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Role of preoperative tracheobronchoscopy in newborns with esophageal atresia:A review

World Journal of Gastrointestinal Endoscopy 2014年第10期6卷 482-487页

作者： Filippo Parolini Giovanni Boroni Stefania Stefini Cristina Agapiti Tullia Bazzana Daniele Alberti Department of Pediatric Surgery Azienda Ospedaliera Spedali Civili 25123 Brescia Italy Department of Pediatric Othorinolaryngology Azienda Ospedaliera Spedali Civili 25123 Brescia Italy Department of Pediatric Anesthesiology and Intensive Care Unit Azienda Ospedaliera Spedali Civili 25123 Brescia Italy University of Brescia 25123 Brescia Italy

Preoperative tracheobronchoscopy(TBS) in the diag-nostic assessment of newborns affected by esophageal atresia(EA) was described in 1981. Nevertheless, the value of the procedure is actually much debated; only a few studies have clearly explored the advantages of TBS and this procedure is not yet routinely included inthe diagnostic and therapeutic assessment in many in-ternational pediatric surgery settings. Routine preoper-ative TBS is a safe procedure that enables the accurate examination of the tracheobronchial tree, the visualiza-tion of tracheoesophageal fistula and the diagnosis of tracheomalacia or associated respiratory anomalies. When a distal fistula is found, its occlusion with a Fog-arty balloon catheter improves mechanical ventilation and facilitates surgical repair. This review provides a detailed overview on the use of TBS in newborns with EA, focusing on technical aspects, anesthesiological management, indications and limits. The benefits and risks of the procedure are also compared with alterna-tive diagnostic tools, such as an esophageal contrast study, computed tomography scan and ultrasound.

关键词： Computed tomography scan Esophageal atresia Newborns tracheobronchoscopy Tracheo-esophageal fistula Tracheomalacia

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Preoperative Tracheoscopy for Esophageal Atresia and/or Congenital Esoaerian Fistula: Experience at Cliniques Universitaires Saint Luc in Brussels

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Surgical Science 2020年第1期11卷 9-14页

作者： Natacha Boumas Beelke D’Hondt Catherine De Magnee Raymond Reding Francis Veyckemans Surgery Paediatric Unit Centre Hospitalo universitaire Mère Enfant Jeanne Ebori Libreville Gabon Surgery Unit and Paediatric Transplantation Cliniques Universitaires Saint-Luc Université Catholique de Louvain Brussels Belgium

Introduction: Congenital septal anomalies between the trachea and the esophagus are rare conditions. It seemed to us interesting to recall the contribution of tracheoscopy in the diagnostic and therapeutic strategy of esophageal atresia and congenital esoaerian fistulas. Patients and methods: This is a retrospective study between June 1994 and June 2014 of children who underwent a tracheoscopy, at the Saint-Luc University Clinics in Brussels, the diagnostic set of esophageal atresia (EA) or a congenital esoaerian fistula was suspected. Results: A total of 43 children with esophageal atresia or congenital esoaerian fistula underwent tracheoscopy. Before the tracheoscopy, the diagnosis of the anatomical type of atresia of the esophagus and esoaerian fistula was as follows: type C, 34 (79.1%);type A, 4 (9.3%);type E, 5 (11.6%). After performing the tracheoscopy, the diagnosis was changed as follows: type C, 34 (79.1%);type A, 3 (7%);type E, 4 (9.3%);type B, 1 (2.3%), a patient with a tracheoesophageal laryngo cleft (2.3%). Tracheoscopy also made it possible to find 2 cases of tracheomalacia, 2 cases with 3 bronchial tubes and one case associating a diverticulum of the trachea. No complications were correlated with the performance of the tracheoscopy. Conclusion: Our study confirms the benefits of tracheoscopy in the laden price of esophageal atresia or congenital esoaerian fistula.

关键词： Esophageal Atresia Esotracheal Fistula tracheobronchoscopy

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