Advertisement

Pediatric Radiology

, Volume 20, Issue 6, pp 447–450 | Cite as

The trachea and esophagus after repair of esophageal atresia and distal fistula: Computed tomographic observations

  • N. T. Griscom
  • T. R. Martin
Originals

Abstract

Five patients, whose espphageal atresia and distal tracheoesophageal fistula had been repaired in infancy, were examined by computed tomography at age 2 to 21 because of recurrent or persistent tracheal or esophageal problems. Their tracheas generally failed to have the roughly circular cross-sectional shape found in controls. The pars membranacea was often unusually broad, with much more section-to-section variation in area than in controls. Change in cross-sectional area with respiratory phase, in the one patient assessed, was much greater than in a control. These tracheal abnormalities help to explain the tracheal symptoms found in these and simular patients. Their esophagi contained much air and fluid.

Keywords

Public Health Compute Tomography Esophageal Atresia Tracheoesophageal Fistula Respiratory Phase 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Schwartz MZ, Filler RM (1980) Tracheal compression as a cause of apnea following repair of tracheo-esophageal fistula: treatment by aortopexy. J Pediatr Surg 15: 842PubMedGoogle Scholar
  2. 2.
    Frey EE, Smith WL, Grandgeorge S, McCray P, Wagener J, Franken EA, Sato Y (1987) Chronic airway obstruction in children: evaluation with cine-CT. AJR 148: 347PubMedGoogle Scholar
  3. 3.
    Milligan DW, Levison H (1979) Lung function in children following repair of tracheo-esophageal fistula. J Pediatr 95: 24PubMedGoogle Scholar
  4. 4.
    Biller JA, Allen JL, Schuster SR, Treves ST, Winter HS (1987) Long-term evaluation of esophageal and pulmonary function in patients with repaired esophageal atresia and tracheo-esophageal fistula. Dig Dis Sci 32: 985PubMedGoogle Scholar
  5. 5.
    Benjamin B (1984) Tracheomalacia in infants and children. Ann Otol Rhinol Laryngol 93: 438PubMedGoogle Scholar
  6. 6.
    Wailoo MP, Emery JL (1979) The trachea in children with tracheo-oesophageal fistula. Histopathology 3: 329PubMedGoogle Scholar
  7. 7.
    Laks H, Wilkinson RH, Schuster SR (1972) Long-term results following correction of esophageal atresia with tracheo-esophageal fistula: a clinical and cine-fluorographic study. J Pediatr Surg 7: 591PubMedGoogle Scholar
  8. 8.
    Jaramillo D, Perez-Atayde A, Griscom NT (1989) Apparent association between thymic cysts and prior thoracotomy. Radiology 172: 207PubMedGoogle Scholar
  9. 9.
    Adzick NS, Fisher JH, Winter HS, Sandler RH, Hendren WH (1989) Esophageal adenocarcinoma 20 years after esophageal atresia repair. J Pediatr Surg 24: 741PubMedGoogle Scholar
  10. 10.
    Griscom NT, Wohl MEB (1986) Dimensions of the growing trachea related to age and gender. AJR 146: 233PubMedGoogle Scholar
  11. 11.
    Griscom NT (1983) Cross-sectional shape of the child's trachea by computed tomography. AJR 140: 1103PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • N. T. Griscom
    • 1
    • 2
    • 3
  • T. R. Martin
    • 1
    • 2
  1. 1.Departments of Radiology and PediatricsHarvard Medical SchoolBostonUSA
  2. 2.Department of RadiologyChildren's HospitalBostonUSA
  3. 3.Department of MedicineChildren's HospitalBostonUSA

Personalised recommendations