Flexible bronchoscopic cannulation of an isolated H-type tracheoesophageal fistula in a newborn


      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

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Crabbe D.C.
        Isolated tracheo-oesophageal fistula.
        Paediatr Respir Rev. 2003; 4: 74-78
        • Deanovic D.
        • Gerber A.C.
        • Dodge-Khatami A.
        • et al.
        Tracheoscopy assisted repair of tracheo-esophageal fistula (TARTEF): a 10-years experience.
        Paediatr Anesth. 2007; 17: 557-562
        • De Gabriele L.C.
        • Cooper M.G.
        • Singh S.
        • et al.
        Intraoperative fibreoptic bronchoscopy during neonatal tracheo-oesophageal fistula ligation and oesophageal atresia repair.
        Anaesth Intensive Care. 2001; 29: 284-287
        • Richter G.T.
        • Ryckman F.
        • Brown R.L.
        • et al.
        Endoscopic management of recurrent tracheoesophageal fistula.
        J Pediatr Surg. 2008; 43: 238-245