Home      About Journal      Editorial Board      Current Issue      Archives       Ahead of Publication      Instruction to Authors      Submit Manuscript      Contact Us        
CURRENT ISSUE                                                                             Table of Contents (ToC)                     



Back to ToC This Issue               Move to the Latest Issue

Authors:  Vivek Gharpure

Institute: Department of Pediatric surgery, Children’s Surgical Hospital 13, Pushpanagari, Aurangabad, 431001, India

Address for Correspondence: Dr Vivek Gharpure, Department of Pediatric surgery, Children’s Surgical Hospital 13, Pushpanagari, Aurangabad, 431001, India

          *Email: vvgharpurel@dataone.in



Journal of Neonatal Surgery

Volume 1(1), Jan-Mar 2012

Article Resources

Articles by Gharpure V on

Google Scholar



ToC Current Issue

Submit Manuscript

Instructions to Authors


Editorial Board

About The Journal

Ahead of Publications

Contact Us





Submitted On: 25-11-2011

Accepted On: 06-12-2011

 Published on: 01-01-2012

Local ID: jns-2012-1-19

J Neonat Surg 2012;1(1):16

© Gharpure V, 2012, EL-MED-Pub Publishers

Conflict of Interest: None declared

Source of Support: Nil


How to cite:

Gharpure V. Esophageal atresia with/without tracheoesophageal fistula. J Neonat Surg 2012;1:16.




  1. What clinical and sonographic features should make one suspect esophageal atresia in a pregnancy?
  2. What is the quickest method of diagnosing esophageal atresia, with or without tracheo-esophageal fistula (TEF)?
  3. What management principles should be followed in a newborn with esophageal atresia ± TEF till surgery is carried out?
  4. What difficulties are encountered in a newborn with esophageal atresia ± TEF and right aortic arch?
  5. What are advantages and disadvantages of trans-anastomotic tubes in esophageal atresia ± TEF?
  6. What are the management options in anastomotic leak in esophageal atresia ± TEF repair?
  7. What immediate postoperative care is recommended in a neonate operated for esophageal atresia ± TEF?
  8. What long term follow-up is recommended in a survival of esophageal atresia?
  9. What management options are available in a child who develops stricture at anastomotic site following esophageal atresia ± TEF repair?
  10. What are different investigations in a child suspected to have H type TEF



  1. Polyhydromnios, small gastric bubble, dilated upper esophageal pouch [1].
  2. Pass a soft blunt tipped rubber catheter through mouth. If it arrests at 10 cm from gum margin, baby has esophageal atresia. Observe the stomach; if it is scaphoid, baby may have isolated esophageal atresia, if it is distended, baby is likely to have TEF [1].
  3. Frequent upper pouch suction, semi-erect position, hydration, antibiotics, stop feeds, vitamin K, and warmth [1].
  4. Lower esophageal segment concealed under the descending aorta, difficult to locate, anastomosis touched by pulsating aorta, iatrogenic injury to vital structures due to unfamiliarity with anatomy [1].
  5. Transanastomotic tubes allow early feeding, prevent catabolism, and prevents double bites of esophageal wall; but can obstruct esophageal lumen and prevent salivary drainage leading to secretions in throat, compromised anastomosis [2].
  6. These are; TPN; Gastrostomy/jejunostomy feeds/Transanastomotic tube feeds; Oral feeds if leak is small; Drainage of leak; Esophagostomy and gastrostomy [1,2].
  7. These are; Upper pouch suction; Chest physiotherapy; Humidified oxygen; Analgesics; Care of chest tube/NG tube [2].
  8. Monthly weight record for first few months; Esophageal calibration for first year; Growth monitoring every year; Investigate for dysphagia; Evaluate for GER if suspicion [2].
  9. Anti-reflux measures such as position, Thick formula feeds; H2 blockers; Dilatation; Dilatation and local bleomycin/steroid; Balloon dilatation; Stricturoplasty; Replacement [1,2].
  10. Barium swallow; Esophagoscopy/bronchoscopy; CT/MRI [1,2].

  1. Puri P, Höllwarth ME, editors. Pediatric surgery-diagnosis and management. Springer; 2009. pp. 331.

  2. Beasley SW, Myers NA, Auldist AW, editors. Esophageal atresia. Chapman and Hall Medical, London;1991. pp. 112-3.

This is an Open Access article distributed under the terms of the Creative Commons Attribution unported License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

© All rights reserved Journal of Neonatal Surgery-- EL-MED-Pub Publishers
search this site the web
search engine by freefind

site map            what's new