Updated: 8/7/2018

TE Fistulas / VACTERL Syndrome

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Introduction
  • Embryological malformation in a newborn with
    • distal esophagus arising from trachea
    • proximal esophagus ending in a blind pouch
  • Can be part of a broader constellation of findings called VACTERL syndrome
Presentation
  • Symptoms
    • difficulty feeding
      • inability to swallow
    • pneumonia
      • aspiration of stomach contents into lungs
    • maternal polyhydramnios
      • fetus cannot swallow amniotic fluid for reentry of fluid into vasculature
  • Physical exam
    • associated VACTERL syndrome findings 
      • Vertebral abnormalities
      • Anal atresia
      • Cardiac defects
      • TE fistula
      • Renal disease
      • Limb abnormalities
Treatment
  • Surgical correction

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