Esophageal atresia with tracheoesophageal fistula (EA-TEF) is a congenital condition of incomplete formation of the esophagus. In most cases, the atretic (blind-ending) esophagus has...
Prenatal ultrasound may demonstrate features suggestive of EA-TEF such as absence of a stomach bubble, a dilated proximal pouch, or polyhydramnios.
Only a minority of patients are pren...
Strict NPO until surgical correction is undertaken
Maintain a Replogle suction tube in the proximal pouch to decrease aspiration from pooled secretions...
EA-TEF patients require long-term follow-up for GERD, dysphagia, and esophageal motility issues.
Surveillance endoscopy may be considered in young adulthood for ri...
Burge DM, Shah K, Spark P, et al; for British Association of Paediatric Surgeons Congenital Anomalies Surveillance System. Contemporary management and outcomes for infants born with...
750.3 Tracheoesophageal fistula, esophageal atresia and stenosis
748.3 Other anomalies of larynx, trachea, and bronchus
Q39.1 Atresia of esophagus with tracheoesophageal fistula
Q39.2 Cong...
Q: What is the diagnostic workup for suspected TEF?
A: A chest radiograph with gentle forward pressure held on the nasogastric tube is the preferred diagnostic study. Without pressure, the film may...
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<bold>Fig C 38-7 Congenital tracheoesophageal fistula</bold> (type IV, or H, fistula). Note the sharp downward course of the fistula from the trachea to the esophagus (arrow).
<bold>Fig C 38-7 Congenital tracheoesophageal fistula</bold> (type IV, or H, fistula). Note the sharp downward course of the f...
<bold>FIGURE 109.12</bold> Bronchoscopic view of the trachea in a patient with common esophageal atresia and tracheoesophageal fistula. Note that during the inspiratory phase of positive pressure ventilation the fistula opens widely, demonstrating the face of TEF (<italic>lower left</bold>). The more proximal view in the trachea demonstrates tracheomalacia with coaptation of the anterior trachea and posterior membranous trachea (<italic>lower right</bold>).
<bold>FIGURE 109.12</bold> Bronchoscopic view of the trachea in a patient with common esophageal atresia and tracheoesophageal...
Variations of esophageal atresia and/or tracheoesophageal fistula in order of their frequency of appearance: A, 90%; B, 4%; C, 4%; D, 1%; and E, 1%.
Variations of esophageal atresia and/or tracheoesophageal fistula in order of their frequency of appearance: A, 90%; B, 4%; C, 4%; D, 1%; ...
<bold>Figure 44-6</bold> A: Lateral radiograph of a baby with esophageal atresia and tracheoesophageal fistula reveals a small meniscus of barium in the upper pouch. Gas is present in the stomach and intestinal tract because of the fistulous connection to the trachea. In this radiograph, some air in the lower esophageal segment can be seen in the posterior mediastinum. B: In a radiograph of a patient with isolated esophageal atresia, the upper pouch is outlined by barium. There is no air below th...
<bold>Figure 44-6</bold> A: Lateral radiograph of a baby with esophageal atresia and tracheoesophageal fistula reveals a small...
<bold>Figure 11. 12. CT image of asymptomatic patient with partial anomalous pulmonary venous return. A,</bold> Axial image shows vessel draining from right lung into superior vena cava. <bold>B,</bold> 3D CT Posterior view. 3D image demonstrates no superior right pulmonary vein in the usual location. The anomalous vessel can be seen near the top of the picture. <bold>C,</bold> 3D CT Anterior view. 3D workstation used to highlight two anomalous right pulmonary veins that were present draining into the superi...
<bold>Figure 11. 12. CT image of asymptomatic patient with partial anomalous pulmonary venous return. A,</bold> Axial image sh...