eMedicine Specialties > Pediatrics: Surgery > General Surgery

Esophageal Atresia With or Without Tracheoesophageal Fistula: Multimedia

Author: Amulya K Saxena, MD, Attending Pediatric Surgeon, Department of Pediatric Surgery, Medical University of Graz, Austria
Coauthor(s): Geoffrey Blair, MD, Clinical Professor of Pediatric General Surgery, Department of Pediatric Surgery, University of British Columbia; Head, British Columbia's Children's Hospital; David E Konkin, MD, Staff Physician, Department of Surgery, Royal Columbian Hospital, University of British Columbia
Contributor Information and Disclosures

Updated: Apr 30, 2008

Multimedia

Esophageal atresia classification according to Gr...Media file 1: Esophageal atresia classification according to Gross.
Esophageal atresia classification according to Gr...

Esophageal atresia classification according to Gross.

This chest radiograph reveals esophageal atresia ...Media file 2: This chest radiograph reveals esophageal atresia and distal tracheoesophageal fistula. Note the Replogle tube in the upper pouch and the GI air below the diaphragm.
This chest radiograph reveals esophageal atresia ...

This chest radiograph reveals esophageal atresia and distal tracheoesophageal fistula. Note the Replogle tube in the upper pouch and the GI air below the diaphragm.

This chest radiograph reveals esophageal atresia ...Media file 3: This chest radiograph reveals esophageal atresia without tracheoesophageal fistula. Note the absence of gas below the diaphragm.
This chest radiograph reveals esophageal atresia ...

This chest radiograph reveals esophageal atresia without tracheoesophageal fistula. Note the absence of gas below the diaphragm.

This radiograph reveals a radius without a radial...Media file 4: This radiograph reveals a radius without a radial ray deformity.
This radiograph reveals a radius without a radial...

This radiograph reveals a radius without a radial ray deformity.

Contrast material has been administered, and a pr...Media file 5: Contrast material has been administered, and a probe has been placed through the gastrostomy in this child with pure esophageal atresia. The air-filled upper pouch can be observed superiorly, with a Replogle tube within it. This gap-o-gram reveals a very wide gap (>5 vertebral bodies), which requires esophageal replacement. This study is a dynamic investigation, one in which the surgeon and radiologist should be present to view the real-time fluoroscopic images.
Contrast material has been administered, and a pr...

Contrast material has been administered, and a probe has been placed through the gastrostomy in this child with pure esophageal atresia. The air-filled upper pouch can be observed superiorly, with a Replogle tube within it. This gap-o-gram reveals a very wide gap (>5 vertebral bodies), which requires esophageal replacement. This study is a dynamic investigation, one in which the surgeon and radiologist should be present to view the real-time fluoroscopic images.

This postoperative contrast-enhanced radiograph r...Media file 6: This postoperative contrast-enhanced radiograph reveals esophageal gastric tube replacement. The anastomosis to the upper pouch is in the chest. The linear staple line of the tube can be observed.
This postoperative contrast-enhanced radiograph r...

This postoperative contrast-enhanced radiograph reveals esophageal gastric tube replacement. The anastomosis to the upper pouch is in the chest. The linear staple line of the tube can be observed.

This esophagogram was obtained using water-solubl...Media file 7: This esophagogram was obtained using water-soluble contrast material 6 days after a standard repair was performed. The chest tube is still in place. No leak is present. The waist observed here at the site of the recently performed anastomosis is usual and does not, at this stage, necessarily indicate a stricture. The child went home and was eating well 3 days later.
This esophagogram was obtained using water-solubl...

This esophagogram was obtained using water-soluble contrast material 6 days after a standard repair was performed. The chest tube is still in place. No leak is present. The waist observed here at the site of the recently performed anastomosis is usual and does not, at this stage, necessarily indicate a stricture. The child went home and was eating well 3 days later.

More on Esophageal Atresia With or Without Tracheoesophageal Fistula

Overview: Esophageal Atresia With or Without Tracheoesophageal Fistula
Workup: Esophageal Atresia With or Without Tracheoesophageal Fistula
Treatment: Esophageal Atresia With or Without Tracheoesophageal Fistula
Follow-up: Esophageal Atresia With or Without Tracheoesophageal Fistula
Multimedia: Esophageal Atresia With or Without Tracheoesophageal Fistula
References

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Further Reading

Keywords

esophageal atresia, EA, tracheoesophageal fistula, TEF, congenitally interrupted esophagus, malformed esophagus, tracheoesophageal defects, trisomy 21, trisomy 13, trisomy 18, tracheoesophageal separation, esophageal atresia without fistula, pure esophageal atresia, proximal TEF, distal TEF, H-type fistula, congenital esophageal stenosis, polyhydramnios, aspiration pneumonitis, acute gastric perforation, dysphagia, gastroesophageal reflux, tracheomalacia, pneumonia, respiratory distress, VACTERL, vertebral defects, anorectal malformations, cardiovascular defects, tracheoesophageal defects, renal anomalies, limb deformities, hemivertebrae, scoliosis, rib deformities, imperforate anus, cloacal deformities

ventricular septal defect, tetralogy of Fallot, patent ductus arteriosus, atrial septal defects, atrioventricular canal defects, aortic coarctation, right-sided aortic arch, single umbilical artery, Potter syndrome, bilateral renal agenesis, horseshoe kidney, polycystic kidneys, urethral atresia, ureteral malformations, radial dysplasia, absent radius, radial-ray deformities, syndactyly, polydactyly, lower-limb tibial deformities, coloboma, heart defects, atresia choanae, developmental retardation, genital hypoplasia, ear deformities, CHARGE, neural tube defects, hydrocephalus, tethered cord, holoprosencephaly, duodenal atresia, ileal atresia, hypertrophic pyloric stenosis, omphalocele, malrotation, Meckel diverticulum, unilateral pulmonary agenesis, diaphragmatic hernia, undescended testicles, ambiguous genitalia, hypospadias, Fanconi syndrome

Contributor Information and Disclosures

Author

Amulya K Saxena, MD, Attending Pediatric Surgeon, Department of Pediatric Surgery, Medical University of Graz, Austria
Amulya K Saxena, MD is a member of the following medical societies: European Pediatric Surgeons Association, German Society of Pediatric Surgery, German Society of Surgery, and International Pediatric Endosurgery Group
Disclosure: Nothing to disclose.

Coauthor(s)

Geoffrey Blair, MD, Clinical Professor of Pediatric General Surgery, Department of Pediatric Surgery, University of British Columbia; Head, British Columbia's Children's Hospital
Geoffrey Blair, MD is a member of the following medical societies: American Pediatric Surgical Association
Disclosure: Nothing to disclose.

David E Konkin, MD, Staff Physician, Department of Surgery, Royal Columbian Hospital, University of British Columbia
David E Konkin, MD is a member of the following medical societies: American College of Surgeons, British Columbia Medical Association, Canadian Medical Association, Royal College of Physicians and Surgeons of Canada, and Society of American Gastrointestinal and Endoscopic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Kurt D Newman, MD, Vice Chairman, Department of Pediatric Surgery, Children's National Medical Center; Professor, Departments of Surgery and Pediatrics, George Washington University School of Medicine
Kurt D Newman, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Pediatric Surgical Association, and Society of Surgical Oncology
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine.com, Inc
Disclosure: Pfizer Inc Stock Investment from broker recommendation; Avanir Pharma Stock Investment from broker recommendation

Managing Editor

Michael G Caty, MD, Professor of Surgery and Pediatrics, State University of New York at Buffalo; Consulting Staff, Department of Pediatric Surgery, Children's Hospital of Buffalo
Michael G Caty, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Physician Executives, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, Association for Academic Surgery, and Association for Surgical Education
Disclosure: Nothing to disclose.

CME Editor

H Biemann Othersen Jr, MD, Professor of Surgery and Pediatrics, Emeritus Head, Division of Pediatric Surgery, Medical University of South Carolina
H Biemann Othersen Jr, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Association for the Surgery of Trauma, American Burn Association, American Cancer Society, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, American Society for Parenteral and Enteral Nutrition, American Surgical Association, American Thoracic Society, British Association of Paediatric Surgeons, Society for Surgery of the Alimentary Tract, Society of Critical Care Medicine, South Carolina Medical Association, Southeastern Surgical Congress, Southern Medical Association, Southern Society for Pediatric Research, and Southern Thoracic Surgical Association
Disclosure: Nothing to disclose.

Chief Editor

Marleta Reynolds, MD, Professor of Surgery, Feinberg School of Medicine, Northwestern University; Interim Head, Division of Pediatric Surgery, Department of Surgery, Children's Memorial Hospital of Chicago
Marleta Reynolds, MD is a member of the following medical societies: American Pediatric Surgical Association
Disclosure: Nothing to disclose.

 
 
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