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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
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

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