Presentation
Known esophageal atresia from pre-natal imaging.
Patient Data
Replogle tube in upper pouch. Upper pouch extends to T5. No distal gas. Lungs are clear. No bony abnormality.
Case Discussion
Isolated esophageal atresia (no associated tracheal fistulation).
In cases of esophageal atresia, the commonest fistula is a distal fistula to bowel (which can be confirmed if there is gas in distal bowel). In this case, there was no proximal fistula and a long-gap isolated esophageal atresia.
A gap of 3 vertebral bodies can usually be closed primarily. If the gap is greater than 3 vertebral bodies, tension sutures between the two ends can be used to promote reduction in the gap. This is performed at the same time as placing a gastrostomy so the neonate can be fed enterally.
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