Diagnostic and management strategies for congenital H-type tracheoesophageal fistula: a systematic review.

ABSTRACT:

Background

H type tracheoesophageal fistula (H-TEF) is a rare congenital anomaly. Management may be complicated by late diagnosis and variation(s) in the therapeutic strategy. A systematic review of published studies explores the utility of diagnostic studies, operations and postoperative complications.

Methods

Medline and PubMed database(s) were searched for ALL studies reporting H-TEF during 1997-2020. Using PRISMA methodology, manuscripts were screened for eligibility and reporting.

Results

Forty-seven eligible studies were analysed. Primary diagnosis varied widely with surgeons performing oesophagography and trachea-bronchoscopy. Preoperative localisation techniques included fluoroscopy, guidewire placement and catheterisation. A cervical approach (209 of 272 case

SUBMITTER: Sampat K 

PROVIDER: S-EPMC8026411 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature