PMID- 34252993
OWN - NLM
STAT- MEDLINE
DCOM- 20211210
LR  - 20211214
IS  - 2719-535X (Electronic)
IS  - 2719-6488 (Print)
IS  - 1428-345X (Linking)
VI  - 24
IP  - 4
DP  - 2021 Jul 13
TI  - Congenital H-type tracheo-oesophageal fistula: An institutional review of a 
      10-year period.
PG  - 2-8
LID - 10.34763/jmotherandchild.20202404.d-20-00004 [doi]
AB  - BACKGROUND: Congenital H-type tracheo-oesophageal fistula (H-TOF ) accounts for 
      4%-5% of all congenital tracheo-oesophageal malformations. We present our 
      experience in managing 18 cases with congenital H-TOF at a tertiary institute 
      over a 10-year period. METHODS: Records of all patients with congenital H-TOF 
      managed from January 2009 to December 2018 in the Department of Paediatric 
      Surgery at a tertiary institute were retrospectively analysed based on the age at 
      presentation, gender, antenatal ultrasonography findings; birth history; details 
      of previous hospitalisations, previous treatment details, presenting symptoms and 
      associated anomalies; time to diagnosis; radiological investigations performed, 
      bronchoscopy findings, intraoperative details, complications and postoperative 
      follow-up. RESULTS: Totally 18 patients with congenital H-TOF were managed over a 
      10-year period. There were 12 females and six males. Six patients had associated 
      anomalies. There was wide variation in age at the start of symptoms (3 days-4 
      years) and presentation/referral to us (15 days-12 years). Four patients were 
      diagnosed to have H-TOF at first admission. The most common presenting symptom 
      was recurrent pneumonias (n=18). Bronchoscopy was done in all patients, and 
      fistula was diagnosed and cannulated before surgery. The fistula was present at 
      C8-T1 in 14 patients. The median age at surgery was 12 months. In 17 patients, 
      the fistula was repaired by the cervical approach. There were two deaths, and 16 
      patients are doing well on median follow-up of 8 years. CONCLUSION: Congenital 
      H-TOF should be considered in differential diagnosis while managing patients with 
      recurrent lower respiratory tract infection and 'coughing and choking episodes'; 
      early diagnosis and management of the associated H-TOF is important for improved 
      survival and outcome.
CI  - (c) 2021 Charu Tiwari et al. published by Sciendo.
FAU - Tiwari, Charu
AU  - Tiwari C
AUID- ORCID: 0000-0002-3100-7980
AD  - Department of Paediatric Surgery, Government Medical College and Hospital, 
      Nagpur, Maharashtra, India.
FAU - Nagdeve, Nilesh
AU  - Nagdeve N
AUID- ORCID: 0000-0001-7950-0988
AD  - Department of Paediatric Surgery, Government Medical College and Hospital, 
      Nagpur, Maharashtra, India.
FAU - Saoji, Rajendra
AU  - Saoji R
AUID- ORCID: 0000-0002-6043-8608
AD  - Department of Paediatric Surgery, Government Medical College and Hospital, 
      Nagpur, Maharashtra, India.
FAU - Nama, Nilesh
AU  - Nama N
AUID- ORCID: 0000-0001-5747-4395
AD  - Department of General Surgery, Government Medical College and Hospital, Nagpur, 
      Maharashtra, India.
FAU - Khan, Maaz Ahmed
AU  - Khan MA
AUID- ORCID: 0000-0002-0698-7657
AD  - Department of General Surgery, Government Medical College and Hospital, Nagpur, 
      Maharashtra, India.
LA  - eng
PT  - Journal Article
DEP - 20210713
PL  - Poland
TA  - J Mother Child
JT  - Journal of mother and child
JID - 101771247
SB  - IM
MH  - Bronchoscopy
MH  - Child
MH  - *Esophageal Atresia
MH  - Female
MH  - Humans
MH  - Male
MH  - Pregnancy
MH  - Retrospective Studies
MH  - Trachea
MH  - *Tracheoesophageal Fistula/diagnosis
PMC - PMC8330361
OTO - NOTNLM
OT  - congenital
OT  - fistula, H-type
OT  - trachea-oesophageal
COIS- Conflicts of interest The authors declare that they have no conflict of interest. 
      This manuscript has been read and approved by all the authors, the requirements 
      for authorship have been met and each author believes that the manuscript 
      represents honest work.
EDAT- 2021/07/13 06:00
MHDA- 2021/12/15 06:00
PMCR- 2021/07/13
CRDT- 2021/07/12 20:36
PHST- 2021/07/13 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/07/12 20:36 [entrez]
PHST- 2021/07/13 00:00 [pmc-release]
AID - jmotherandchild.20202404.d-20-00004 [pii]
AID - 10.34763/jmotherandchild.20202404.d-20-00004 [doi]
PST - epublish
SO  - J Mother Child. 2021 Jul 13;24(4):2-8. doi: 
      10.34763/jmotherandchild.20202404.d-20-00004.