Abstract | BACKGROUND: METHODS: From 1993 to 1997 five patients with tracheoesophageal fistula (two congenital H-type and three recurrent) were treated endoscopically using a rigid ventilating bronchoscope. The final diagnosis was made on bronchoscopic examination. In two of the patients with recurrent fistulas and one with congenital fistula, the mucosal lining was fulgurated with electrocautery via an insulated wire. In one patient each with recurrent and congenital fistula, the mucosal lining was vaporized with the Nd:YAG laser via a 600 microm bare quartz fiber. RESULTS: Obliteration of the fistula was achieved in both the patients in whom laser was used, but it was unsuccessful in two of the three children in whom electrocautery was used. The obliquity of the congenital H-type fistula renders it more amenable to obliteration compared with the short and direct recurrent fistula. There was significant respiratory distress in the postoperative period after use of electrocautery. However, it was uneventful with the use of laser. CONCLUSIONS:
|
Authors | V Bhatnagar, R Lal, M Sriniwas, S Agarwala, D K Mitra |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 34
Issue 3
Pg. 464-7
(Mar 1999)
ISSN: 0022-3468 [Print] United States |
PMID | 10211655
(Publication Type: Journal Article)
|
Topics |
- Adolescent
- Electrocoagulation
- Endoscopy
(methods)
- Esophagoscopy
- Female
- Humans
- Infant
- Infant, Newborn
- Laser Therapy
- Male
- Recurrence
- Tracheoesophageal Fistula
(surgery)
|