Dr. Tom Kovesi, Children’s Hospital of Eastern Ontario, Ottawa, ON

There is a large body of literature that infants with congenital tracheoesophageal fistula have long-term health consequences, which persist throughout adulthood. Some, but not all of this morbidity has been lessened by newer surgical techniques. These complications include tracheomalacia and the effects of aspiration, due to esophageal dysmotility, gastroesophageal reflux, and/or a recurrent tracheoesophageal fistula. There is ongoing controversy whether some of the long-term complications, including asthma, atopy, obstructive and restrictive pulmonary defects, and chronic bronchitis, are related to the underlying congenital anomaly, or other processes. Recent studies have highlighted previously-unsuspected complications, including vocal cord paralysis, laryngeal cleft, congenital esophageal stenosis, and eosinophilic esophagitis. This session will highlight recent guidelines, and the importance of multidisciplinary care and follow-up for these patients.

Learning Objectives
At the end of this presentation, attendees will be able to:

  • recognize newly-appreciated associations between congenital tracheoesophageal fistula and other conditions;
  • Describe the long-term monitoring and follow-up of patients with tracheoesophageal fistula; and
  • identify the need for multi-disciplinary teams to follow-up patients with a history of tracheoesophageal fistula.