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.
The Children's Hospital at Westmead, Hawkesbury Road, Westmead, Sydney, Australia. atlcheng@bigpond.com
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Cheng
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Gazali
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*