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Zani, A., Eaton, S., Hoellwarth, M.E., Puri, P., Tovar, J., Fasching, G., Bagolan, P., Lukac, M., Wijnen, R., Kuebler, J.F., Cecchio, G., Rintala, R. and Pierro, A. (2014) International Survey on the Management of Esophageal Atresia. European Journal of Pediatric Surgery, 24, 3-8.
http://dx.doi.org/10.1055/s-0033-1350058

has been cited by the following article:

• TITLE: Endoscopic Detection and Surgical Repair of Congenital Tracheo-Esophageal-Fistula (TEF) ± Esophageal Atresia (EA)

  AUTHORS: Ralf-Bodo Tröbs, Werner Finke

  KEYWORDS: Tracheoesophageal Fistula, Esophageal Atresia, Tracheo-Bronchoscopy, Airway Management, Cervical Approach

  JOURNAL NAME: Open Journal of Pediatrics, Vol.4 No.4, November 26, 2014

  ABSTRACT: Purpose: This study was performed to evaluate the management of tracheoesophageal fistula (TEF) ± esophageal atresia (EA) under the guidance of preoperative tracheo-bronchoscopy (TrSc). Methods: Between 2007 and July 2014, a total of 26 consecutive newborns who underwent rigid TrSc for suspected TEF were identified. All associated charts and operation reports were retrospectively analyzed. Results: Distal TEF with EA (Gross C) predominated (n = 18). Furthermore, we managed 2 infants with proximal and distal TEF (Gross D) and 4 infants with isolated TEF (Gross E). In our hands, TrSc was feasible in infants with a birth weight above 1300 g. Twenty-five fistulas were identified by endoscopy in 23 patients. In one infant with a birth weight below 1000 g, an attempt to perform TrSc was interrupted, and urgent TEF closure was required. Fistula site at the carina was associated with a high rate of esophageal anastomosis under tension. During surgery, proximal TEF and isolated TEF were safely approached via right cervicotomy (n =5). Conclusion: This study supports the routine use of rigid TrSc at the time of surgery. Rigid TrSc allowed the surgical team to identify the number and location of TEFs, and the incidence of side effects was low.