, Volume 5, Issue 3, pp 138–141 | Cite as

Esophageal motility in an adult with a congenital H-type tracheoesophageal fistula

  • Richard F. Heitmiller
  • Parviz Nikoomanesh
  • William J. Ravich
Original Articles


Congenital H-type tracheoesophageal fistulas (TEF) are rare. Long-standing respiratory symptoms are the most common presenting complaints. Patients with these fistulas have a congenital esophageal motor abnormality characterized by uncoordinated, low-amplitude peristalsis of the esophagal body; both low and normal lower esophageal sphincter pressures have been described. These findings persist despite fistula repair. A case history of an adult patient with congenital TEF is presented and the literature is reviewed. This patient is unusual in that esophageal symptoms (dysphagia) were more prominent than the usual respiratory symptoms.

Key words

Tracheoesophageal fistula Achalasia Deglutition Deglutition disorders 


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Copyright information

© Springer-Verlag New York Inc. 1990

Authors and Affiliations

  • Richard F. Heitmiller
    • 1
  • Parviz Nikoomanesh
    • 3
  • William J. Ravich
    • 2
  1. 1.Department of Thoracic SurgeryJohns Hopkins HospitalBaltimoreUSA
  2. 2.Department of GastroenterologyJohns Hopkins HospitalBaltimoreUSA
  3. 3.Francis Scott Key Medical CenterBaltimoreUSA

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