Abstract
Precise localization of the fistula is the most important step in the operative strategy
for dealing with H-type tracheoesophageal fistula. Bronchoscopic cannulation of the
fistula with a Fogarty or ureteric catheter has been recommended to aid ready identification,
but it is not always successful. We report an innovative technique that permitted
localization of H-type fistula intraoperatively. A flexible pediatric 2.2-mm bronchoscope
(Olympus BF Type N20) was steered through a standard endotracheal tube, and the fistula
tract was illuminated, making its identification and subsequent repair straightforward.
We have successfully deployed this approach in 3 newborns. We recommend the technique
to localize H-type fistula.
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References
- Esophageal atresia and tracheo-esophageal fistula.in: Puri P. Newborn surgery. 2nd ed. Arnold Publishers, London2003
- Endoscopic catheterisation of H type tracheoesophageal fistula.Surgery. 1964; 55: 317-320
- Definitive localisation of isolated tracheoesophageal fistula using bronchoscopy and esophagoscopy for guide wire placement.J Pediatr Surg. 1998; 33: 1645-1647
- H-type tracheoesophageal fistula.in: Rob and Smith's operative paediatric surgery. 5th ed. Chapman & Hall Medical, London1995
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© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
