Preoperative flexible bronchoscopy-aided cannulation of a neonatal H-type tracheo-oesophageal fistula assists intraoperative identification of the fistulous tract
Procopiuc, L., Naqvi, S., Yardley, I., Nyman, A. (2022). Preoperative flexible bronchoscopy-aided cannulation of a neonatal H-type tracheo-oesophageal fistula assists intraoperative identification of the fistulous tract. EKB Journal Management System, 18(1), -. doi: 10.1186/s43159-022-00207-x
Livia Procopiuc; Shehryer Naqvi; Iain Yardley; Andrew G. Nyman. "Preoperative flexible bronchoscopy-aided cannulation of a neonatal H-type tracheo-oesophageal fistula assists intraoperative identification of the fistulous tract". EKB Journal Management System, 18, 1, 2022, -. doi: 10.1186/s43159-022-00207-x
Procopiuc, L., Naqvi, S., Yardley, I., Nyman, A. (2022). 'Preoperative flexible bronchoscopy-aided cannulation of a neonatal H-type tracheo-oesophageal fistula assists intraoperative identification of the fistulous tract', EKB Journal Management System, 18(1), pp. -. doi: 10.1186/s43159-022-00207-x
Procopiuc, L., Naqvi, S., Yardley, I., Nyman, A. Preoperative flexible bronchoscopy-aided cannulation of a neonatal H-type tracheo-oesophageal fistula assists intraoperative identification of the fistulous tract. EKB Journal Management System, 2022; 18(1): -. doi: 10.1186/s43159-022-00207-x

Preoperative flexible bronchoscopy-aided cannulation of a neonatal H-type tracheo-oesophageal fistula assists intraoperative identification of the fistulous tract

Annals of Pediatric Surgery
Volume 18, Issue 1, January 2022  XML PDF (883.23 K)
DOI: 10.1186/s43159-022-00207-x
View on SCiNiTO View on SCiNiTO
Authors
Livia Procopiuc email orcid ; Shehryer Naqvi; Iain Yardley; Andrew G. Nyman
Abstract
Background
The surgical repair of H-type tracheo-oesophageal fistulas situated below the level of the second thoracic vertebra requires an open thoracotomy or a thoracoscopy. We describe a novel technique that allows for the use of a cervical incision to repair a fistula situated in the thorax, thus diminishing surgical risk.
Case presentation
In this report, we describe a 3-day-old term baby with an H-type tracheo-oesophageal fistula where flexible bronchoscopy and gastroscopy were used to cannulate the fistula with a soft ureteric catheter. This allowed for it to be tractioned into the cervical region where it was surgically dissected and isolated. There was no need for re-intervention in the first 3 months after surgery.
Conclusion
Flexible bronchoscopy-aided cannulation of H-type fistulas can assist in intraoperative identification of the fistulous tract as well as help traction it into a surgically more accessible area like the cervical region.
Keywords
Bronchoscopy; Tracheo-oesophageal fistula; Neonatal surgery; H-type fistula
Statistics
Article View: 8
PDF Download: 6