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Congenital Tracheoesophageal Fistula in an Adult | American Journal of
Congenital tracheoesophageal fistula is a rare condition in adults, which is usually not associated with esophageal atresia (1-3). Tracheoesophageal fistula should be suspected in patients with persistent cough or repeated episodes of unexplained pneumonia (1-4)
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Management of Tracheoesophageal Fistulas in Adults - PubMed
The approach to treatment of adult patients with tracheoesophageal fistulas depends on whether the fistula is congenital or acquired in origin. Most adults have acquired tracheoesophageal fistulas, and treatment depends on whether the fistula is a result of a benign process or a malignancy, with the latter usually primary esophageal cancer
Tracheoesophageal Fistula: Types, Symptoms & Treatment - Cleveland Clinic
A tracheoesophageal fistula (TEF) is an abnormal connection between your esophagus and trachea. The condition is often congenital, which means it happened during development in the womb. TEF may also be acquired in adulthood due to cancer, infection or trauma. Treatment involves surgery to close the fistula. Ohio Appointments 216.444.8500
Management of tracheo-oesophageal fistula in adults
Tracheo-oesophageal fistula (TOF) is defined as a pathological connection between trachea and the oesophagus, leading to a spillover of oral and gastric secretions into the respiratory tract [ 1 ]. TOF is classified into two main categories: congenital and acquired
Tracheoesophageal fistula in adults due to corrosive ingestion
Abstract Esophagorespiratory fistula in adults as a result of corrosive ingestion is a rare occurrence and is a difficult problem to manage. Three young (15-19 years) patients (2F, 1M) out of 115 (incidence 2.6%) of corrosive ingestion who had tracheoesophageal fistula (TEF) were reviewed retrospectively
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Tracheo- and broncho-esophageal fistulas in adults - UpToDate
Pathological connections between the esophagus and the trachea or major bronchi are termed tracheoesophageal fistula (TEF) and bronchoesophageal fistula (BEF), respectively. Although uncommon, they can be a major source of significant morbidity and mortality, particularly in patients with esophageal or lung cancer
Tracheoesophageal Fistula - What You Need to Know -
A tracheoesophageal fistula (TEF) is an abnormal connection between your trachea and esophagus. Your trachea brings air into your lungs. Your esophagus carries food from your mouth to your stomach. A TEF can cause food to pass from your esophagus into your trachea and lungs. This can cause breathing problems or infections, such as pneumonia
Acquired tracheo-oesophageal fistula in adults | BJA Education | Oxford
An acquired tracheo-oesophageal fistula bypasses laryngeal protection and leads to repeated pulmonary aspiration. Cuff-related necrosis and malignancy are currently the major causes. Diagnosis involves the identification of lesion site and size. Careful preoperative optimization and weaning from ventilation improves outcome
Tracheoesophageal fistula - UpToDate
Tracheoesophageal fistula ( TEF) is a common congenital anomaly of the respiratory tract, with an incidence of approximately 1 in 3500 to 1 in 4500 live births . TEF typically occurs with …. Tracheo- and broncho-esophageal fistulas in adults. …acquired TEF) or a stent-related complication (like obstruction), which is not unusual
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UpToDate
Pathological connections between the esophagus and the trachea or major bronchi are termed tracheoesophageal fistula (TEF) and bronchoesophageal fistula (BEF), respectively. Although uncommon, they can be a major source of significant morbidity and mortality, particularly in patients with esophageal or lung cancer
PDF Management of tracheo-oesophageal fistula in adults
Tracheo-oesophageal fistula (TOF) is defined as a pathological connection between trachea and the oesophagus, leading to a spillover of oral and gastric secretions into the respiratory tract [1]. TOF is classified into two main categories: congenital and acquired
What is a tracheoesophageal fistula? | Top Doctors
A tracheoesophageal fistula (TOF) is an abnormal connection between the trachea (windpipe) and the oesophagus (gullet). Tracheoesophageal fistulae are either congenital or acquired, with congenital fistulae being more common and presenting shortly after birth, and are treated by paediatric surgeons. This article is about the presentation and
Management of tracheoesophageal fistulas in adults | SpringerLink
Most adults have acquired tracheoesophageal fistulas, and treatment depends on whether the fistula is a result of a benign process or a malignancy, with the latter usually primary esophageal cancer. For patients with benign tracheoesophageal fistulas, treatment is almost always initially supportive followed by definitive surgical correction
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CT diagnosis of acquired tracheoesophageal fistula in adults
Two cases of acquired tracheoesophageal fistula (TEF) diagnosed by CT are presented. In one case TEF was clinically suspected; in the other it was incidentally discovered. ... CT diagnosis of acquired tracheoesophageal fistula in adults J Comput Assist Tomogr. Mar-Apr 1985;9(2):302-4. doi: 10.1097/00004728-198503000-00013. Authors Y M Berkmen
Congenital tracheoesophageal fistulas in adults - PubMed
Congenital "H" type tracheoesophageal fistulas assume an oblique orientation with the growth of the host to adulthood. This helps to explain the difficulty in diagnosis plus the ability of the host to survive to adult life. Treatment is surgical, consisting of simple ligation via cervical or thoracic approach depending upon location
H-type Tracheoesophageal Fistula: A Rare Cause of Cough and Dysphagia
Tracheoesophageal fistula without associated esophageal atresia (H-type) is a rare congenital anomaly, accounting for about 4% of esophageal malformations. However, it can occasionally be seen in adults with chronic cough and respiratory infections. We present a 38-year-old woman with a new diagnosis of H-type tracheoesophageal fistula. Go to:
Recurrent and congenital tracheoesophageal fistula in adults
Abstract Objectives: Recurrent congenital tracheoesophageal fistula (TEF) is well documented in infancy but may also present later in life. This study reviews our experience with the clinical presentation, diagnosis and management of 5 recurrent and 2 primary congenital tracheoesophageal fistulas (TEF) in adult patients
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Repair of Adult Benign Tracheoesophageal Fistulae With ... - PubMed
Results: An absorbable patch was used in 8 of 23 patients (34.8%) operated on for tracheoesophageal fistula during the study period. Causes of the fistulae included postintubation injury (n = 6), mediastinal radiotherapy (n = 1), and a complication of lung resection (n = 1). The median fistula size was 27.5 mm (range, 15 to 45 mm)
Congenital tracheoesophageal fistula: A rare and late presentation in
Congenital H-type tracheoesophageal fistula (TEF) in adults is a rare presentation and can test the diagnostic acumen of a surgeon, endoscopist, and the radiologist. These undetected fistulas may present as chronic lung disease of unknown origin because repeated aspirations can lead to recurrent lung infections and bronchiectasis
Thoracoscopic Repair of Adult-Onset Congenital Tracheoesophageal
Congenital tracheoesophageal fistula (TEF) without esophageal atresia is usually diagnosed and treated in the neonatal period. It is uncommon to occur in adulthood. Conventional treatment of adult-onset TEF involves repair by either cervicotomy or thoracotomy

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