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Pediatric Surgery International

, Volume 34, Issue 7, pp 715–719 | Cite as

Experience of diagnosis and treatment of 31 H-type tracheoesophageal fistula in a single clinical center

  • Jiangtao Dai
  • Zhengxia Pan
  • Quan Wang
  • Yuhao Wu
  • Junke Wang
  • Gang Wang
  • Chun Wu
  • Yi Wang
Original Article
  • 192 Downloads

Abstract

Objective

To summarize the experience of the diagnosis and treatment of 31 H-type tracheoesophageal fistula (TEF) at the Children’s Hospital of Chongqing Medical University, Chongqing, China.

Methods

A total of 31 patients with H-type TEF were enrolled in this retrospective study from January 2000 to July 2017, and the diagnosis and treatment of the disease were analyzed and summarized.

Results

Iodine oil examination of the esophagus, fiberoptic bronchoscopy combined with esophagoscopy and three-dimensional computed tomography (3-D CT) reconstruction of the trachea and esophagus was used separately in 31 patients. 1 patient who had his TEF ligatured directly experienced recurrence 1 month after surgery, but recovered after TEF suturing. Subsequently, the remaining 30 patients were treated by suturing after TEF excision. All patients were followed up for 3 months–2 years and did not suffer from anastomosis orifice stenosis, gastroesophageal reflux, and a recurrent respiratory tract infection. Three patients exhibited vocal cord paralysis and improved spontaneously after a follow-up of 3–6 months.

Conclusion

H-type TEF is diagnosed by iodine oil examination of the esophagus, fiberoptic bronchoscopy combined with esophagoscopy, and 3-D CT reconstruction of the trachea and esophagus. Excision and suturing of the TEF separately are an effective treatment for the disease and are an excellent outcome.

Keywords

H-type tracheoesophageal fistula Esophageal atresia Diagnosis Treatment Experience 

Notes

Acknowledgements

This project was supported by the National Key Clinical Specialist Construction Programs of China [National Health Office Letter (2013) 544].

Author contributions

Study conception and design: Yi Wang and Chun Wu. Data acquisition: Yuhao Wu and Quan Wang. Analysis and data interpretation: Gang Wang and Zhengxia Pan. Drafting of the manuscript: Jiangtao Dai. Critical revision: Junke Wang. Jiangtao Dai contributed the first authorship. Chun Wu and Yi Wang contributed correspondent author. Final approval of the version to be published: Yi Wang and Chun Wu.

Compliance with ethical standards

Conflict of interest

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

Research involving human participants and/or animals

For retrospective studies, ethical approval is not required. This article does not contain any studies with human participants performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Cardio-Thoracic SurgeryChildren’s Hospital of Chongqing Medical UniversityChongqingPeople’s Republic of China
  2. 2.Ministry of Education Key Laboratory of Child Development and DisordersChina International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of PediatricsChongqingPeople’s Republic of China
  3. 3.Pediatric Intensive Care UnitChildren’s Hospital of Chongqing Medical UniversityChongqingPeople’s Republic of China

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