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Esophageal atresia; Other names: Oesophageal atresia: Common anatomical types of esophageal atresia a) Esophageal atresia with distal tracheoesophageal fistula (86%), Gross C. b) Isolated esophageal atresia without tracheoesophageal fistula (7%), Gross A. c) H-type tracheoesophageal fistula (4%), Gross E. [1] Specialty: Pediatrics
Radiograph with oral contrast showing h-type tracheoesophageal fistula in a newborn. Tracheoesophageal fistula is suggested in a newborn by copious salivation associated with choking, coughing, vomiting, and cyanosis coincident with the onset of feeding. Esophageal atresia and the subsequent inability to swallow typically cause polyhydramnios in
Esophageal atresia (EA) is a rare congenital malformation characterized by a lack of continuity between the lower and upper esophageal pouches, often associated with tracheoesophageal fistula. [7] Esophageal atresia with or without tracheoesophageal fistula (TEF) is the most common birth defect of the esophagus .
750.3 Congenital tracheoesophageal fistula esophageal atresia and stenosis; 750.4 Other specified congenital anomalies of esophagus; 750.5 Congenital hypertrophic pyloric stenosis; 750.6 Congenital hiatus hernia; 750.7 Other specified congenital anomalies of stomach; 750.8 Other specified congenital anomalies of upper alimentary tract
Type I is described as tracheal atresia, rather than tracheal agenesis. The trachea is absent proximally but there remains a short normal segment of the distal trachea. A tracheoesophageal fistula links the distal segment of the proto trachea to the oesophagus. It is estimated that 13% of cases of the disease are of type I. [2]
Imperforate anus is usually present along with other birth defects—spinal problems, heart problems, tracheoesophageal fistula, esophageal atresia, renal anomalies and limb anomalies are among the possibilities, collectively being called the VACTERL association. [8]
Esophageal diseases can derive from congenital conditions, or they can be acquired later in life. Many people experience a burning sensation in their chest occasionally, caused by stomach acids refluxing into the esophagus , normally called heartburn.
Developmental abnormalities of the tracheoesophageal septum can lead to a tracheoesophageal fistula. [6] This may be caused by certain mutations of genes involved in its development. [4] Other theories for the origin of tracheoesophageal fistula have been suggested. [7] [8] A laryngotracheal cleft is a related abnormality. [9]