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Updated: Mar 19 2022

TE Fistulas / VACTERL Syndrome

  • 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 association
      • associations are seemingly unrelated malformations that occur together
  • 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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