Clinic
Clinical manifestations of
this defect depend on the width of the message of the esophagus with the
trachea. The wider the anastomosis, the more rapidly and early clinical
symptoms arise. Any form of congenital isolated tracheoesophageal fistula mainly
manifests is respiratory failure (cyanosis, shortness of breath, coughing,
choking) that occur during breastfeeding. This relationship of breathing
disorders in feeding is the cardinal symptom, distinguishing
esophageal-endotracheal anastomosis from other types of diseases in neonates,
occurring respiratory disorders. With a wide fistula respiratory failure is so
severe that requires removal of the child on mechanical ventilation. Suction of
gastric contents in this case from the intubation tube (tracheal) makes the
diagnosis tracheoesophageal fistula uncertain.
Radiograph of the
chest. Radiocontrast substance is flowing through the tracheoesophageal fistula
from the esophagus to tracheobronchial tree.
Surgical
treatment must be performed as soon as possible. In this case the prognosis for life is good.
Although
congenital lung malformations are rare, they are important disorders because
they may lead to considerable morbidity and mortality (eg, infection,
hemorrhage, respiratory failure). Prognosis depends on the size of the lesion,
and the degree of functional impairment. Small lesions may remain asymptomatic.
Failure to recognize a malformation may lead to inappropriate
intervention.
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