Abstract

MORALES MUNERA, Olga Lucía; VALENCIA CHAVES, María de la Luz; ROYA PABON, Claudia Liliana  and  NINO SERNA, Laura Fernanda. Tracheo-esophageal fistula in children: a diagnosis to keep in mind. Two case reports and review of the literature. Iatreia [online]. 2013, vol.26, n.3, pp.346-355. ISSN 0121-0793.

Tracheo-esophageal fistula without esophageal atresia is a rare type of esophageal malformation. It has a multifactorial etiology including environmental and genetic factors. Common clinical manifestations are coughing and choking after meals, cyanosis and/or recurrent pneumonia. Diagnosis requires a high clinical suspicion index. Fistula confirmation is done with imaging studies including upper digestive series, video-fluoroscopy or with the use of bronchoscopy which allows direct visualization of the fistula or methylene blue passage through the abnormal communication. Fistula closure can be done endoscopically or surgically, in both cases with good results.

Keywords : Tracheoesophageal Fistula; Fluoroscopy; Gastrointestinal Tract; Tracheal Diseases.

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