aid management of contemporary clinical signs. In children respiratory function testing is valuable in assessing suspected asthma and effects of bronchodilators. (+info)Increased fetal nuchal translucency: possible association with esophageal atresia. (3/109)
We describe a case in which in-utero diagnosis of an esophageal atresia with a tracheo-esophageal fistula in the third trimester followed the finding of an increased nuchal translucency in the first trimester and suggest a mechanism by which these two findings might be associated. (+info)Oesophageal atresia in the South West of England. (4/109)
A retrospective anatomical and family study was made of 345 patients with oesophageal atresia who were born in the South West of England between 1942 and 1973. There were 186 males and 159 females. Twenty-one cases were stillborn. Eighty-five percent of the patients had a combination of oesophageal atresia with a tracheo-oesophageal fistula to the distal oesophageal segment, and 9 percent had atresia without a fistula. Fifty-five per cent of the patients had other congenital malformations and these tended to be multiple rather than single. Thirty-six per cent of singletons had unequivocal fetal growth retardation, and there is some evidence that nearly all cases have poor fetal growth. There appeared to be a maternal age effect, with an excess of mothers under 20 and over 35, and there was an unexplained excess of fathers employed in the Armed Forces. Ten per cent of the cases were illegitimate. There were 21 twins which is nearly three times the expected number; there were two pairs of twins concordant for oesophageal atresia, one being monozygotic and the other dizygotic. In one case there were two sibs with oesophageal atresia. Five out of 365 sibs had anencephaly. The blood group distributions of the patients and their mothers did not significantly differ from the expected distribution. Oesophageal atresia is aetiologically heterogenous. In this series there were at least five, and probably 10 cases of trisomy 18 and four cases of trisomy 21. Five mothers had overt diabetes, and there is some suggestion from other work that maternal diabetes or its treatment may be aetiologically important. Oesophageal atresia was part of a possibly recessively inherited malformation syndrome in two cases. A sibship with a case of rectal atresia, a case of Hirschprung's disease and a case of oesophageal atresia may represent the action of another recessive gene. It seems likely that oesophageal atresia is a rather non-specific consequence of several teratological processes. (+info)Separation between the digestive and the respiratory lumina during the human embryonic period: morphometric study along the tracheo-oesophageal septum. (5/109)
An isolated tracheo-oesophageal fistula could be caused by close proximity of the epithelia of both organs (O'Rahilly & Muller, 1984; Kluth et al. 1987) at certain embryonic stages, the most frequent location being the tracheal bifurcation. Thus the relative position and degree of separation between the digestive and the respiratory tubes throughout their development may be relevant to the origin of this anomaly. The aim of this study was to analyse along the different segments of the tracheo-oesophageal septum (TES) where the closest relationship between both lumina occurred and what degree of separation was present at each segment. Computer imaging techniques were applied on cross sections of a graded series of normal human embryos (Carnegie stages (CS) 13-23). In addition, the differentiation of the primitive TES was also studied (from CS 12) by light microscopy. Between CS 13 and 16 both tubes tended to separate (phase of separation), principally at the proximal segments of the laryngopharyngeal and the tracheo-oesophageal portions of the TES. During this phase the separation between the trachea and oesophagus was wider than between the larynx and pharynx. From CS 17 to CS 23 the digestive and respiratory lumina reached their widest separation at different levels of the laryngopharyngeal portion. Below these levels they tended to come closer together, principally at the proximal segment of the tracheo-oesophageal portion, but also at the distal part of the laryngopharyngeal portion. During this phase of approximation they reached their closest relationship at the proximal (CS 17) and the distal (from CS 18) segments of the tracheo-oesophageal portion. When finally the distal segment of the trachea (which includes the bifurcation) comes closest to the oesophagus, the coats of both organs have already undergone an appreciable differentiation. According to these observations, the origin of the most frequent isolated tracheo-oesophageal fistula at the bifurcation region could not be explained from the normal development of the TES. (+info)Evidence of a common pathogenesis for foregut duplications and esophageal atresia with tracheo-esophageal fistula. (6/109)
The pathogenesis of the alimentary tract duplications, including foregut duplications (FgD) remains speculative. The accidental finding of FgD in fetal rats with esophageal atresia and tracheoesophageal fistula (EA-TEF) induced by Adriamycin provided an animal model to investigate a possible relationship between these two entities. Timed-pregnant rats were intraperitoneally injected with Adriamycin (1.75 mg/kg) on gestational Days 6 to 9. Their embryos were harvested by Caesarean section from gestational Days 14 to 21. Forty-six of embryos were processed and serially sectioned in the transverse or sagittal planes. EA-TEF occurred in 43/46 (93%) embryos of which 11 (24%) were found to have an associated FgD located at the level where the esophagus was absent. Six FgDs communicated with the foregut or the trachea. Five noncommunicating FgDs were located between the foregut and the vertebral column. In the control embryo, the notochord was located in the centre of the vertebral column from Day 11 of the gestation. In Day 14, 15 and 16, however, embryos exposed to Adriamycin, an abnormal notochord or branch frequently was located within the mesenchyme of the maldeveloped foregut or attached to the duplication cyst. In some, it appeared that the notochord was drawing the cyst-like structure away from the foregut. The present study confirms that duplications adjacent to the esophagus arise from the foregut and that failure of the foregut to detach from the notochord at the normal time may contribute to the development of foregut duplications. (+info)Unilateral bronchiectasis and esophageal dysmotility in congenital adult tracheoesophageal fistula. (7/109)
Tracheoesophageal fistulas (TEF) in adults are most commonly neoplastic, and very rarely congenital in nature. We report a 45-year-old Hispanic male with TEF and initial presentation of minimal hemoptysis. The patient had radiographic evidence of unilateral upper lobe (RUL) bronchiectasis, massive esophageal dilatation, and dysmotility. However, there was no evidence of esophageal malignancy, achalasia, or Chagas' disease. Bronchoscopy revealed a large TEF in the posterior wall of trachea, which was not visualized on esophagram or esophagoscopy. Bronchoalveolar lavage (BAL) cultures grew Mycobacterium avium complex (MAC). Our report illustrates that idiopathic, or congenital, TEF can be associated with esophageal dysmotility, adulthood bronchiectasis, and atypical mycobacterial superinfection. (+info)Button battery ingestion: an analysis of 25 cases. (8/109)
BACKGROUND: Button batteries represent a distinct type of foreign body. Serious complications can be resulted, particularly when the battery is impacted in the esophagus. The potentially detrimental effects of button battery ingestion have often been overlooked in Taiwan. We surveyed patients following button battery ingestion to define the characteristics and outcomes of this population. METHODS: The records of 25 patients with button battery ingestion that had been reported to the Taipei Veterans General Hospital Poison Control Center from July 1988 through January 1998 were retrospectively reviewed. RESULTS: Button battery ingestion occurred most commonly in male children (N=20; 80%) and children under 3 years of age (N= 19; 76%). Most children were asymptomatic (N=22; 88%). Two children suffered abdominal pain, and one suffered dyspnea and stridor. Reported complications included black stools (N=3) and tracheoesophageal fistula formation (N= 1). Two children underwent endoscopic battery removal, and batteries passed the entire gastrointestinal tract in all other subjects. The interval between battery ingestion and passage when documented (N= 16) was never more than 5 days. CONCLUSION: Most ingested batteries passed through the gastrointestinal tract without any adverse effects. An initial roentgenogram should be obtained promptly to determine battery location and diameter, and the battery's chemical composition should be determined when possible. Esophageal impaction of the batteries requires emergency endoscopic or surgical removal. For patients without esophageal impaction, conservative intervention is recommended in the absence of symptoms and signs of injury. (+info)A tracheoesophageal fistula (TEF) is an abnormal connection between the trachea (windpipe) and the esophagus (tube that carries food from the mouth to the stomach). This congenital anomaly is usually present at birth and can vary in size and location. It can cause complications such as respiratory distress, feeding difficulties, and recurrent lung infections. TEF is often treated surgically to separate the trachea and esophagus and restore their normal functions.
Esophageal atresia is a congenital condition in which the esophagus, the tube that connects the throat to the stomach, does not develop properly. In most cases, the upper esophagus ends in a pouch instead of connecting to the lower esophagus and stomach. This condition prevents food and liquids from reaching the stomach, leading to difficulty swallowing and feeding problems in newborn infants. Esophageal atresia often occurs together with a congenital defect called tracheoesophageal fistula, in which there is an abnormal connection between the esophagus and the windpipe (trachea).
The medical definition of 'Esophageal Atresia' is:
A congenital anomaly characterized by the absence of a normal connection between the upper esophagus and the stomach, resulting in the separation of the proximal and distal esophageal segments. The proximal segment usually ends in a blind pouch, while the distal segment may communicate with the trachea through a tracheoesophageal fistula. Esophageal atresia is often associated with other congenital anomalies and can cause serious complications if not diagnosed and treated promptly after birth.
An artificial larynx, also known as a voice prosthesis or speech aid, is a device used to help individuals who have undergone a laryngectomy (surgical removal of the larynx) or have other conditions that prevent them from speaking normally. The device generates sound mechanically, which can then be shaped into speech by the user.
There are two main types of artificial larynx devices:
1. External: This type of device consists of a small electronic unit that produces sound when the user presses a button or activates it with a breath. The sound is then directed through a tube or hose into a face mask or a mouthpiece, where the user can shape it into speech.
2. Internal: An internal artificial larynx, also known as a voice prosthesis, is implanted in the body during surgery. It works by allowing air to flow from the trachea into the esophagus and then through the voice prosthesis, which creates sound that can be used for speech.
Both types of artificial larynx devices require practice and training to use effectively, but they can significantly improve communication and quality of life for individuals who have lost their natural voice due to laryngeal cancer or other conditions.
Esophageal speech is not a type of "speech" in the traditional sense, but rather a method of producing sounds or words using the esophagus after a laryngectomy (surgical removal of the voice box). Here's a medical definition:
Esophageal Speech: A form of alaryngeal speech produced by swallowing air into the esophagus and releasing it through the upper esophageal sphincter, creating vibrations that are shaped into sounds and words. This method is used by individuals who have undergone a laryngectomy, where the vocal cords are removed, making traditional speech impossible. Mastering esophageal speech requires extensive practice and rehabilitation.
Esophageal stenosis is a medical condition characterized by the narrowing or constriction of the esophagus, which is the muscular tube that connects the throat to the stomach. This narrowing can make it difficult to swallow food and liquids, leading to symptoms such as dysphagia (difficulty swallowing), pain or discomfort while swallowing, regurgitation, and weight loss.
Esophageal stenosis can be caused by a variety of factors, including:
1. Scarring or fibrosis due to prolonged acid reflux or gastroesophageal reflux disease (GERD)
2. Radiation therapy for cancer treatment
3. Ingestion of corrosive substances
4. Eosinophilic esophagitis, an allergic condition that affects the esophagus
5. Esophageal tumors or cancers
6. Surgical complications
Depending on the underlying cause and severity of the stenosis, treatment options may include medications to manage symptoms, dilation procedures to widen the narrowed area, or surgery to remove the affected portion of the esophagus. It is important to seek medical attention if you experience any difficulty swallowing or other symptoms related to esophageal stenosis.
The esophagus is the muscular tube that connects the throat (pharynx) to the stomach. It is located in the midline of the neck and chest, passing through the diaphragm to enter the abdomen and join the stomach. The main function of the esophagus is to transport food and liquids from the mouth to the stomach for digestion.
The esophagus has a few distinct parts: the upper esophageal sphincter (a ring of muscle that separates the esophagus from the throat), the middle esophagus, and the lower esophageal sphincter (another ring of muscle that separates the esophagus from the stomach). The lower esophageal sphincter relaxes to allow food and liquids to enter the stomach and then contracts to prevent stomach contents from flowing back into the esophagus.
The walls of the esophagus are made up of several layers, including mucosa (a moist tissue that lines the inside of the tube), submucosa (a layer of connective tissue), muscle (both voluntary and involuntary types), and adventitia (an outer layer of connective tissue).
Common conditions affecting the esophagus include gastroesophageal reflux disease (GERD), Barrett's esophagus, esophageal cancer, esophageal strictures, and eosinophilic esophagitis.
Alaryngeal speech refers to the various methods of communicating without the use of the vocal folds (cords) in the larynx, which are typically used for producing sounds during normal speech. This type of communication is necessary for individuals who have lost their larynx or have a non-functioning larynx due to conditions such as cancer, trauma, or surgery.
There are several types of alaryngeal speech, including:
1. Esophageal speech: In this method, air is swallowed into the esophagus and then released in short bursts to produce sounds. This technique requires significant practice and training to master.
2. Tracheoesophageal puncture (TEP) speech: A small opening is created between the trachea and the esophagus, allowing air from the lungs to pass directly into the esophagus. A one-way valve is placed in the opening to prevent food and liquids from entering the trachea. The air passing through the esophagus produces sound, which can be modified with articulation and resonance to produce speech.
3. Electrolarynx: This is a small electronic device that is held against the neck or jaw and produces vibrations that are used to create sound for speech. The user then shapes these sounds into words using their articulatory muscles (lips, tongue, teeth, etc.).
Alaryngeal speech can be challenging to learn and may require extensive therapy and practice to achieve proficiency. However, with proper training and support, many individuals are able to communicate effectively using these methods.
A laryngectomy is a surgical procedure that involves the removal of the larynx, also known as the voice box. This is typically performed in cases of advanced laryngeal cancer or other severe diseases of the larynx. After the surgery, the patient will have a permanent stoma (opening) in the neck to allow for breathing. The ability to speak after a total laryngectomy can be restored through various methods such as esophageal speech, tracheoesophageal puncture with a voice prosthesis, or electronic devices.
'Abnormalities, Multiple' is a broad term that refers to the presence of two or more structural or functional anomalies in an individual. These abnormalities can be present at birth (congenital) or can develop later in life (acquired). They can affect various organs and systems of the body and can vary greatly in severity and impact on a person's health and well-being.
Multiple abnormalities can occur due to genetic factors, environmental influences, or a combination of both. Chromosomal abnormalities, gene mutations, exposure to teratogens (substances that cause birth defects), and maternal infections during pregnancy are some of the common causes of multiple congenital abnormalities.
Examples of multiple congenital abnormalities include Down syndrome, Turner syndrome, and VATER/VACTERL association. Acquired multiple abnormalities can result from conditions such as trauma, infection, degenerative diseases, or cancer.
The medical evaluation and management of individuals with multiple abnormalities depend on the specific abnormalities present and their impact on the individual's health and functioning. A multidisciplinary team of healthcare professionals is often involved in the care of these individuals to address their complex needs.
A fistula is an abnormal connection or passage between two organs, vessels, or body parts that usually do not connect. It can form as a result of injury, infection, surgery, or disease. A fistula can occur anywhere in the body but commonly forms in the digestive system, genital area, or urinary system. The symptoms and treatment options for a fistula depend on its location and underlying cause.
Voice quality, in the context of medicine and particularly in otolaryngology (ear, nose, and throat medicine), refers to the characteristic sound of an individual's voice that can be influenced by various factors. These factors include the vocal fold vibration, respiratory support, articulation, and any underlying medical conditions.
A change in voice quality might indicate a problem with the vocal folds or surrounding structures, neurological issues affecting the nerves that control vocal fold movement, or other medical conditions. Examples of terms used to describe voice quality include breathy, hoarse, rough, strained, or tense. A detailed analysis of voice quality is often part of a speech-language pathologist's assessment and can help in diagnosing and managing various voice disorders.
Tracheoesophageal fistula
Esophageal atresia
Tracheoesophageal septum
VACTERL association
Herpes esophagitis
Alexander Marmureanu
Double aortic arch
Tracheal agenesis
Weekend effect
Mandibulofacial dysostosis-microcephaly syndrome
Self-expandable metallic stent
NK2 homeobox 1
Esophagus
Tracheotomy
Lung bud
TBX2
Sonic hedgehog protein
Orvar Swenson
Trachea
Esophageal food bolus obstruction
Gollop-Wolfgang complex
C. Everett Koop
Pulmonary agenesis
Arthrogryposis
Fistula
Laryngeal cleft
Upper gastrointestinal series
TOF
Congenital heart defect
List of diseases (T)
Tracheoesophageal fistula - Wikipedia
Esophageal atresia/tracheoesophageal fistula: MedlinePlus Genetics
Tracheoesophageal Fistula: Background, Pathophysiology, Etiology
Oesophageal Atresia-Tracheoesophageal Fistula | Frontiers Research Topic
Tracheoesophageal Fistula & Esophageal Atresia | University of Utah Health
V013 Laparoscopic Collis-nissen Fundoplication In A Patient With Tracheoesophageal Fistula Repair from the SAGES Video Library
Rendezvous technique using bronchoscopy and gastroscopy to close a tracheoesophageal fistula by placement of an over-the-scope...
Tracheoesophageal Fistula | Pearson's General Thoracic
Philippines FACEBOOK Group - Atresia / tracheoesophageal Fistula / VACTERL
Tracheoesophageal Fistula and Esophageal Atresia | 5-Minute Pediatric Consult
CliniDo | Book best doctor present Tracheoesophageal Fistula surgeries in Egypt
Quick Facts: Esophageal Atresia and Tracheoesophageal Fistula - MSD Manual Consumer Version
Esophageal Atresia With or Without Tracheoesophageal Fistula: Background, History of the Procedure, Problem
A Case of Agenesis of the Right Lung with H-type Tracheoesophageal Fistula
ERNICA has launched its website ! - The Federation of Esophageal Atresia and Tracheo-Esophageal Fistula
February 1973 - Volume 51 - Issue 2 : Plastic and Reconstructive Surgery
Welcome to Esophageal Atresia Care | Columbia Surgery
Surgical technique and results of tracheal and carinal replacement with aortic allografts for salivary gland-type carcinoma
Congenital Anomalies of the Digestive System | NCBDDD | CDC
A novel approach of management by Amplatz vascular plug for recurrent tracheoesophageal fistula underlying acquired...
Spontaneous Ventilation and Epidural Anesthesia in a Patient with a Large Tracheoesophageal Fistula and Esophageal Cancer...
Complex Airway Program | BIDMC of Boston
Cline R[au] - Search Results - PubMed
GERD and Swallowing Services | Swedish
Videofluoroscopic Swallow Study (VFSS)
Recurrent croup | Children's Hospital of Philadelphia
Sudish Murthy, MD, PhD | Cleveland Clinic
Esophagus and the trachea4
- see spelling differences) is an abnormal connection (fistula) between the esophagus and the trachea. (wikipedia.org)
- A tracheoesophageal fistula is an abnormal connection between the esophagus and the trachea (which leads to the lungs). (msdmanuals.com)
- In a baby with tracheoesophageal fistula (TEF), there is an abnormal connection in at least one location between the esophagus and the trachea. (beaumont.org)
- Tracheoesophageal fistula demarcates an open connection between the esophagus and the trachea . (symptoma.com)
Distal7
- Challenging surgical dogma in the management of proximal esophageal atresia with distal tracheoesophageal fistula: Outcomes from the Midwest Pediatric Surgery Consortium. (medscape.com)
- Schmidt A, Obermayr F, Lieber J, Gille C, Fideler F, Fuchs J. Outcome of primary repair in extremely and very low-birth-weight infants with esophageal atresia/distal tracheoesophageal fistula. (medscape.com)
- Esophageal atresia with distal tracheoesophageal fistula. (medscape.com)
- Therefore, for distal tracheomalacia, whether associated with tracheoesophageal fistula or with vascular anomalies, aortopexy is the procedure of choice. (medscape.com)
- Immediately following the insertion of the ETT, a 2.5 mm FOB was inserted into the ETT, and the ETT was advanced under direct vision to just above the carina but distal to the fistula. (ispub.com)
- The most common type of TEF, type C, consists of esophageal atresia with a fistula between the distal esophagus and distal trachea. (ispub.com)
- I performed a repair of an esophageal atresia with distal tracheoesophageal fistula, despite several people telling me that no babies with that survive there. (aasurg.org)
Anal1
- VATER association was first described in 1968 by Say and Gerald and is an association of congenital anomalies including V (vertebral defect), A (anal atresia), TE (tracheoesophegeal fistula), and R (radial dysplasia and renal defects). (scirp.org)
Gastroesophageal1
- Children with tracheoesophageal fistulas may experience gastroesophageal reflux disease (GERD) and a narrowing (stricture) of the esophagus. (rileychildrens.org)
Children with tracheoesophageal2
- Approximately 17-70% of children with tracheoesophageal fistulas (TEFs) have associated developmental anomalies. (medscape.com)
- Laryngeal cleft has been described in children with tracheoesophageal fistula, Pallister Hall syndrome, VACTERL syndrome, and CHARGE syndrome. (lifespan.org)
Tracheo-esophageal8
- In tracheo-esophageal fistula it runs between the trachea and the esophagus. (wikipedia.org)
- Q39.2 is a billable diagnosis code used to specify a medical diagnosis of congenital tracheo-esophageal fistula without atresia. (icdlist.com)
- Non-VACTERL-type anomalies are frequent in patients with esophageal atresia/tracheo-esophageal fistula and full or partial VACTERL association. (ijpediatrics.com)
- 12. Tracheo-esophageal fistula: combined surgical and endoscopic approach. (nih.gov)
- 16. Stenting for cervical tracheo-esophageal malignant fistula: a case report. (nih.gov)
- This test can also be used to diagnose one of the more serious complications of esophageal cancer called a tracheo-esophageal fistula . (cancer.org)
- S. L. King, R. L. Ladda and S. J. Shochat, "Monozygotic Twins Concordant for Tracheo-Esophageal Fistula and Discordant for the VATER Association," Acta Paediatrica Scandinavica, Vol. 66, No. 6, 1977, pp. 783-785. (scirp.org)
- Recent publications have recognized these contributions developed by the team, with the first report of using Montgomery t-tubes to manage the challenges associated with tracheo-esophageal fistula and the development of a new surgical technique for the endoscopic repair of pharyngocutaneous fistulae. (lsuhsc.edu)
Tracheostomy2
- Harley HR. Ulcerative tracheo-oesophageal fistula during treatment by tracheostomy and intermittent positive pressure ventilation. (medscape.com)
- 20. Postlaryngectomy pharyngocutaneous fistula: determining the risk of preoperative tracheostomy and primary tracheoesophageal puncture. (nih.gov)
Defects1
- VACTERL association (~10% of probands), the non-random association of v ertebral, a nal, c ardiac, t racheo e sophageal fistula, r enal, and l imb defects that occur together more often than would be expected by chance, but are not known to be caused by a unifying genetic defect. (nih.gov)
Abnormal connection5
- A fistula, from the Latin meaning 'a pipe', is an abnormal connection running either between two tubes or between a tube and a surface. (wikipedia.org)
- EA can occur with or without tracheoesophageal fistula (TEF), an abnormal connection between the trachea and the esophagus. (nih.gov)
- There are different kinds of tracheoesophageal fistulas depending on where the abnormal connection between the esophagus and trachea occurs (top, bottom, middle or at both ends). (rileychildrens.org)
- There, surgeons repaired her esophagus and closed off her fistula (an abnormal connection between the esophagus and trachea). (childrens.com)
- Kuzma stated that "Esophageal atresia with tracheoesophageal fistula indicates that the esophageal passage from the mouth to the stomach ends in a pouch, with an abnormal connection between the trachea and the esophagus. (pjmedia.com)
Babies2
- In about one half of babies with tracheoesophageal fistulas, another birth defect is also present. (rileychildrens.org)
- Esophageal atresia and tracheoesophageal fistula are 2 disorders of the digestive system affecting babies… What is esophageal atresia (EA) and a tracheoesophageal fistula (TEF)? (familydoctor.org)
Recurrent5
- Surgical repair can sometimes result in complications, including:[citation needed] Stricture, due to gastric acid erosion of the shortened esophagus Leak of contents at the point of anastomosis Recurrence of fistula Gastro-esophageal reflux disease Dysphagia Asthma-like symptoms, such as persistent coughing/wheezing Recurrent chest infections Tracheomalacia Neonates with TEF or esophageal atresia are unable to feed properly. (wikipedia.org)
- Consider adult presentation of congenital tracheoesophageal fistula (TEF) (ie, recurrent TEF) in adults who present with cough and recurrent aspiration pneumonia. (medscape.com)
- Downey P, Middlesworth W, Bacchetta M, Sonett J. Recurrent and congenital tracheoesophageal fistula in adults. (medscape.com)
- As a result of recurrent respiratory infections , investigations carried out revealed a tracheooesophageal fistula, previously mistaken for a recurrent fistula. (symptoma.com)
- Categorization and repair of recurrent and acquired tracheoesophageal fistulae occurring after esophageal atresia repair. (umassmed.edu)
Anomalies1
- Care of infants with esophageal atresia, tracheoesophageal fistula, and associated anomalies. (medscape.com)
Esophagotracheal Fistula1
- 6. [Carinal resection associated with subtotal esophagectomy ofa carcinoma of the esophagus with an esophagotracheal fistula]. (nih.gov)
Pulmonary2
- Longitudinal follow-up of bronchial inflammation , respiratory symptoms, and pulmonary function in adolescents after repair of esophageal atresia with tracheoesophageal fistula. (symptoma.com)
- Tracheoesphogeal fistula (TEF) repair in newborns can be challenging to the anesthesiologist because of the anatomic derangements that can lead to severe cardio-pulmonary compromise. (ispub.com)
Surgical5
- Surgical treatment of tracheoesophageal fistulas can successfully separate the esophagus and trachea and properly align them with the stomach and lungs. (rileychildrens.org)
- The battery was removed through surgical cervical incision followed by closure of an identified tracheoesophageal fistula, cervical loop esophagostomy, and gastrostomy. (amjcaserep.com)
- After 6 months of follow-up and gastrostomy feeding, recurrence of the tracheoesophageal fistula was identified, for which surgical closure and esophageal anastomosis were performed. (amjcaserep.com)
- Surgical repair is the most frequently described approach for foreign body-induced tracheoesophageal fistula repair. (amjcaserep.com)
- 7. The surgical treatment of post-laryngectomy pharyngocutaneous fistulae. (nih.gov)
Connects to the trachea2
- A tracheoesophageal fistula occurs during fetal development, when the esophagus connects to the trachea instead of the stomach. (rileychildrens.org)
- There are five main tracheoesophageal fistula types, categorized from Type A to Type E. The most common is Type C. This occurs when the upper portion of the baby's esophagus ends in a blind pouch and the lower portion connects to the trachea by a fistula. (beaumont.org)
Oesophageal atresia2
- Objective of the study was to assess the prevalence of respiratory and related GI morbidity in children who had undergone repair of oesophageal atresia/tracheoesophageal fistula (TEF) in the neonatal period. (ijpediatrics.com)
- Respiratory morbidity after repair of oesophageal atresia and tracheo-oesophageal fistula. (ijpediatrics.com)
Pharyngocutaneous fistulae3
- 6. Salvage laryngectomy and pharyngocutaneous fistulae after primary radiotherapy for head and neck cancer: a national survey from DAHANCA. (nih.gov)
- 9. Salvage laryngectomy after primary radiotherapy: what are prognostic factors for the development of pharyngocutaneous fistulae? (nih.gov)
- 18. The incidence and etiology of postlaryngectomy pharyngocutaneous fistulae. (nih.gov)
Stenosis1
- 12. Fistula and stenosis after 135 (pharyngo)laryngectomies. (nih.gov)
Diagnosis1
- Esophageal atresia, with or without tracheoesophageal fistula, is a fairly common congenital disorder that family physicians should consider in the differential diagnosis of a neonate who develops feeding difficulties and respiratory distress in the first few days of life. (nih.gov)
Windpipe5
- Saliva, liquids fed to the infant, or digestive fluids may enter the windpipe through the tracheoesophageal fistula, leading to coughing, respiratory distress, and a bluish appearance of the skin or lips (cyanosis). (medlineplus.gov)
- Tracheoesophageal fistula is an opening between the esophagus and windpipe (trachea), so when the baby swallows, food goes into the baby's windpipe and lungs. (msdmanuals.com)
- For tracheoesophageal fistula, they'll close the connection between the esophagus and windpipe. (msdmanuals.com)
- Tracheoesophageal fistula (TEF) is a birth defect where the esophagus is connected to the windpipe (trachea). (rileychildrens.org)
- An H-type fistula allows food to travel to the stomach but causes a delayed hiccup, because some fluid gets into the windpipe or lungs. (rileychildrens.org)
Laryngectomy7
- 8. Pectoralis myofascial flap during salvage laryngectomy prevents pharyngocutaneous fistula. (nih.gov)
- 11. Post-operative pharyngocutaneous fistula after laryngectomy. (nih.gov)
- 13. Pharyngocutaneous fistula after salvage laryngectomy: impact of interval between radiotherapy and surgery, and performance of bilateral neck dissection. (nih.gov)
- 14. Incidence and predisposing factors of pharyngocutaneous fistula formation after total laryngectomy. (nih.gov)
- 15. [Pharyngocutaneous fistula following total laryngectomy. (nih.gov)
- 16. [Pharyngocutaneous fistula following total laryngectomy in patients with advanced stage hypopharyngeal or laryngeal carcinomas]. (nih.gov)
- 19. Pharyngocutaneous fistula after total laryngectomy: Less common with mechanical stapler closure. (nih.gov)
Repair6
- The evaluation of deglutition with videofluoroscopy after repair of esophageal atresia and/or tracheoesophageal fistula. (medscape.com)
- Woo S, Lau S, Yoo E, Shaul D, Sydorak R. Thoracoscopic versus open repair of tracheoesophageal fistulas and rates of vocal cord paresis. (medscape.com)
- Does the History of Tracheoesophageal Fistula Repair Alter Outcomes of Laryngeal Cleft Repair? (cincinnatichildrens.org)
- 3. Staged repair of benign tracheo-neo-esophageal fistula 12 years after esophagectomy for esophageal cancer. (nih.gov)
- 17. Use of the internal mammary artery perforator flap for repair of pharyngocutaneous fistulas in the vessel-depleted neck. (nih.gov)
- Background: Esophageal replacement in children is indicated in cases of esophageal atresia with or without fistula, in case of long gap esophageal atresia or failed primary repair. (cu.edu.eg)
Resection1
- It is surgically corrected, with resection of any fistula and anastomosis of any discontinuous segments. (wikipedia.org)
Respiratory3
- Respiratory problems in children with esophageal atresia and tracheoesophageal fistula. (ijpediatrics.com)
- Knowledge of the exact location of the fistulae is key to preventing untoward outcomes such as gastric distention and respiratory compromise. (ispub.com)
- 1. Templeton JM Jr, Templeton JJ, Schnaufer L, Bishop HC, Ziegler MM, O'Neill JA Jr. Management of esophageal atresia and tracheoesophageal fistula in the neonate with severe respiratory distress syndrome. (ispub.com)
Cleft1
- A laryngeal cleft is a rare malformation arising from incomplete fusion of the posterior larynx (interarytenoid muscle, posterior cricoid, and/or posterior tracheoesophageal septum) which affects 1:10,000-20,000 children.1 This malformation can lead to laryngeal penetration and aspiration during swallow. (lifespan.org)
Septum2
- The longitudinal tracheoesophageal fold fuses to form a septum that divides the foregut into a ventral laryngotracheal tube and a dorsal esophagus. (medscape.com)
- The posterior deviation of the tracheoesophageal septum causes incomplete separation of the esophagus from the laryngotracheal tube and results in a TEF. (medscape.com)
Prognostic factors1
- 9. Single application of airway stents in thoracogastric-airway fistula: results and prognostic factors for its healing. (nih.gov)
Pediatric1
- By reporting this case we aim to encourage physicians to raise their suspicion of foreign body ingestion in similar pediatric cases and to review the different management approaches in the case of foreign body-induced tracheoesophageal fistula. (amjcaserep.com)
Complications1
- Zhu H, Shen C, Xiao X, Dong K, Zheng S. Reoperation for anastomotic complications of esophageal atresia and tracheoesophageal fistula. (medscape.com)
Outcomes1
- Congenital H-type tracheoesophageal fistula: A multicenter review of outcomes in a rare disease. (medscape.com)
Lungs2
- Tracheoesophageal fistula (TEF), a condition where there are abnormal connections between the airway and esophagus, let food pass into her lungs. (chop.edu)
- They determined he was born with a condition called "Tracheoesophageal Fistula"-his esophagus was connected to his lungs instead of his stomach. (gofundme.com)
Malignant3
- Malignant esophagorespiratory fistula: management options and survival. (medscape.com)
- 4. Airway Covered Metallic Stent Based on Different Fistula Location and Size in Malignant Tracheoesophageal Fistula. (nih.gov)
- 5. Treatment of malignant tracheoesophageal fistula. (nih.gov)
Proximal1
- When the anatomy is favorable as in this case, where the fistula is proximal to the carina, exclusion of the fistula is possible and highly desired. (ispub.com)
Arterial1
- Aortoesophageal fistula or other major arterial branch fistula is the most serious consequence and complication, which can lead to a fatal outcome because of massive hemorrhage [2]. (amjcaserep.com)
Intractable1
- 7. Successful treatment of intractable esophagothoracic fistula using covered self-expandable stent. (nih.gov)
Patients2
- Tracheoesophageal fistula formation in patients with lung cancer treated with chemoradiation and bevacizumab. (medscape.com)
- Introduction Improvements in care of patients with esophageal atresia (EA) and tracheoesophageal fistula (TEF) have shifted the focus from mortality to morbidity and quality-of-life. (eur.nl)
Stomach1
- Esophageal atresia/tracheoesophageal fistula (EA/TEF) is a condition resulting from abnormal development before birth of the tube that carries food from the mouth to the stomach (the esophagus ). (medlineplus.gov)
Infants1
- About one half of infants with a tracheoesophageal fistula also have another birth abnormality. (rileychildrens.org)
Passage1
- If the passage of the tube is blocked, a fistula may be the cause. (rileychildrens.org)
Bronchoscopy2
- Without positive pressure ventilation, the fistula can be difficult to locate during bronchoscopy because the mucosa often collapses . (symptoma.com)
- Rigid bronchoscopy prior to thoracotomy provides excellent information as to the location of the fistulae and has been recommended ( 1 , 2 , 3 , 4 , 5 , 6 ). (ispub.com)