RT Journal Article
SR Electronic
T1 Congenital oesophageal stenosis due to tracheobronchial remnants
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 720
OP 725
DO 10.1136/thx.29.6.720
VO 29
IS 6
A1 Deiraniya, A. K.
YR 1974
UL http://thorax.bmj.com/content/29/6/720.abstract
AB Deiraniya, A. K. (1974).Thorax, 29, 720-725. Congenital oesophageal stenosis due to tracheobronchial remnants. Two cases of distal oesophageal obstruction due to tracheobronchial remnant after the successful treatment of proximal oesophageal atresia with an associated tracheo-oesophageal fistula are reported. This association of congenital distal oesophageal stenosis due to tracheobronchial remnant with oesophageal atresia and tracheo-oesophageal fistula has not previously been reported in the literature. The diagnosis should be suspected in cases of distal oesophageal obstruction presenting in childhood or adult life with a history dating back to infancy or childhood. Radiologically a short stenotic non-relaxing segment is the hallmark. There is no hiatus hernia and no gastro-oesophageal reflux. Surgical excision is recommended and can be achieved easily through a thoracic approach. Dilatation is difficult, at times impossible and occasionally hazardous, and any benefit is transient. Excision of the stenotic segment with primary end-to-end anastomosis is the method of choice and almost always possible.