Tracheo-Oesophageal Fistula

Sunita Goel
Problems with Tracheo-esophageal Fistula
General :
- Management of neonate
- Possible prematurity and low birth weight
Specific :
- Aspiration
- Chemical pneumonitis, pneumonia
- Gastric distention with diaphragmatic splinting

Lung retraction
Secretions and blood clots
Kinking of trachea

- Tracheomalacia may result in life threatening cyanotic and apneic spells.
- Tracheostomy may be necessary to maintain patent airway without ETT.
- Leak
- Stricture
- Recurrent fistula
- Problems with dysphagia and recurrent respiratory infections
- Esophageal strictures might require dilatations
- Abnormalities in esophageal motility leading to repeated aspirations.

Tracheo-Oesophageal Fistula Tracheo-Oesophageal Fistula 02/23/2001
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