CONGENITAL TRACHEOESOPHAGEAL FISTULA WITHOUT ATRESIA OF THE ESOPHAGUS FREE

RICHARD KOCH, M.D.; JOHN M. CLARK, M.D.

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Submitted for publication Dec. 19, 1955.

References 1 and 2.

AMA Am J Dis Child. 1956;91(6):636-640. doi:10.1001/archpedi.1956.02060020638022.

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ABSTRACT

ABSTRACT | REFERENCES

INTRODUCTION SURGICAL correction of tracheoesophageal fistula without atresia of the esophagus has been reported 15 times in the American medical literature.* This additional case is being reported to review symptoms of the lesion and to clarify methods for confirming the diagnosis. Tracheoesophageal fistula was diagnosed at age 3 months by a modification of the radiological technique described by Cardullo and Berens.³ The fistula was closed at thoracotomy, but the patient died on the second postoperative day from malnutrition and bronchopneumonia.

REPORT OF CASE This 2-day-old white boy was the product of an uncomplicated delivery, weighing 5 lb. 8 oz. Physical examination revealed a hypoplastic right thumb and excessive pharyngeal mucus. The baby choked, regurgitated, and became cyanotic with feedings, and was referred to Childrens Hospital with a diagnosis of tracheoesophageal fistula with esophageal atresia. On arrival, a gastric tube was easily inserted into the stomch and gastric juice withdrawn;

REFERENCES

ABSTRACT | REFERENCES

Ware, G. W., and Cross, L. L.: Congenital Tracheo-Esophageal Fistula Without Atresia of the Esophagus , Pediatrics 14:254, 1954;.

Herweg, J. C., and Ogura, J. H.: Congenital Tracheo-Esophageal Fistula Without Esophageal Atresia , J. Pediat. 47:293, 1955;.

Cardullo, H. M., and Berens, D. L.: Tracheoesophageal Fistula Unassociated with Atresia or Stenosis: Difficulties in Diagnosis and Suggestions for Greater Accuracy , New England J. Med. 243: 853, 1950;.

Ingalls, T. H., and Prindle, R. A.: Esophageal Atresia with Tracheoesophageal Fistula: Epidemiologic and Teratologic Implications , New England J. Med. 240:987, 1949;.

Ferguson, C. F.: Congenital Tracheoesophageal Fistula Not Associated with Atresia of Esophagus , Laryngoscope 61:718, 1951;.

Leven, N. L., and Lannin, B. G.: Congenital Atresia and Tracheoesophageal Fistula , Lancet 65: 179, 1945;.

Holt, J. F.; Haight, C., and Hodges, F. J.: Congenital Atresia of the Esophagus and Tracheo-Esophageal Fistula , Radiology 47:457, 1946;.

Imperatori, C. J.: Congenital Tracheoesophageal Fistula Without Atresia of the Esophagus: Report of a Case with Plastic Closure and Cure , Arch. Otolaryng. 30:352, 1939;.

Haight, C. O.: Congenital Tracheoesophageal Fistula Without Esophageal Atresia , J. Thoracic Surg. 17:600, 1948;.

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