Experience of diagnosis and treatment of 31 H-type tracheoesophageal fistula in a single clinical center
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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.
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.
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.
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.
KeywordsH-type tracheoesophageal fistula Esophageal atresia Diagnosis Treatment Experience
This project was supported by the National Key Clinical Specialist Construction Programs of China [National Health Office Letter (2013) 544].
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 was obtained from all individual participants included in the study.
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