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Congenital Anomalies Of Esophagus part-1 | Tracheoesophageal Fistula |Dr. Shipra Mishra ||

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  • Опубліковано 13 вер 2021
  • Congenital Anomalies Of Esophagus-
    Esophageal atresia (Tracheoesophageal fistula) being the most common types.
    Congenital stenosis or obstruction
    Tracheoesophageal Fistula(Esophageal atresia)-
    Defect of esophageal continuity with or without fistula.
    Fistula- Abnormal Communication B/W Trachea or Esophagus.
    Symptoms of Tracheoesophageal Fistula (Esophageal Atresia)-
    Incidence- 1 in 4500 births
    More common in males (3:1)
    Recognized within 24hrs of Birth
    Regurgitates all feeds (Vomiting).
    Difficulty breathing while feeding.
    Saliva - Continuous Pouring (diagnostic feature)
    Cough, Cyanosis, Respiratory Distress, Pneumonia.
    Malnutrition's , Dehydration , Failure to gain weight
    Investigation-
    Obstruction- While passing Nasogastric tube.
    Imaging studies contrast chest x-rays- reveal fistula or obstruction
    Endoscopy or bronchoscopy-using a thin tube fitted with a small light and camera in child's airway.
    Echocardiography.
    Treatment- Conservative- Antibiotics , IV fluids , Nutrition’s
    Surgical-
    Complications of Surgery-
    Early complication-
    Anastomotic leak (13-16%)
    Anastomotic stricture (upto 80%)
    Recurrent tracheoesophageal Fistula (3-14%)
    Late complications-
    Gastroesophageal reflux (30-70%)
    Tracheomalacia (10-15%)- Collapse of the airway when breathing
    Respiratory Disease (like pneumonia)
    Dysphagia
    Some important links-
    1- • Surgical Anatomy of Es...
    surgical anatomy of esophagus
    2- • Congenital Anomalies o...
    congenital Anomalies of esophagus (part-2 )
    3- • Esophageal Varices in ...
    esophageal varices
    4- • Acid Reflux in Hindi |...
    GERD
    5- • Esophagus Cancer in Hi...
    Carcinoma of esophagus
    #birthdefects #esophagus#GITdisease #fistula#tracheoesophagealfistula #congenitalanomaliesofesophagus #oesophagusdisease #Birthdefectsofesophagus
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