TEF
Also written as: TEF — tracheoesophageal fistula
Tracheoesophageal fistula; abnormal connection between the trachea and esophagus, often congenital.
Full Definition
An abnormal communication between the trachea and esophagus that can be congenital or acquired. Congenital TEF is often associated with esophageal atresia and classified using the Gross classification system, with type C (esophageal atresia with distal TEF) being most common. Clinical presentation includes respiratory symptoms, feeding difficulties, and recurrent pneumonia. Surgical repair involves division of the fistula and primary esophageal repair when possible. Acquired TEF can result from malignancy, radiation, or prolonged intubation.
Usage
Usage note: Always define on first use in patient documents. Use Gross classification when applicable.
In Context
- "The neonate presented with a Type C TEF requiring urgent surgical repair via thoracotomy." — case presentation
- "Contrast study confirmed the presence of a recurrent TEF following the initial repair." — radiology report