Gaseous Bowel Distention: An Atypical Sign of Acquired Tracheoesophageal Fistula (TEF)

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 784A
Author(s):  
Karan Mahajan ◽  
Sameer Patel ◽  
Sanjay Shah
Keyword(s):  
Tracheoesophageal Fistula ◽  
Bowel Distention

Intermittent gaseous bowel distention: Atypical sign of congenital tracheoesophageal fistula

2009 ◽  
Vol 44 (3) ◽  
pp. 244-248 ◽  
Author(s):  
Chiara Gardella ◽  
Paolo Tomà ◽  
Oliviero Sacco ◽  
Donata Girosi ◽  
Serena Panigada ◽  
...  
Keyword(s):  
Tracheoesophageal Fistula ◽  
Bowel Distention ◽  
Congenital Tracheoesophageal Fistula

CLOSURE OF TRACHEOESOPHAGEAL FISTULA USING ENDOSCOPIC SUTURING

2020 ◽  
Author(s):  
A Benson ◽  
D Hakimian ◽  
H Jacob ◽  
I Boškoski
Keyword(s):  
Tracheoesophageal Fistula ◽  
Endoscopic Suturing

A Case of Tracheoesophageal Fistula Associated with Tracheal Stenosis after Tracheostomy

2013 ◽  
Vol 64 (3) ◽  
pp. 219-223
Author(s):  
Keisuke Mizuta ◽  
Yusuke Naito ◽  
Keiichi Izuhara ◽  
Takesumi Nishihori ◽  
Bunya Kuze ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Tracheoesophageal Fistula

Successful conservative management of an acquired tracheoesophageal fistula

2021 ◽  
Author(s):  
Atsushi Harada ◽  
Naoki Shimojima ◽  
Hirofumi Tomita ◽  
Akihiro Shimotakahara ◽  
Seiichi Hirobe
Keyword(s):  
Conservative Management ◽  
Tracheoesophageal Fistula

Esophageal stent for a recurrent tracheoesophageal fistula in an infant

2021 ◽  
Vol 63 (2) ◽  
pp. 233-234
Author(s):  
Shunsuke Fujii ◽  
Sooyoung Lee ◽  
Kaori Okamura ◽  
Makoto Hayashida ◽  
Keiichiro Mizuno
Keyword(s):  
Tracheoesophageal Fistula ◽  
Esophageal Stent

scholarly journals Successful thoracoscopic treatment for tracheoesophageal fistula and esophageal atresia of communicating bronchopulmonary foregut malformation group IB with dextrocardia: a case report of VACTERL association

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Toshio Harumatsu ◽  
Tatsuru Kaji ◽  
Ayaka Nagano ◽  
Mayu Matsui ◽  
Masakazu Murakami ◽  
...  
Keyword(s):  
Tracheoesophageal Fistula ◽  
Thoracoscopic Surgery ◽  
Anastomotic Site ◽  
Vacterl Association ◽  
Lower Esophagus ◽  
Intralobar Sequestration ◽  
Working Space ◽  
Esophageal Anastomosis ◽  
Cardiac Condition ◽  
Foregut Malformation

Abstract Background A communicating bronchopulmonary foregut malformation (CBPFM) group IB is very rare congenital malformation. Group IB is associated with tracheoesophageal fistula and esophageal atresia (TEF-EA) and a portion of one lung arisen from the esophagus (Gerle et al. in N Engl J Med. 278:1413–1419, 1968). The coexistence of TEF-EA and dextrocardia is also a rare and challenging setting for repair of TEF-EA. Therefore, the thoracoscopic surgery for TEF-EA require the technical devise because of the small operative space. We herein report a rare case of CBPFM group IB with intralobar sequestration of lung and a successful performing of thoracoscopic surgery for EA with dextrocardia in VACTERL association. Case presentation A 2.2-kg term male neonate was born with an anal atresia, coarctation of the aorta, TEF-EA, renal anomalies, radial hemimelia, limb abnormalities (VACTERL association) and hypoplasia of the right lung with dextrocardia. The patient developed respiratory distress after admission. A two-stage operation for the TEF-EA was planned because of multiple anomalies and cardiac condition. In the neonatal period, esophageal banding at the gastroesophageal junction and gastrostomy were performed to establish enteral nutrition. After gaining body weight and achieving a stable cardiac condition, thoracoscopic surgery for TEF-EA was performed. The thoracoscopic findings revealed a small working space due to dextrocardia. To obtain a sufficient working space and to perform secure esophageal anastomosis, an additional 3-mm assistant port was inserted. To close the upper and lower esophagus, anchoring sutures of the esophagus were placed and were pulled to suspend the anastomotic site. Esophageal anastomosis was successfully performed. An esophagogram after TEF-EA surgery showed the connection between the lower esophagus and right lower lung. The definitive diagnosis was CBPFM group IB with intralobar sequestration. The thoracoscopic surgery was performed again for establishing oral intake. After transection of the bronchoesophageal fistula, the patient could perform oral feeding without pneumonia or respiratory distress. Conclusions CBPFM type IB with intralobar sequestration is a rare condition. CBPFM type IB should be considered for a patients with respiratory symptom after radical operation for TEF-EA. In the present case, suspending the anastomotic site was effective and useful in thoracoscopic surgery for a TEF-EA patient with dextrocardia.

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