Tracheoesophageal Fistula Newborn Presentation and Outcome: Case Series
American Journal of Pediatrics
Volume 6, Issue 3, September 2020, Pages: 259-267
Received: Jun. 17, 2020; Accepted: Jul. 2, 2020; Published: Jul. 13, 2020
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Authors
Putu Tarita Susanti, Department of Child Health, Sanglah Hospital, Faculty of Medicine, Udayana University, Denpasar, Indonesia
I Made Kardana, Department of Child Health, Sanglah Hospital, Faculty of Medicine, Udayana University, Denpasar, Indonesia
Kadek Deddy Ariyanta, Department of Surgery, Sanglah Hospital, Faculty of Medicine, Udayana University, Denpasar, Indonesia
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Abstract
Tracheoesophageal fistula (TEF/TOF) represents one of the most rare congenital anomaly in pediatric centers. Its an abnormal connection (fistula) between esophagus and trachea, characterized by copious salivation associated with choking, coughing, vomiting, cyanosis coincident with the onset of feeding and aspiration. Tracheoesophageal fistula commonly associated with other congenital anomaly, particularly cardiac defects. Diagnose can be established early during antenatal care by ultrasonography and postnatal by babygram and esophagography. Definitive management of TEF is surgical procedure. In this study we want to present outcome of our patients with tracheoesophageal fistula. Three cases were identified as tracheoesophageal fistula type C. The first and second case suffered vomit after feeding, then underwent esophagography examination and got surgical procedure. The third case showed difficult entry of feeding tube and hypersalivation but did not get other supporting examinations due to worsening condition. The first case with stable condition and discharge from hospital, meanwhile the second and third case passed away due to severe comorbid. Tracheoesophageal fistula diagnosis should be done immediately for planning surgery procedure. Supportive management would be needed if there are comorbid diseases. The prognosis of TEF is determined by clinical improvement after surgery and comorbid disease.
Keywords
Tracheoesophageal Fistula, Neonate, Presentation, Outcome
To cite this article
Putu Tarita Susanti, I Made Kardana, Kadek Deddy Ariyanta, Tracheoesophageal Fistula Newborn Presentation and Outcome: Case Series, American Journal of Pediatrics. Vol. 6, No. 3, 2020, pp. 259-267. doi: 10.11648/j.ajp.20200603.24
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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