Tracheo-Oesophageal Fistula

Sunita Goel
Pre-operative Management
Oral feeds should be discontinued. Baby should be kept in semi upright position to minimise regurgitation. Proximal segment should be suctioned continuously to prevent aspiration. Severity of pulmonary disease should be evaluated. Hypothermia should be avoided.

- Antibiotics
- Sump catheter in upper pouch
- Upright positioning
- Screening for any congenital anomalies
- Correction of fluid electrolyte status
- Gastrostomy, uncommon, usually in isolated EA

Aim for one-stage repair
- Bronchoscopy
- Extrapleural approach
* Right thoracotomy
* Division of fistula
* Mobilisation and anastomosis
- KIV Gastrostomy if anastomosis under tension

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