A Case of H-type Tracheoesophageal Fistula

H-type 기관식도루 1례

  • Park, Kuhn (Department of Thoracic and Cardiovascular Surgery, College of Medicine Catholic University of Korea) ;
  • Kim, Young-Du (Department of Thoracic and Cardiovascular Surgery, College of Medicine Catholic University of Korea) ;
  • Keon, Jong-Bum (Department of Thoracic and Cardiovascular Surgery, College of Medicine Catholic University of Korea) ;
  • Won, Yong-Soon (Department of Thoracic and Cardiovascular Surgery, College of Medicine Catholic University of Korea) ;
  • Kwack, Moon-Sub (Department of Thoracic and Cardiovascular Surgery, College of Medicine Catholic University of Korea)
  • 박건 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 김영두 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 권종범 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 원용순 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 곽문섭 (가톨릭대학교 의과대학 흉부외과학교실)
  • Published : 2000.06.01

Abstract

Isolated(H-type) tracheoesophageal fistula without esophageal atresia occurs in approximately 4% of esophageal anomalies, and represents the least form of abnormal laryngotracheo-esophageal communication. Its symptoms such as coughing and choking The during the feeding, abdominal distension and recurrent pneumonitis usually start from birth. Diagnosis is made between 4 days to 4 years using the contrast esophagography and/or tracheoscopy. In case of diagnostic delay the postoperative mortality is not negligible and the most common cause of mortality is respitatory problems(infection, respiratory distress). So early diagnosis is essential in the newborn period with high index of suspicion. We report a case of H-type TEF in which operative repair was successful with references to recent literature.

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