1 Tracheoesophageal fistula

   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

1 comment:

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