We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Congenital Tracheoesophageal Fistula in the Adult

Burton J. Zack, MD; Mark P. Owens, MD
Arch Surg. 1967;95(4):674-677. doi:10.1001/archsurg.1967.01330160144021.
Text Size: A A A
Published online


CONGENITAL tracheoesophageal fistula without atresia, "H" type, is a rare anomaly in children, accounting for only 3% of all congenital tracheoesophageal malformations,1 and rarer still in the adult, with only five cases reported in the literature to this time.2-6 Similarly, nonacquired bronchoesophageal fistula without atresia is also a rare occurrence, with upwards of 18 cases being reported.7 In those instances, more than 50% had associated bronchiectasis, and embryologically the multiple fistulous sites to various major and minor bronchi cannot be explained on the basis of a single disturbance in the separating mechanism of the trachea and esophagus.7 However, a single disturbance can explain the "H"-type tracheoesophageal fistula.8,9 It would appear, then, that the "H"-type tracheosophageal fistula occupies a more unique anomalous position in the adult.

Report of a Case  A 32-year-old Negro man was admitted to Darnall Army Hospital on June 13, 1966, with a


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.