Abstract
Of 60 patients of tracheoesophageal fistula who have been treated during the past 13 years, four were subsequently found to have an association of esophageal stenosis of congenital origin in the distal esophagus. The patients have developed obstructive symptom when feeding of solid food was began several months after repair of tracheoesophageal fistula. The contrast study was diagnostic in these patients. Three patients had musculofibrous stenosis and one had tracheobronchial remmant. Three patients have undergone a surgical repair and one has been treated conservativelyy with several dilations. Attention has been focused on the anastomotic stenosis in these patients, which was the cause of delay of correct diagnosis and therapy. When the patient develop esophageal obstruction after repair of tracheoesophageal fistula, a careful investigation will be needed for an association of esophageal stenosis.
