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This classification was improvement over Parks classification as it was based on MRI studies. It classified the fistula in five grades. Garg classification: This was done by Pankaj Garg in 2017. [8] This classification is improvement over both Parks and St James University Hospital Classification.
In anatomy, a fistula (pl.: fistulas or fistulae /-l i,-l aɪ /; from Latin fistula, "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other.
Goodsall's rule, developed in 1887, relates the external opening (in the perianal skin) of an anal fistula to its internal opening (in the anal canal). It states that if the perianal skin opening is posterior to the transverse anal line, the fistulous tract will open into the anal canal in the midline posteriorly, sometimes taking a curvilinear course.
Vascular access steal syndrome is a syndrome caused by ischemia (not enough blood flow) resulting from a vascular access device (such as an arteriovenous fistula or synthetic vascular graft–AV fistula) that was installed to provide access for the inflow and outflow of blood during hemodialysis.
Imaging usually confirms the diagnosis because a barium esophagram can show the location, size, and lateralization of the lesion. Although there are other modalities such as esophageal endoscopy , CT scan , and ultrasound , most clinicians rely on barium esophagram to make clinical decisions.
The median time to definitive repair from fistula onset was 6 months (range 1 day to 28 months). The 6-month time course is commonly utilized by groups with significant experience treating fistulas, owing to the trend in encountering a less hostile abdomen than in the early phases. [ 4 ]
TEF (tracheoesophageal fistula) ONLY with no Esophageal Atresia, H-Type Esophagus fully intact and capable of its normal functions, however, there is an abnormal connection between the esophagus and the trachea. Not included in classification by Ladd 4%
A tracheoesophageal fistula (TEF, or TOF; see spelling differences) is an abnormal connection between the esophagus and the trachea. TEF is a common congenital abnormality, but when occurring late in life is usually the sequela of surgical procedures such as a laryngectomy .