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Tracheoesophageal fistula

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https://www.readbyqxmd.com/read/29681702/kluth-type-iiib-6-esophageal-atresia-diagnostic-dilemma-and-pitfalls-of-using-infant-feeding-tube
#1
Rahul Gupta, Pramila Sharma, Ram Babu Goyal
We describe three male neonates where infant feeding tube (IFT) passed 18-20 cm in the upper esophageal pouch. A blunt-tipped red rubber catheter confirmed esophageal atresia (EA) with long upper pouch in all three cases. Definitive management revealed EA with tracheoesophageal fistula and long overlapping upper esophageal pouch consistent with Kluth Type IIIb6 variant in two patients. Importance of using red rubber catheter at the pediatric practice instead of IFT is stressed.
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29643560/the-utility-of-the-oxygen-reserve-index%C3%A2-in-a-neonate-undergoing-re-exploration-of-a-tracheoesophageal-fistula
#2
Swarup Ray, Ketan Sakharam Kulkarni, Nandini Malay Dave, Indrani Chincholi
No abstract text is available yet for this article.
March 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29628860/pneumomediastinum-following-iatrogenic-pharyngeal-perforation-during-tracheoesophageal-fistula-repair
#3
Deepak Dwivedi, Jeetinder Makkar, Ridhima Sharma, Anudeep Jafra
No abstract text is available yet for this article.
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29621589/identification-of-rare-heterozygous-missense-mutations-in-fanca-in-esophageal-atresia-patients-using-next-generation-sequencing
#4
Yu Feng, Runsen Chen, Min Da, Bo Qian, Xuming Mo
Esophageal atresia and tracheoesophageal fistula (EA/TEF) are relatively common malformations in newborns, but the etiology of EA/TEF remains unknown. Fanconi anemia (FA) complementation group A (FANCA) is a key component of the FA core complex and is essential for the activation of the DNA repair pathway. The middle region (amino acids 674-1208) of FANCA is required for its interaction with FAAP20. We performed targeted sequencing of this binding region of FANCA (exons 23-36) in 40 EA/TEF patients. We also investigated the effect of the p...
April 2, 2018: Gene
https://www.readbyqxmd.com/read/29602967/pharyngocutaneous-and-tracheoesophageal-fistula-closure-using-supraclavicular-artery-island-flap
#5
Sérgio Teixeira, Joana Costa, Diana Monteiro, Isabel Bartosch, Inês Ínsua-Pereira, Bernardo Correia, Álvaro Silva
BACKGROUND: Pharyngocutaneous fistula is a common complication of laryngopharyngeal surgery, being associated with increased morbidity and mortality. Classical regional and free flaps, frequently used in the treatment of this complication, have several limitations, including bulking, donor site morbidity and long operative time. The supraclavicular artery island flap (SCAIF) is a fasciocutaneous flap and presents as an alternative option with good results and without the previously stated limitations...
March 30, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29590652/a-novel-device-for-placement-of-a-secondary-tracheoesophageal-voice-prosthesis-a-preliminary-feasibility-study
#6
Andrew T Tkaczuk, Rodney J Taylor, Jeffrey S Wolf
BACKGROUND: Tracheoesophageal puncture (TEP) for post-laryngectomy speech rehabilitation can be performed at the time of laryngectomy (primary) or at a subsequent time (secondary). Traditionally, the secondary procedure is performed using a rigid esophagoscope. Diseases like esophageal stricture, limited neck extension, and soft-tissue fibrosis can make this procedure technically challenging or impossible. We developed a novel device to perform a secondary tracheoesophageal puncture using a flexible esophagoscope...
March 28, 2018: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://www.readbyqxmd.com/read/29581622/bevacizumab-induced-tracheoesophageal-fistula-in-a-patient-suffering-from-lung-cancer-with-bulky-subcarinal-lymph-node-a-case-report
#7
Kenichi Nishie, Masanori Yasuo, Yoshiaki Kitaguchi, Nobumitsu Kobayashi, Kazunari Tateishi, Atsuhito Ushiki, Kazuhisa Urushihata, Hiroshi Yamamoto, Gen Ideura, Masayuki Hanaoka
A 66-year-old male with advanced non-small-cell lung cancer (NSCLC) who was previously treated with carboplatin, pemetrexed, and bevacizumab consequently suffered from severe coughing during deglutition. Chest computed tomography (CT) revealed a tracheoesophageal fistula (TEF) between the left main bronchus and esophagus through a subcarinal metastatic lymph node. Given the extreme swelling of the lymph node due to metastatic cancer, it was determined that the walls of the bronchus and esophagus had been injured simultaneously...
February 2018: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29534254/perioperative-complications-of-esophageal-atresia
#8
Francesco Morini, Andrea Conforti, Pietro Bagolan
Current survival rate of infants with esophageal atresia with/without tracheoesophageal fistula (EA/TEF) exceeds 90% and great interest is dedicated to the long-term outcomes and complications. However, perioperative complications represent a significant burden to the EA/TEF infants and a technical challenge for the surgeon. In this review, we will focus on the most frequent perioperative complications specific of EA/TEF to describe their predisposing factors, possible preventive measures, and treatment options...
April 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29519575/oral-feeding-outcomes-in-infants-with-esophageal-atresia-and-tracheoesophageal-fistula
#9
Mackenzie C Lees, Ioana Bratu, Maryna Yaskina, Michael van Manen
PURPOSE: The purpose of this study was to explore oral feeding outcomes in infants born with type-C esophageal atresia and tracheoesophageal fistula (EA/TEF). METHODS: A retrospective cohort study of all infants born between January 2005 and December 2015 undergoing surgery for type-C EA/TEF at the University of Alberta Hospital was performed. RESULTS: Fifty-seven infants were identified, of which 61.4% were exclusively orally feeding at discharge home...
February 7, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29519572/repair-of-congenital-esophageal-atresia-with-tracheoesophageal-fistula-repair-in-ontario-over-the-last-20years-volume-and-outcomes
#10
Damian Dylkowski, Sumit Dave, J Andrew McClure, Blayne Welk, Jennifer Winick-Ng, Sarah Jones
BACKGROUND/PURPOSE: This study was designed to determine the volume, postoperative surgical outcomes and, if possible, the relationship between outcome and institutional / surgeon volume in neonates undergoing repair of esophageal atresia with tracheoesophageal fistula (EA-TEF) over the last 20years in Ontario. METHODS: Using administrative databases, a population based cohort study of patients undergoing EA-TEF repair in Ontario between 1993 and 2012 was conducted...
February 8, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29496425/endoluminal-high-dose-rate-brachytherapy-for-locally-recurrent-or-persistent-esophageal-cancer
#11
Amandeep S Taggar, Kenneth L Pitter, Gil'ad N Cohen, Mark Schattner, Hans Gerdes, Arnold J Markowitz, David Ilson, Paul Brady, John J Cuaron, Karyn A Goodman, Abraham J Wu
PURPOSE: Management of locally recurrent or persistent esophageal cancer (EC) after standard chemoradiation is challenging. This study updates our experience of treating medically inoperable EC patients with endoluminal high-dose-rate brachytherapy (EHDRBT) including the patients treated with a novel multiballoon channel centering esophageal applicator. METHODS AND MATERIALS: Thirty-three consecutive patients with early-stage primary (n = 7), posttreatment persistent (n = 7), and recurrent (n = 19) EC treated with EHDRBT at our institution were included...
February 26, 2018: Brachytherapy
https://www.readbyqxmd.com/read/29486888/novel-thoracoscopic-navigation-surgery-for-neonatal-chylothorax-using-indocyanine-green-fluorescent-lymphography
#12
Ryo Shirotsuki, Hiroo Uchida, Yujiro Tanaka, Chiyoe Shirota, Kazuki Yokota, Naruhiko Murase, Akinari Hinoki, Kazuo Oshima, Kosuke Chiba, Wataru Sumida, Masahiro Hayakawa, Takahisa Tainaka
BACKGROUND: Postoperative chylothorax after surgery for esophageal atresia/tracheoesophageal fistula (TEF) is a rare but serious complication, especially in neonates. This study aimed to identify the thoracic duct and ligate chylous leakage sites, using thoracoscopic navigation of an indocyanine-green (ICG)-based near-infrared (NIR) fluorescence imaging system. METHODS: From November 2014 to April 2017, thoracoscopic intraoperative ICG-NIR imaging was performed in 10 newborns (11 surgeries) with first TEF operation or with persistent postoperative chylothorax after TEF operation...
February 1, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29484765/intentional-tracheoesophageal-fistula-cannulation-for-gastric-decompression-in-type-c-esophageal-atresia
#13
Paola Papoff, Roberto Cicchetti, Francesco Montecchia, Fabio Midulla, Silvia Ceccanti, Denis Cozzi
We describe a nonsurgical technique for managing gastric distention in infants with type C esophageal atresia, involving intubating the trachea with an umbilical catheter and entering the stomach through the fistula as soon as a flexible bronchoscope found its wide-open orifice. This technique might have a special role when gastric distention precedes other commonly used preventive measures.
February 26, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29469236/gastrointestinal-tracheoesophageal-fistula-secondary-to-pressure-necrosis-from-tracheostomy-tube-balloon-cuff
#14
P Jaiswal, J E Yap, B M Attar, Y Wang, V Kotwal
No abstract text is available yet for this article.
March 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29467556/predictors-of-post-treatment-stenosis-in-cervical-esophageal-cancer-undergoing-high-dose-radiotherapy
#15
Jun Won Kim, Tae Hyung Kim, Jie-Hyun Kim, Ik Jae Lee
AIM: To evaluate toxicity and treatment outcome of high-dose radiotherapy (RT) for cervical esophageal cancer (CEC). METHODS: We reviewed a total of 62 consecutive patients who received definitive RT for stage I to III cervical esophageal cancer between 2001 and 2015. Patients who received < 45 Gy, treated for lesions below sternal notch, treated with palliative aim, treated with subsequent surgical resection, or diagnosed with synchronous hypopharyngeal cancer were excluded...
February 21, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29444919/tracheal-replacement
#16
REVIEW
Harry Etienne, Dominique Fabre, Abel Gomez Caro, Frederic Kolb, Sacha Mussot, Olaf Mercier, Delphine Mitilian, Francois Stephan, Elie Fadel, Philippe Dartevelle
Tracheal reconstruction is one of the greatest challenges in thoracic surgery when direct end-to-end anastomosis is impossible or after this procedure has failed. The main indications for tracheal reconstruction include malignant tumours (squamous cell carcinoma, adenoid cystic carcinoma), tracheoesophageal fistula, trauma, unsuccessful surgical results for benign diseases and congenital stenosis. Tracheal substitutes can be classified into five types: 1) synthetic prosthesis; 2) allografts; 3) tracheal transplantation; 4) tissue engineering; and 5) autologous tissue composite...
February 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/29442487/successful-endoscopic-closure-of-tracheoesophageal-fistula-using-a-padlock-cliptm
#17
Paolo Solidoro, Ludovica Venezia, Filippo Patrucco, Claudio DE Angelis
No abstract text is available yet for this article.
February 14, 2018: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/29437513/cleft-lip-and-palate-in-charge-syndrome-phenotypic-features-that-influence-management
#18
Kathryn V Isaac, Ingrid M Ganske, Stephen A Rottgers, So Young Lim, John B Mulliken
OBJECTIVE: Infants with syndromic cleft lip and/or cleft palate (CL/P) often require more complex care than their nonsyndromic counterparts. Our purpose was to (1) determine the prevalence of CL/P in patients with CHARGE syndrome and (2) highlight factors that affect management in this subset of children. DESIGN: This is a retrospective review from 1998 to 2016. PATIENTS: Patients with CHARGE syndrome were diagnosed clinically and genetically...
March 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29430408/using-bronchoscopy-to-detect-acquired-tracheoesophageal-fistula-in-mechanically-ventilated-patients
#19
Michael S Green, Johann J Mathew, Lia J Michos, Parmis Green, Mansoor M Aman
Introduction: An acquired Tracheoesophageal fistula (TEF) is commonly caused by a malignancy or trauma, with pulmonary infection or aspiration being the presenting symptom. However, in the critical care setting the presentation can be subtle and may present with difficult ventilation. High endotracheal tube cuff pressures can lead to tracheal erosions and thus increasing the chances for developing a TEF. Prolonged intubation in the presence of other risk factors like poor general state of health, episodic hypotension, nasogastric tubes, and repeated intubations can increase the likelihood of developing an acquired TEF...
August 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29429770/structural-airway-abnormalities-contribute-to-dysphagia-in-children-with-esophageal-atresia-and-tracheoesophageal-fistula
#20
Katherine J Baxter, Lauren M Baxter, April M Landry, Mark L Wulkan, Amina M Bhatia
BACKGROUND: Long-term dysphagia occurs in up to 50% of repaired esophageal atresia and tracheoesophageal fistula (EA/TEF) patients. The underlying factors are unclear and may include stricture, esophageal dysmotility, or associated anomalies. Our purpose was to determine whether structural airway abnormalities (SAA) are associated with dysphagia in EA/TEF. METHODS: We conducted a retrospective chart review of children who underwent EA/TEF repair in our hospital system from 2007 to 2016...
January 31, 2018: Journal of Pediatric Surgery
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