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Journals / İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi / 2014 / Cilt: 4 - Sayı: 1

Çocuklarda H tipi trakeoözofageal fistülün yönetimi: Üç olgu sunumu

Management of H-type tracheoesophageal fistula in children: A report of 3 cases

Volkan Sarper ERİKCİ
MÜNEVVER HOŞGÖR
Nail AKSOY
Pages
59–64
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Since H-TEFs are known to be complicated with lower respiratory tract infection, early referral of these patients to pediatric surgeons and accurate and timely surgical treatment should be realized.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:H-type tracheoesophageal fistula (TEF) is a relatively uncommon congenital anomaly that can be difficult to identify and sometimes, challenging to repair.
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Key Findings & Data:It is the Gross E type of esphageal atresia (EA) and constitutes 4% of all EA cases.
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Conclusion & Impact:Since H-TEFs are known to be complicated with lower respiratory tract infection, early referral of these patients to pediatric surgeons and accurate and timely surgical treatment should be realized.
🔬Design:Review & Systematic Survey
📍Scope:2003 Verileri
⚙️Variables:Domain Parameters

Abstract

H-type tracheoesophageal fistula (TEF) is a relatively uncommon congenital anomaly that can be difficult to identify and sometimes, challenging to repair. It is the Gross E type of esphageal atresia (EA) and constitutes 4% of all EA cases. Three infants with TEF were treated between 2003 and 2012. The diagnostic workup, surgical technique, and postoperative course of patients who underwent repair of H-TEF were reviewed. Conventional esophagram demonstrated the fistula in 2 of the patients and a cinera - diographic procedure was performed to outline the H-TEF in the last patient. In all 3 cases the location of the fistula was confirmed by tracheoscopy. The closure of the fistula was made by cervical route in 2 cases and by thoracotomy in the remainig patient with distal located fistula. A high index of suspicion for an H-TEF should be maintained in the presence of neonatal respiratory symptoms. Since H-TEFs are known to be complicated with lower respiratory tract infection, early referral of these patients to pediatric surgeons and accurate and timely surgical treatment should be realized.

Özet

H tipi trakeoözofageal fistül (TÖF) ender bir anomali olup, tanı ve onarımda bazen zorluklar içermektedir. Bu klinik durum özefageal atrezilerin (ÖA) Gross sınıflamasına göre E-tipi olup tüm ÖA olgularının %4’nü oluşturmaktadır. Kliniğimizde 2003 ile 2012 yılları arasında H-tipi TÖF’lü üç olgu tedavi edilmiştir. Olgularımızda tanı yöntemleri, cerrahi teknik ve ameliyat sonrası gidişat gözden geçirilmiştir. Tanıda konvansiyonel özofagografi iki olguda yararlı olurken, son olguda ise sineözofagografi yararlı olmuştur. Tüm olgularda trakeoskopi ile fistülün yeri doğrulanmıştır. İki olgu- da servikal yaklaşım yolu ile, distal yerleşimli fistül olan son olguda ise torakotomi yolu ile fistül onarımı uygulanmıştır. Neonatal respiratuvar bulguların varlığında H tipi TÖF akılda tutulmalıdır. Alt solunum yolu infeksiyonları ile komplike olduklarından bu olgular çocuk cerrahına erkenden refere edilmeli ve uygun ve zamanlı cerrahi onarım uygulanmalıdır.

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Cite This Article

ERİKCİ, V. S., HOŞGÖR, M., AKSOY, N. (2014). Çocuklarda H tipi trakeoözofageal fistülün yönetimi: Üç olgu sunumu. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, Cilt: 4 - Sayı: 1, 59–64. https://ajindex.com/articles/210950

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