Esophageal Atresia and Tracheoesophageal fistula

Question 1

What is the most common type of tracheoesophageal fistula?

Answer 1

Type C, 85% (proximal EA, with distal TEF)

Question 2

What is the second most common EA/TEF abnormality?

Answer 2

PUre EA without TEF

Question 3

What is the most common abnormalities are associated with EA/TEF?

Answer 3

VACTERL (vertebral,anal,cardiac,TE, renal, limb abnormalities)

Question 4

During what gestational period are the esophagus and trachea a common diverticulum of the primitive foregut?

Answer 4

4th week (At 22 to 24 days of gestation)

Question 5

What are common fetal US findings in babies with a pure EA?

Answer 5

Polyhydraminos, a blind ending esophageal pouch and a small/absent gastric bubble.

Question 6

How do newborns with EA/TEF usually present?

Answer 6

Drooling, and excessive salivation, coughing, choking or regurgitation with feeding.

Question 7

What percentage of patients will have an anastomotic leak postoperatively?

Answer 7

15%

Question 8

Motility studies in a patient with a history of EA/TEF?

Answer 8

Often shows discoordinated esophageal contraction or an immobile segment of esophagus.

Question 9

Percentage of dysphagia in adult patients with h/o of EA/TEF

Answer 9

15%

Question 10

Strictures may form in up to what percentage of patients with EA/TEF?

Answer 10

1/3 (30%)

Question 11

What condition is seen in 50% of patients with EA/TEF?

Answer 11

GERD

Question 12

Patients who present with symptomatic tracheomalacia (w/ EA/TEF) may be candidates for what surgery?

Answer 12

aortopexy