Achalasia-like findings in a case with delayed diagnosis of H-type tracheoesophageal fistula

Boybeyi Ö., Kose M., Ersoz D. D. , HALİLOĞLU M., KARNAK İ., Senocak M. E.

PEDIATRIC SURGERY INTERNATIONAL, vol.24, no.8, pp.965-969, 2008 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 8
  • Publication Date: 2008
  • Doi Number: 10.1007/s00383-008-2192-y
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.965-969
  • Keywords: H-type tracheoesophageal fistula, achalasia, dysmotility, gastroesophageal reflux, aspiration pneumonia


H-type tracheoesophageal fistula (TEF) may lead to chronic respiratory disease if the diagnosis is delayed. Long-standing fistula causes esophageal distention which is named as pneumoesophagus or megaesophagus and possibly affects the motility of the esophageal body which may also be encountered as a part of tracheoesophageal anomalies. Both dysmotility and megaesophagus may mimic achalasia radiologically and the patient may be advised an unnecessary esophagocardiomyotomy. The authors report a 15-year-old adolescent with H-type TEF who has been diagnosed during investigations for chronic respiratory disease due to presumptive diagnosis of achalasia. The authors emphasize that a complete anatomical and functional evaluation of the upper gastrointestinal tract should be done before recommending operation for achalasia in patients with chronic respiratory disease. H-type TEF should be investigated to avoid unnecessary cardiomyotomy.