Facharzt FMH Kinderchirurgie Practice Questions - Facharzt FMH Für Kinderchirurgie Spécialiste FMH En Chirurgie Pédiatrique Exam

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A 4-month-old infant presents with a history of recurrent coughing, choking, and cyanotic episodes during liquid feedings, accompanied by two hospital admissions for right upper lobe aspiration pneumonia. Abdominal distension during crying is also noted. A high-index suspicion for an isolated H-type (Gross Type E) tracheoesophageal fistula is raised. What is the diagnostic investigation of choice, and what is the standard definitive surgical approach for this condition?

Upper gastrointestinal contrast swallow in the supine position; median sternotomy with cardiopulmonary bypass Chest computed tomography angiography; left 5th intercostal posterolateral thoracotomy Prone pull-back tube esophagogram or simultaneous tracheobronchoscopy/esophagoscopy; right cervical incision for fistula division Blind nasogastric dye injection with methylene blue; exploratory laparotomy and transdiaphragmatic transhiatal ligation

Correct Answer:

Prone pull-back tube esophagogram or simultaneous tracheobronchoscopy/esophagoscopy; right cervical incision for fistula division

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