CT imaging in congenital esophageal atresia, tracheo-esophageal fistula (TEF) comparing with surgical results
Main Article Content
Abstract
SUMMARY
Purpose: To review some CT signs in congenital esophageal atresia, tracheo-esophageal fistula (TEF) and compare the CT
findings with surgical results.
Materials and Methods: Images, CT diagnostic results were collected and compared with the surgical descriptions in 7 cases
TEF from 12/2007-11/2010 at Binh Dinh hospital.
Results: Direct signs: atresis image of esophageal was visualized in 100% cases. The image of fistula between proximal
esophagus-trachea: true positive is 2/3 cases, true negative is 3/4. The image of fistula distal esophagus-trachea: true positive
is 3/6 cases, true negative are 1/1. Indirect signs: pneumonia and esophageal dilatation were visualized in 100% cases. Gaseous distention of the stomach and bowel was visualized in 3/4 cases which exist only lower fistula and 2/2 cases which exist both upper and lower fistula.
Conclusion: Between CT with surgery is concordantly in 5/7 cases, nonconcordantly in 2/7.
Article Details
Keywords
esophageal atresia, tracheoesophageal fistula, congenital tracheoesophagus
References
1. Trương Nguyễn Uy Linh (2002), “Bệnh teo thực quản”, Bệnh học và điều trị học ngoại khoa ngoại nhi, Bộ môn ngoại trường ĐH Y dược TP. Hồ Chí Minh, NXB Y học, Tr. 7-26.
2. Amulya K Saxena (2010), “Esophageal atresia with or without tracheoesophageal fistula”, eMedicine Pediatrics: Surgery.
3. Dwayne C. Clack (1999), “Esophageal Atresia and Tracheosophageal Fistula”, American Family Physican, pp. 1-8.
4. Keith A Kronemer, MD (2008), “Esophageal Atresia/ Tracheosophageal Fistula”, emedicine, pp. 1-30.
5. Sat Sharma (2006), “Tracheoesophageal fistula”, Division of Pulmonary Medicine, Departement of Internal Medicine, University of Manitoba.
6. Suat Fitoz, Cetin Atasoy, Aydin Yagmurlu, Serdar Akyar (2000), “Three-Dimensional CT of Congenital Esophageal Atresia and Distal Tracheoesophageal Fistula in Neonates”, American Journal of Roentgenology, vol 175, pp. 1403-1407.
7. Sundar B., Guiney E., O’Donnell B. (1975), “Congenital H-type tracheo-oesophageal fistula”, Archives of Disease in Childhood, vol 50, pp 862 863.