Slide tracheoplasty for the treatment of tracheoesophogeal fistulas



      The purpose of this study is to determine the surgical outcome of slide tracheoplasty for the treatment of tracheoesophageal (TE) fistula in pediatric patients.


      After internal review board approval, the charts of pediatric patients (0–18 years old) who had undergone slide tracheoplasty for tracheoesophageal fistula were retrospectively reviewed. Patient information and surgical outcomes were reviewed.


      Nine patients underwent slide tracheoplasty for correction of TE fistula. In five patients the original TE fistula was congenital. Other causes included battery ingestion, tracheostomy tube complications, foreign body erosion, and an iatrogenic injury. The average age at repair was 48 ± 64 months (range: 1–190). Seven patients had undergone previous TEF repair either open or endoscopically. There were no recurrences after repair. Two patients had sternal periosteum interposed between the esophagus and trachea. There were no TEF recurrences. A single patient had dehiscence of the tracheal anastomosis and underwent a second procedure.


      Slide tracheoplasty is an effective method to treat complex TE fistulas. The procedure was not associated with any recurrences. This is the first description of a novel, effective, and safe method to treat TE fistulas.

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        • Manning P.B.
        • Morgan R.A.
        • Coran A.G.
        • et al.
        Fifty years' experience with esophageal atresia and tracheoesophageal fistula. Beginning with Cameron Haight's first operation in 1935.
        Ann Surg. 1986; 204: 446-453
        • Richter G.T.
        • Ryckman F.
        • Brown R.L.
        • et al.
        Endoscopic management of recurrent tracheoesophageal fistula.
        J Pediatr Surg. 2008; 43: 238-245
        • Ghandour K.E.
        • Spitz L.
        • Brereton R.J.
        • et al.
        Recurrent tracheo-oesophageal fistula: experience with 24 patients.
        J Paediatr Child Health. 1990; 26: 89-91
        • Touloukian R.J.
        Long-term results following repair of esophageal atresia by end-to-side anastomosis and ligation of the tracheoesophageal fistula.
        J Pediatr Surg. 1981; 16: 983-988
        • Kovesi T.
        • Rubin S.
        Long-term complications of congenital esophageal atresia and/or tracheoesophageal fistula.
        Chest. 2004; 126: 915-925
        • Rutter M.J.
        • Cotton R.T.
        • Azizkhan R.G.
        • et al.
        Slide tracheoplasty for the management of complete tracheal rings.
        J Pediatr Surg. 2003; 38: 928-934
        • Elliott M.J.
        • Speggiorin S.
        • Vida V.L.
        • et al.
        Slide tracheoplasty as a rescue technique after unsuccessful patch tracheoplasty.
        Ann Thorac Surg. 2009; 88: 1029-1031
        • Tsai J.Y.
        • Berkery L.
        • Wesson D.E.
        • et al.
        Esophageal atresia and tracheoesophageal fistula: surgical experience over two decades.
        Ann Thorac Surg. 1997; 64 ([discussion 783–774]): 778-783
        • Le Bret E.
        • Roubertie F.
        • Roger G.
        Slide tracheoplasty in infant with congenital tracheal stenosis and tracheomalacia after esophageal atresia with tracheoesophageal fistula repair.
        J Pediatr Surg. 2009; 44: e15-e17
        • Anton-Pacheco J.L.
        • Kalicinski P.
        • Kansy A.
        • et al.
        Slide tracheoplasty in an infant with congenital tracheal stenosis and oesophageal atresia with tracheoesophageal fistula.
        Eur J Cardiothorac Surg. 2012; 42: 892-893