Congenital H-type tracheoesophageal fistula: A multicenter review of outcomes in a rare disease

Journal of Pediatric Surgery
Sara C FallonDavid E Wesson

Abstract

To perform a multicenter review of outcomes in patients with H-type tracheoesophageal fistula (TEF) in order to better understand the incidence and causes of post-operative complications. H-type TEF without esophageal atresia (EA) is a rare anomaly with a fundamentally different management algorithm than the more common types of EA/TEF. Outcomes after surgical treatment of H-type TEF are largely unknown, but many authoritative textbooks describe a high incidence of respiratory complications. A multicenter retrospective review of all H-type TEF patients treated at 14 tertiary children's hospital from 2002-2012 was performed. Data were systematically collected concerning associated anomalies, operative techniques, hospital course, and short and long-term outcomes. Descriptive analyses were performed. We identified 102 patients (median 9.5 per center, range 1-16) with H-type TEF. The overall survival was 97%. Most patients were repaired via the cervical approach (96%). The in-hospital complication rate, excluding vocal cord issues, was 16%; this included an 8% post-operative leak rate. Twenty-two percent failed initial extubation after repair. A total of 22% of the entire group had vocal cord abnormalities (paralysis or paresis) o...Continue Reading

Citations

May 18, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Nov 30, 2019·Anesthesiology Research and Practice·Bret EdelmanJoel Yarmush
Mar 4, 2020·NeoReviews·Thomas Q Gallagher
Oct 17, 2020·Curēus·Michael Stack, Tamarah Westmoreland
Dec 17, 2020·ACG Case Reports Journal·Jeffrey BankMichael Sossenheimer
Jan 22, 2021·Pediatric Surgery International·Keerthika Sampat, Paul D Losty
Aug 19, 2020·Journal of Pediatric Surgery·Kiarash TaghaviMichael Nightingale
Jul 11, 2021·Advances in Pediatrics·Alexis N Bowder, Dave R Lal
Jun 27, 2021·Seminars in Pediatric Surgery·Rocío S GutierrezPatricio Varela Balbontin
Sep 26, 2020·Journal of Pediatric Surgery·Krystian ToczewskiDariusz Patkowski
Sep 10, 2021·BMJ Case Reports·Jonathan SmithChristopher Edwards
Aug 3, 2021·The Laryngoscope·Aimee A KennedyMichael J Rutter

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