Abstract
Congenital isolated H-type tracheoesophageal fistula (H-TEF) is a rare malformation
of the airways. Surgery should not be delayed once the diagnosis is established. Identification
of the fistula during surgery is a prerequisite for a successful outcome. Intubation
or cannulation of the H-TEF with a catheter can help the surgeon to identify the fistula.
A rigid bronchoscope is generally used for cannulation of the fistula. Cannulation
of an H-TEF in a newborn with a flexible bronchoscope has the merit of simplicity
and safety. We report the insertion of a catheter in an isolated H-TEF in a newborn
using a flexible bronchoscope and think that this method can be easily applied.
Key words
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References
- Isolated tracheo-oesophageal fistula.Paediatr Respir Rev. 2003; 4: 74-78
- Tracheoscopy assisted repair of tracheo-esophageal fistula (TARTEF): a 10-years experience.Paediatr Anesth. 2007; 17: 557-562
- Intraoperative fibreoptic bronchoscopy during neonatal tracheo-oesophageal fistula ligation and oesophageal atresia repair.Anaesth Intensive Care. 2001; 29: 284-287
- Endoscopic management of recurrent tracheoesophageal fistula.J Pediatr Surg. 2008; 43: 238-245
Article info
Publication history
Accepted:
May 3,
2012
Received in revised form:
April 29,
2012
Received:
January 9,
2012
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
