Unit of Respiratory Endoscopy, Ear, Nose and Throat Department, Hospital General de Niños "Dr. Pedro de Elizalde," Autonomous City of Buenos Aires, Argentina.
Department of Pediatric Surgery, Fundación Hospitalaria, Autonomous City of Buenos Aires, Argentina.
Arch Argent Pediatr. 2020 Feb;118(1):56-60. doi: 10.5546/aap.2020.eng.56.
Congenital tracheoesophageal fistula not associated with esophageal atresia, known as H-type fistula, is an uncommon anomaly. It presents with cough, choking, and cyanosis during feeding and/or recurrent pneumonia. Although symptoms are usually present from birth, diagnosis is difficult. The rarity of this disease, non-specific symptoms, and the limitations of radiological and endoscopic confirmation of the fistula often result in a delay between presentation and diagnosis confirmation. Here we describe the clinical manifestations, assessment methods, and management of 3 newborn infants with H-type tracheoesophageal fistula, together with diagnosis recommendations to prevent unnecessary delays in the management of this condition.
先天性气管食管瘘（非食管闭锁型，即 H 型瘘）并不常见。其临床表现为进食时呛咳、发绀，可伴反复肺炎。虽然通常在出生时即有症状，但诊断较为困难。该病发病率低，症状不典型，影像学和内镜检查均有一定局限性，因此在出现症状到确诊之间常存在时间延误。本文报道了 3 例 H 型气管食管瘘新生儿的临床表现、评估方法和处理策略，并提出了诊断建议，旨在避免对该病的处理延误。
