Esophageal atresia (EA) is a rare birth defect in which a baby is born without part of the esophagus (the tube that connects the mouth to the stomach). Instead of. Esophageal atresia is the most common GI atresia. The estimated incidence is 1 in live births. Other congenital malformations are present in up to 50% of. Esophageal atresia is a congenital medical condition (birth defect) that affects the alimentary tract. It causes the esophagus to end in a blind-ended pouch rather.
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Esophageal Atresia | Boston Children’s Hospital
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.
Esophageal atresia EA is a congenital defect. This 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. This is an abnormal connection between the esophagus and the windpipe trachea. This is a weakness and floppiness of the walls of the windpipe, which can cause breathing to sound high-pitched or noisy. Before birth, a mother’s ultrasound may show too much amniotic fluid. This can be a sign of EA or other blockage of the baby’s digestive tract.
The disorder is usually detected shortly after birth when the infant tries to feed and then coughs, chokes, and dsophagus blue. If EA is suspected, the health care provider will try to pass a small feeding tube through the infant’s mouth or nose into the stomach. If the feeding tube can’t pass all the way to the stomach, the infant will likely be diagnosed with EA.
EA is a surgical emergency. Surgery to repair the esophagus is done as soon as possible after birth so that the lungs are not damaged and the baby can be fed. Before the surgery, the baby is not fed by mouth and will need intravenous IV nutrition. Care is taken to prevent the baby from breathing secretions into the lungs. The infant may breathe saliva and other fluids into the lungs, causing aspiration pneumonia, choking, and possibly death.
Prematurity may complicate the adalay. As noted above, there may also be defects in other areas of the body. adslah
Rare Disease Database
Call your baby’s provider right away if the baby vomits repeatedly after feedings, or if the baby develops breathing difficulties. Madanick R, Orlando RC.
Anatomy, histology, embryology, and developmental anomalies of the esophagus. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Esophageal atresia and tracheoesophageal fistula malformations.
Symptoms of EA may include: Bluish coloration to the skin cyanosis with attempted feeding Coughing, gagging, and choking with attempted feeding Drooling Poor feeding. An x-ray is then done and will show any of the following: An air-filled pouch in the esophagus.
Pediatric Tracheoesophageal Fistula and Esophageal Atresia | Children’s National
Air in the stomach and intestine. If a feeding tube has been inserted before the x-ray, it will appear coiled in the upper esophagus. An early diagnosis gives a better chance of a good outcome. Other complications may include: Feeding problems Reflux the repeated bringing exophagus of food from the stomach after surgery Narrowing stricture of the esophagus due to scarring from surgery Prematurity may complicate the condition.
When to Contact a Medical Professional. This disorder is usually diagnosed shortly after birth. Tracheoesophageal fistula repair – series. Esophagus Disorders Read more.