Acquired tracheal diverticulum following repair of tracheo-oesophageal fistula: endoscopic management.
Remnant tracheal diverticulum following the repair of a tracheo-oesophageal fistula (TOF) is an uncommon complication. The majority of lesions are discovered and repaired at the time of primary oesophageal repair. Respiratory complications are reported to be a major cause for morbidity after surgical repair of a TOF. They include anastomotic stricture, oesophageal dysmotility and tracheomalacia. These case reports highlight the need to be wary of tracheal diverticulum as a complication following the repair of a TOF, which may cause difficulty in intubation, airway compromise or an inability to provide effective ventilation. An effective endoscopic surgical technique has been described.
Cheng
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AT
The Children's Hospital at Westmead, Hawkesbury Road, Westmead, Sydney, Australia. atlcheng@bigpond.com
Gazali
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D000015:Abnormalities, Multiple; D001999:Bronchoscopy; D002675:Child, Preschool; D004240:Diverticulum / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D007828:Laryngoscopy; D008297:Male; D013577:Syndrome; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*; D014133:Tracheal Diseases / Q000175:diagnosis / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000601:surgery*