2 Tracheoesophageal fistula

Reactions: 


   Tracheoesophageal fistula 




  • Male
  • Common with down's syndrome
  • Polyhydroamnios (in 50% cases)

Presentation :
  • 1st - Child drooling saliva
  • Aspiration and choking with breast feed

Investigation of choice : Pass Nasogastric tube and take X-Ray image.


VACTERL Association :
  • V - Vertebral anomalies
  • A - Anal atresia
  • C - Cardiovascular anomalies (PDA , VSD , TOF)
  • TE - Tracheoesophageal fistula
  • R - Renal (Kidney) anomalies
  • L - Limb defects (Radial hypoplasia)

Treatment :
Surgery - RIGHT postero-lateral thoracotomy with ligation of fistula and end to end anastomosis.
If very sick child - Do feeding gastrostomy


Q. Why RIGHT postero-lateral approach ?
Ans : Because aorta is Left of oesophagus in upper and middle 1/3rd.





MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

2 comments:

  1. Amazing notes!! You people have a gr8 talent of writing. Thanks for sharing.

    ReplyDelete

Ask your doubts / point out towards any error / show appreciation / explain anything you wish to.

Related Posts Plugin for WordPress, Blogger...
To Search for a "particular word" on "the page on your screen" , press Ctrl + F and then type the word you need to search on the visible page.

eg: If you need to search the word "Anatomy" on this page -- Press "Ctrl + F" , (a box will appear) and then type Anatomy in the box that has appeared.