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Congenital H-type tracheo-oesophageal fistula: An institutional review of a 10-year period Cover

Congenital H-type tracheo-oesophageal fistula: An institutional review of a 10-year period

Open Access
|Jul 2021

Figures & Tables

Table 1

Demographic characteristics of all 18 patients with H-TOF

Total patients with H-TOF18 out anomalies of total oesophageal (4.2%)
Age at presentation/referral (n=18)<1 year11
1–3 years4
3–6 years2
6–12 years0
>12 years1
Gender distribution (n=18)Males6
Females12
Number of previous hospitalisations (n=18)18
24
35
>31
Associated anomalies (n=6)ASD3
VSD and PDA1
Renal agenesis1
Radial agenesis1

[i] H-TOF, H-type tracheo-oesophageal fistula; ASD, atrial septal defect; VSD, ventricular septal defect; PDA, patent ductus arteriosus.

Table 2

Overlapping reasons for previous hospitalisations in all patients with H-TOF

Presenting symptomsNo. of patients
Respiratory symptomsRecurrent pneumonias18
Bouts of coughing and choking after feeds16
Cyanosis8
Failure to thrive14
Abdominal symptomsAbdominal distension6
Constipation8

[i] H-TOF, H-type tracheo-oesophageal fistula.

Figure 1

X-ray chest and abdomen of one patient showing complete collapse of the left lung, hyperinflation of the right lung and the Chilaiditi sign.

Figure 2

H-TOF identified in the upper gastrointestinal contrast study.

Figure 3

Bronchoscopy showing H-TOF at the C8–T1 level.

Figure 4

Intraoperative image showing the oesophagus and trachea, as well as identification of the fistula.

Figure 5

Intraoperative image showing the completed repair.

DOI: https://doi.org/10.34763/jmotherandchild.20202404.d-20-00004 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 2 - 8
Published on: Jul 13, 2021
Published by: Institute of Mother and Child, Warsaw, Poland
In partnership with: Paradigm Publishing Services
Publication frequency: Volume open

© 2021 Charu Tiwari, Nilesh Nagdeve, Rajendra Saoji, Nilesh Nama, Maaz Ahmed Khan, published by Institute of Mother and Child, Warsaw, Poland
This work is licensed under the Creative Commons Attribution 4.0 License.