UNDETECTED RESPIRATORYESOPHAGEAL FISTULAE IN SYMPTOMATIC ADULTS : A PROSPECTIVE STUDY OF 6 CASES IDENTIFIED ON BARIUM SWALLOW EXAMINATION.
Journal Title: PARIPEX-Indian Journal of Research - Year 2018, Vol 7, Issue 7
Abstract
Aim: • Establish incidence of undetected respiratory-esophageal fistulae (REF) in local adult population. • Evaluation of different presentations of REF in adults. • Study etiological associations. • Follow up the cases detected and observe outcome. Methods : Over period of one year(September 2016 to September 2017), out of 151 adult patients referred to Department of Radiodiagnosis, MGM Hospital Kamothe for barium swallow examination, 6 adult patients of REF were picked up and enrolled. They were above 18 years of age, male and female. Patients below 18 years of age were excluded. Results : Out of the 6 cases, 3 were acquired broncho-esophageal fistulae (BEF) due to esophageal carcinoma, 1 was H type tracheo-oesophageal fistula (TEF) due to esophageal carcinoma, 1 was congenital H type TEF, 1 had equivocal suspicion of post-tuberculosis BEF vis a vis congenital etiology. Conclusion : Diagnosis of REF is challenging. Esophagography is a sensitive test for diagnosing this condition. Discussion : REF are rare. Symptoms are insidious and inconspicuous; hence high degree of suspicion is required for diagnosis. Non ionic contrast medium under fluoroscopic guidance is the preferred examination.
Authors and Affiliations
Kapoor Priti, Tolani Archna A.
Keywords
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