Tracheo Esophageal Fistula - Dr. Bhavesh Doshi, Pediatric Surgeon

Case No. 24: Tracheo Esophageal Fistula

• Anomalous connection between the trachea and esophagus.
• Associated with VACTRAL group of anomalies.
• The weight of the baby, cardiac anomalies and the gap between the segments majorly influence the prognosis.
• In Pure atresia‘s and long-gap TOF’s an esophagostomy and gastrostomy are performed followed by an esophageal replacement procedure later in life. Distal fistula is treated with a esophago esophagostomy.
• H fistula may present later in life with recurrent RTIs and Pneumonia. Requires bronchoscopy to facilitate diagnosis.
• Esophageal stricture is the commonest complications that might require regular esophageal dilatation later in life.