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| | CHEST: Diagnosis of tracheoesophageal fistula by analysis of gastric air |
 | | Tracheoesophageal fistula usually is demonstrated by radiologic contrast study or by direct endoscopic visualization.[1-3] However, these studies may be cumbersome in unstable patients who are intubated for positive pressure ventilation. | | | The technique of gastric air analysis is presented as a simple supporting tool for the clinical diagnosis of tracheoesophageal fistula in patients reveiving positive pressure ventilation. | | | In summary, we have described a simple bedside technique to support the clinical suspicion of tracheoesophageal fistula in a patient on positive pressure ventilation with substantial gaseous abdominal distension. |
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http://www.findarticles.com/p/articles/mi_m0984/is_n2_v104/ai_13275395
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| | eMedicine - Esophageal Atresia/Tracheoesophageal Fistula : Article by Keith Kronemer, MD |
| | Fistulas usually recur within a few months, but they may occur as late as 2 years after surgery. | | | These findings, then, are not conclusive and require further testing with the passage of a postnatal nasogastric tube from the mouth to the stomach and with plain chest radiography to confirm diagnosis. | | | If tracheal filling is observed with the use of contrast material, these methods aid in determining whether this observation is the result of a fistula or of aspiration. |
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http://www.emedicine.com/radio/topic704.htm
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| | fistula on Encyclopedia.com |
| | It may follow a surgical procedure with improper healing, or it may be caused by injury, abscess, or infection with penetration deep enough to reach another organ or the skin. | | | Poverty, gender inequality contribute to AIDS and fistula, THE INDEPENDENT | | | Rectal fistulas are often associated with colitis, cancer, sexually transmitted diseases, and other disorders. |
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http://www.encyclopedia.com/html/f1/fistula.asp
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| | Oesophageal Atresia and/or Tracheoesophageal Fistula |
| | Bronchogenic theory: The esophagus does not develop at all distally. | | | Evaluate for evidence of associated anomalies, respiratory or cardiac anomalies. | | | Isolated tracheoesophageal fistula is more difficult to diagnose and may require repeated lateral esophagrams, bronchoscopy and esophagoscopy. |
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http://www.e-radiography.net/radpath/o/oatresia.htm
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| | From the Grand Rounds Archive at Baylor |
| | Komorn RM: Vocal rehabilitation in the laryngectomized patient with a tracheoesophageal shunt. | | | Singer MI, Hamaker RC, Blom ED: Revision procedure for the tracheoesophageal puncture. | | | They reported the acquisition of fluent tracheoesophageal speech in 90% of their patients regardless of whether or not they had undergone radical neck dissection or radiation therapy. |
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http://www.bcm.edu/oto/grand/9791.html
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| | References |
| | Payne DK, Anderson WM, Romero MD, et al: Tracheoesophageal fistula formation in intubated patients. | | | Marzelle J, Dartevelle P, Khalife J, et al: Surgical management of acquired post-intubation tracheo-oesophageal fistulas: 27 patients. | | | Iro H, Kachlik HG, Weidenbecher M, et al: Significance of percutaneous endoscopically controlled gastrostomy in the prevention and therapy of esophagotracheal fistula following long term intubation. |
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http://www.medscape.com/content/2001/00/41/50/415089/415089_ref.html
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| | What is TEF? |
| | If something should ever go wrong with this division, as it does in approximately one out of every 3,500 — 4,000 births, the baby is born with a medical condition known as esophageal atresia and/or tracheoesophageal fistula. | | | A fistula such as this may be as small as a pinpoint. | | | This type of tracheoesophageal fistula may be overlooked, since such a child may appear normal at birth. |
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http://www.tefvater.org/html/TEF~1.HTM
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| | Double Tracheo-esophageal Fistula |
| | Exploration and surgical correction demonstrated a double tracheo-esophageal fistula. | | | Developments in the care of patients with esophageal atresia and tracheoesophageal fistula. | | | Antenatal diagnosis of esophageal atresia with tracheoesophageal fistula. |
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http://home.earthlink.net/~radiologist/tf/111802.htm
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| | Digestive Tract Defects: Birth Defects: Merck Manual Home Edition |
| | Anal atresia usually requires immediate surgery to open a passage for feces and to close the fistula. | | | Food or fluid in the lungs may impair oxygenation of blood, leading to a bluish discoloration of the skin (cyanosis). | | | Many children with esophageal atresia and tracheoesophageal fistula have other abnormalities, such as heart defects. |
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http://www.merck.com/mmhe/sec23/ch265/ch265e.html
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| | Tracheoesophageal fistula and esophageal atresia repair |
| | An incision is made in the right chest between the ribs (thoracotomy). | | | This surgery is used to repair two congenital defects of the airway and the digestive tract: tracheoesophageal fistula (TEF) and esophageal atresia. | | | These defects usually occur together, but they may occur separately. |
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http://adam.about.com/encyclopedia/002934.htm
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| | ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Esophageal atresia |
| | Immediate surgical repair of this disorder is indicated so that the lungs are not damaged and the baby can be fed. | | | Over 30% of people affected with this condition will have other abnormalities such as heart disorders or other gastrointestinal tract disorders. | | | Esophageal atresia and TE fistula occur in approximately 2 or 3 infants per 10,000 births. |
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http://www.enlmedical.com/article/000961.htm
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| | Tracheo-Esophageal Fistula |
| | This surgery often involves several steps done over a number of months. | | | Fistulas occur most often between the esophagus and the trachea (windpipe). | | | Surgery of TEF is important to prevent food from entering the lungs, which may cause repeated episodes of pneumonia. |
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http://www.dbpeds.org/articles/detail.cfm?TextID=104
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| | Tracheoesophageal fistula repair |
| | Although the surgical procedure varies depending on the location and type of fistula, in general, an incision is made in the right chest. | | | A tracheoesophageal fistula is a congenital anomaly in which there is a conneciton between the traceha and the esophagus. | | | This involves placing a tube in the stomach (gastrostomy tube), in order to decompress the stomach and prevent fluid in the stomach from flowing up the esophagus, through the fistula and into the lungs. |
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http://adam.about.com/surgery/100103.htm
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| | Teaching File Case28: Newborn with Choking & Cyanosis |
| | There is an increased incidence of TEF in infants with Down's Syndrome. | | | Contrast studies are not necessary unless an H-type fistula, as in this case, is suspected. | | | Imaging with conventional radiographs may show an air distended esophageal pouch, the NG tube curled in the pouch and bowel dilatation related to the fistula. |
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http://www.uab.edu/pedradpath/case28.html
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| | ANNALS Sep1997: SURGICAL CLOSURE OF PERSISTING FAILED TRACHEOESOPHAGEAL VOICE FISTULA |
| | Occasionally, however, patients fail to achieve satisfactory voice or develop salivary leakage through the fistula into the trachea. | | | Authors: ARIE ROSEN, MD, NATAN SCHER, MD, WILLIAM R. Tracheoesophageal puncture (TEP) is a highly successful procedure for voice restoration. | | | When the fistula does not close spontaneously, surgical closure is indicated to prevent aspiration and pulmonary complications. |
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http://www.annals.com/abs/annals50.htm
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| | ANNALS Aug2000: ACQUIRED TRACHEOESOPHAGEAL FISTULA IN CRITICALLY ILL PATIENTS |
| | We conclude that acquired TEF is amenable to repair through a cervical approach. | | | Three patients underwent closure of the fistula with tracheal resection and anastomosis in a single stage and are doing well. | | | Residual fistula, noted in 1 patient, was treated conservatively and resolved spontaneously within several weeks. |
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http://www.annals.com/abs/annals561.htm
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| | ► Tracheoesophageal fistula and esophageal atresia repair |
| | These infants undergo surgical repair after their other problems have resolved. | | | In TEF patients, early in fetal development, the airway and upper portion of the digestive tract fail to develop normally. | | | Finally, certain types of TE fistula in otherwise healthy infants are simpler to repair after a period of time has passed to allow the baby to grow. |
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http://www.umm.edu/ency/article/002934.htm
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| | PSU Vol 06, 1996 |
| | 6- Ghandour KE, Spitz L, Brereton RJ, Kiely EM: Recurrent tracheo-oesophageal fistula: experience with 24 patients.J Paediatr Child Health 26(2):89-91, 1990 | | | Once established, the fistula allows saliva and food into the trachea, hence clinical suspicion of this diagnosis arises with recurrent respiratory symptoms associated with feedings after repair of esophageal atresia. | | | 85% of such newborns also have a tracheo-esophageal fistula (TEF) connecting the distal esophagus with the trachea. |
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http://home.coqui.net/titolugo/PSU06.htm
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| | Ask an Expert: tracheoesophageal fistula |
| | Tracheoesophageal fistula (TEF) may be congenital or acquired. | | | The congenital form is diagnosed in neonates (infants) and is typically associated with esophageal atresia. |
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http://www.netwellness.org/question.cfm/30094.htm
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| | Gale Encyclopedia of Medicine: Tracheoesophageal fistula |
| | Infants who have tracheoesophageal fistula often have other birth defects that affect their recovery. | | | Most tracheoesophageal fistulas are diagnosed when a child is born. | | | This is the most difficult type of tracheoesophageal fistula to diagnose, because both eating and breathing are possible. |
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http://www.findarticles.com/p/articles/mi_g2601/is_0013/ai_2601001379
(659 words)
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| | Esophageal Atresia and/or Tracheoesophageal Fistula - Synonyms of Augusta, Georgia |
| | Esophageal Atresia and Tracheoesophageal Fistula are disorders of the esophagus that may be inherited as an autosomal recessive genetic trait, or may result from developmental problems in a fetus. | | | This disorder is commonly associated with Tracheoesophageal Fistula which is an abnormal tubelike passage between the windpipe and esophagus. | | | Esophageal Atresia is a condition in which the patient is born with an abnormality in the part of the digestive tube that runs from below the tongue to the stomach (esophagus). |
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http://www.universityhealth.org/13808.cfm
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| | Esophageal Atresia and Tracheoesophageal Fistula / The Family Village Library |
| | Learn More About It What Problems are TOF Children Likely to Have? | | | tef Child and Family Support Connection was formed by and for families of children born with (Esophageal Atresia and Tracheoesophageal Fistula) ea | | | TOFS - Tracheo-Oesophageal Fistula Support Group - United Kingdom |
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http://www.familyvillage.wisc.edu/lib_ea-tef.html
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| | Esophageal atresia |
| | Over 30% of people affected by this condition will also have other abnormalities, such as heart disorders or other gastrointestinal tract disorders. | | | This connection between the lower esophagus and the trachea is called a tracheoesophageal fistula (often abbreviated TEF). |
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http://www.shands.org/health/information/000961.htm
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| | eatef.org :: Description |
| | Second, tracheoesophageal fistula (TEF): The trachea (or windpipe) is the passageway through which the air we breath travels to the lungs. | | | However, fistula is present between the esophagus and the trachea. | | | In TEF, there is a connection between the trachea and the esophagus, so that potentially either air can pass from the airway into the stomach, or food can pass from the esophagus into the lungs. |
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http://www.eatef.org/description.html
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| | Tracheo-Esophageal Fistula and Esophageal Atresia |
| | Fistula: abnormal passage from a body organ to the body surface or between two internal body organs. | | | How are Esophageal Atresia and Tracheoesophageal Fistula diagnosed and treated? | | | Congenital esophageal atresia (EA) represents a failure of the esophagus to develop as a continuous passage. |
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http://www.pedisurg.com/PtEduc/TEF-Esophageal_Atresia.htm
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| | VATER (vertebral defects-anal atresia-tracheoesophageal fistula-esophageal atresia-radial and renal dysplasia) ... |
| | Additional abnormalities later observed in VATER patients include vertebral anomalies, and spondylocostal dysplasia, and intestinal, cardiac, renal, and respiratory malformations, leading to expansion of the acronym to VACERL association. | | | Respiratory system: Tracheo-esophageal fistula, hypoplastic lungs, and laryngeal stenosis. | | | Gastrointestinal system: Absent rectum and anus, anal atresia, tracheo-esophageal fistula, duodenal atresia, and esophageal atresia. |
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http://www.nlm.nih.gov/mesh/jablonski/syndromes/syndrome644.html
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| | p980924a - Crohn's Disease - Tracheoesophageal Fistula |
| | Question: Can tracheoesophageal fistual occur with Crohn's disease? | | | The lack of an overall effect occurred despite a net 11% lower low-density lipoprotein cholesterol level and 10% higher high-density lipoprotein cholesterol level in the hormone group compared with the placebo group (each P |
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http://www.emory.edu/WHSCL/grady/amreport/litsrch98/p980924a.html
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| | What is Esophageal Atresia and Tracheoesophageal Fistula? |
| | The H-fistulas are divided surgically and nothing further needs to be done to the esophagus which is intact and reaches normally to the stomach. | | | This is usually referred to as an H or N shaped fistula and may be 2-4% of this group. | | | Type c is by far the most common form of EA and has a fistula between the lower esophagus and the trachea (one form of TEF) with a blind upper pouch. |
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http://www1.umn.edu/eatef/whatis.html
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| | Pediatric Radiology Section - Case of the Week |
| | TE fistula may exist with an intact esophagus, the “H-type” fistula (5%). | | | Esophageal atresia with or without TEF is usually recognized early due to feeding difficulties. | | | Complications include stricture, leakage, and recurrent fistula in the early post op period; long term problems include esophageal dysmotility and GE reflux (common). |
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http://www.radiology.vcu.edu/04-14-05.htm
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| | Medscape Discussion Boards - cervical vertebral fracture and tracheoesophageal fistula |
| | Weaning was extremely difficult but we managed it. | | | A year ago, I was approached by the parents of a 20-year old boy who had the comminutive fracture of 5th cervical vertebra resulting in quadriplegia and who was on assisted ventilation through an endotracheal tube for too long. | | | However, the boy was left with tracheostomy and a tracheal cannula which eventually caused a decubitus in the posterior wall of the trachea, resulting in tracheoesophageal fistula. |
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http://boards.medscape.com/forums?8@16.Ozi0apyoeHo.0@.eea066d
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| | Tracheoesophageal fistula, Eastern Carolina |
| | This defect is almost always present from birth (congenital) and requires surgical repair. | | | A tracheoesophageal fistula is an abnormal passageway between the windpipe (trachea) and the tube that leads from the mouth to the stomach (esophagus). |
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http://www.uhseast.com/170041.cfm
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| | Digestive System Diseases |
| | TOFS - Tracheo-Oesophageal Fistula Support Group in the (UK) | | | About Tracheo-Oesophageal Fistula Operation - Institute of Child Health, London (UK) | | | About Esophageal Atresia and Tracheoesophageal Fistula in Newborns [for parents] - UCSF Med Center (US) |
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http://www.mic.ki.se/Diseases/c6.html
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| | Esophageal atresia with tracheoesophageal fistula |
| | Relative frequencies of occurrence of the various types of esophageal atresia (EA) with and without tracheoesophageal fistula (TEF). | | | The tracheoesophageal fistula is seen as a posterior connection just proximal to the carina. | | | Send mail to Cynthia Bissell with questions or comments about this web site. |
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http://www.tracheostomy.com/surgery/bronch/atresiafistula.htm
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| | alpha feto protein... Post 1595 Forums PLAB AIPPG USMLE |
| | here i am lost dear...........which book mentions AFP increased in tracheoesophageal fistula?? | | | tracheoesophageal fistula is ass with polyhydramnios.......but is AFP elevated there too? | | | twins, ''open''NTDs,and tracheo-eso fistula 've elevated alpha fetoprotein level |
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http://www.aipge.com/postp1595.html
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