Fistula Traqueo-esofagica

Question 1

Esta patologia es considerada:

Answer 1

El defecto congenito mas frecuente del esofago

Question 2

Como suele presentarse la versión mas común de este defecto?

Answer 2

(1) Proximal esophagus ends blindly

(2) Distal esophagus arises from the trachea.

Question 3

Cuales son los factores de riesgo para esta patología?

Answer 3

Advanced maternal age, smoking, and obesity

Question 4

Cual es la patogenesis de la enfermedad?

Answer 4

Aun no se conoce

Question 5

Hallazgos clínicos:

Answer 5

a. Maternal polyhydramnios (excess amniotic fluid)
• Swallowed amniotic fluid cannot be reabsorbed in the small intestine.
b. Abdominal distention in newborn (NB)
• Air in the stomach from tracheal fistula
c. Frothing and bubbling around the mouth at birth
d. Difficulty with feeding
(1) Food is regurgitated out of the mouth.
(2) NB develops chemical pneumonia from aspiration.
e. VATER syndrome
(1) Vertebral abnormalities
(2) Anorectal (usually anal atresia)
(3) TE fistula
(4) Renal disease and absent radius
f. VACTERL syndrome
• Same as VATER syndrome except C stands for cardiac and L stands for limb abnormalities