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Congenital tracheoesophageal fistula: preventing recurrence
1Pediatric Surgical Centre Amsterdam, University of Amsterdam, The Netherlands.
Journal of Pediatric Surgery
|July 1, 1996
Insights
Recurrent tracheoesophageal fistula (TEF) is a serious complication after surgery for esophageal atresia. Adhering to surgical principles significantly reduces the risk of TEF recurrence in pediatric patients.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Congenital Malformations
Background:
- Recurrent tracheoesophageal fistula (TEF) is a significant complication following surgical repair of esophageal atresia and tracheoesophageal fistula (EA/TEF) in children.
- This complication can lead to increased morbidity and necessitate further interventions.
Abstract:
Recurrent tracheoesophageal fistula is a major complication of surgical therapy among children with congenital esophageal atresia and tracheoesophageal fistula. In a consecutive series of 153 patients operated on during a 20-year period in the same institution, only one patient had this complication. The authors believe that adherence to sound surgical principles can lower the risk of fistula recurrence considerably.