Passage of nasogastric tube through tracheo-esophageal fistula into stomach: A rare event

作     者：Ravikiran Shankar Kamble Rahulkumar Gupta Abhaya Gupta Paras Kothari K Vishesh Dikshit Krishnakumar Kesan Kedar Mudkhedkar 

作者机构：Department of Pediatric SurgeryLokamany Tilak Municipal Medical College and Government HospitalMaharashtra 400022India 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2014年第2卷第7期

页      面：309-310页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Esophageal atresia Tracheoesophageal fistula Nasogastric tube Red rubber catheter Misdiagnosis 

摘      要：Esophageal atresia with tracheo-oesophageal fistula(TEF) occurs in 1 in 3500 live births. Anorectal malformation is found to be associated with 14% of TEF. Esophageal atresia with TEF is a congenital anomaly which classically presents as excessive frothing from the mouth and respiratory distress. Rarely gastric position of the feeding tube in a case of TEF can be obtained delaying the diagnosis of TEF. We had an uncommon situation where a nasogastric tube reached the stomach through the trachea and tracheo-esophageal fistula, leading to misdiagnosis in a case of esophageal atresia with tracheoesophageal fistula. By using a stiff rubber catheter instead of a soft feeding tube for the diagnosis of esophageal atresia and TEF, such situation can be avoided.