Esophageal atresia (patient information)

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Esophageal atresia

Overview

What are the symptoms?

What are the causes?

Who is at highest risk?

When to seek urgent medical care?

Diagnosis

Treatment options

Where to find medical care for Esophageal atresia?

What to expect (Outlook/Prognosis)?

Possible complications

Esophageal atresia On the Web

Ongoing Trials at Clinical Trials.gov

Images of Esophageal atresia

Videos on Esophageal atresia

FDA on Esophageal atresia

CDC on Esophageal atresia

atresia in the news

Blogs on Esophageal atresia

Directions to Hospitals Treating Esophageal atresia

Risk calculators and risk factors for Esophageal atresia

For the WikiDoc page for this topic, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Esophageal atresia is a disorder of the digestive system in which the esophagus does not develop properly. The esophagus is the tube that normally carries food from the mouth to the stomach.

What are the symptoms of Esophageal atresia?

  • Bluish coloration to the skin (cyanosis) with attempted feedings
  • Coughing, gagging, and choking with attempted feeding
  • Drooling
  • Poor feeding

What causes Esophageal atresia?

Esophageal atresia is a congenital defect, which means it occurs before birth. There are several types. In most cases, the upper esophagus ends and does not connect with the lower esophagus and stomach. The top end of the lower esophagus connects to the windpipe. This connection is called a tracheoesophageal fistula (TEF). Some babies with TEF will also have other problems, such as heart or other digestive tract disorders.

Other types of esophageal atresia involve narrowing of the esophagus, and may also be associated with other birth defects.

Who is at highest risk?

Esophageal atresia occurs in about 1 out of 4,000 births.

Diagnosis

Before birth, an ultrasound performed on the pregnant mother may show too much amniotic fluid, which can be a sign of esophageal atresia or other blockage of the digestive tract.

The disorder is usually detected shortly after birth when feeding is attempted and the infant coughs, chokes, and turns blue. As soon as the diagnosis is suspected, an attempt to pass a small feeding tube through the mouth or nose into the stomach should be made. The feeding tube will not be able to pass all the way to the stomach in a baby with esophageal atresia.

An x-ray of the esophagus shows an air-filled pouch and air in the stomach and intestine. If a feeding tube has been inserted, it will appear coiled up in the upper esophagus.

When to seek urgent medical care?

This disorder is usually diagnosed shortly after birth.

Call your baby's health care provider if the baby vomits repeatedly after feedings, or if the baby develops breathing difficulties.

Treatment options

Esophageal atresia is considered a surgical emergency. Surgery to repair the esophagus should be done quickly after the baby is stabilized so that the lungs are not damaged and the baby can be fed.

Before the surgery, the baby is not fed by mouth. Care is taken to prevent the baby from breathing secretions into the lungs.

Where to find medical care for Esophageal atresia?

Directions to Hospitals Treating Esophageal atresia

What to expect (Outlook/Prognosis)?

An early diagnosis gives a better chance of a good outcome.

Possible complications

The infant may breath saliva and other secretions into the lungs, causing aspiration pneumonia, choking, and possibly death.

Other complications may include:

  • Feeding problems
  • Reflux (the repeated bringing up of food from the stomach) after surgery
  • Narrowing (stricture) of the esophagus due to scarring from surgery

Prematurity may complicate the condition.

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/000961.htm

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