ABSTRACT
Objective To investigate the application of electronic bronchoscopy in diagnosis of recurrent tracheoe-sophageal fistula of type Ⅲ esophageal atresia. Methods 5 patients were reviewed who were suspected postopera-tive tracheoesophageal fistula recurrence of type Ⅲ esophageal atresia and examined through electronic bron-choscopy combined with injecting Methylene blue into stomach tube from Jan 2010 to Aug 2014. Male to female ra-tio was 4:1. The age was 2~15 months, median age was 7.4 months. Results The 5 cases were found trachea mem-brane fistula by electronic bronchoscope, recurrent tracheoesophageal fistula was diagnosed with Methylene blue in-jected into stomach tube and overflowed from trachea membrane fistula. Examination time is 3~7 minutes, the aver-age is 4.2 minutes. The 5 cases were confirmed by operation. Conclusion Electronic bronchoscopy combined with injecting Methylene blue into stomach tube to diagnose recurrent tracheoesophageal fistula is safe and feasible, the time is short and the diagnosis rate is high.
ABSTRACT
Las fístulas traqueoesofágicas recurrentes (FTER) continúan siendo un reto terapéutico debido a las altas tasas de morbilidad y mortalidad asociadas con su manejo quirúrgico abierto y su recurrencia frecuente. Las técnicas endoscópicas aportan un abordaje alternativo con el potencial de mejorar los resultados y desenlaces quirúrgicos. Se presenta un caso de cierre o reparo endoscópico de FTER mediante el uso de broncoscopia y esofagoscopia, así como una combinación entre técnica con electrocauterio y pegante tisular. Se considera que esta técnica puede representar una alternativa válida para el manejo de esta patología. Igualmente, se señala la importancia de considerar la fístula traqueoesofágica un diagnóstico diferencial en pacientes pediátricos con infecciones respiratorias recurrentes...
Recurrent Tracheoesophageal Fistulas (RTEF) remainsa therapeutic challenge, cause of the highrates of morbidity and mortality associated withopen surgical closure and their frequent recurrence.Endoscopic techniques provide an alternativeapproach with the potential for improved surgicaloutcomes. We present a case of successful repairof recurrent tracheoesophageal fistula using bronchoscopyand esophagoscopy, as well as a combinedtechnique with electrocautery and fibrin glue.We believe this might represent a valid alternativefor the management of RTEF. We also want topoint out the importance of considering primaryor recurrent tracheoesophageal fistula in pediatricpatients with recurrent respiratory tract infections...