1992 Volume 28 Issue 5 Pages 1029-1036
Congenital tracheoesophageal fistula without esophageal atresia is a rare anomaly, and 50 cases have been reported in Japan. A male infant 27 days old, 3106g of birth weight, with cyanosis and dyspnea at feeding was referred to our hospital. Esophagography and endoscopy revealed that he had tracheo-esophageal fistula without esophageal atresia. Fistelectomy was performed via the right cervical approach. The tracheoesophageal fistula without esophageal atresia can be strongly suspected by clinical symptoms, but it is very difficult sometimes to diagnose its existance correctly. Not only a verification of the presence of the fistula is important, but also it is very important to diagnosis its localization accurately for selecting a most applicable operative approach. Endoscopy is particularly important to demonstrate the fistula. And esophagography is also necessary examination for investigating associated anomalies in this lesion.
