What is esophageal atresia? Esophageal atresia (EA) is a rare birth defect in which a baby is born without part of the esophagus (the tube that connects the mouth to the stomach). Instead of forming a tube between the mouth and the stomach, the esophagus grows in two separate segments that do not connect.
Over the last 50 years, the survival rate of patients with esophageal atresia (EA) has increased from 0% to 90% or 95%. There is a growing interest in the long-term results following correction of EA.
When the two segments of the esophagus are far apart, it is called a “long-gap” esophageal atresia. To repair a long-gap EA, a staged surgical process will be used. This procedure is called the “Foker process.” Surgeons carefully guide the growth of the two segments to bring them together.
Initially, your child can have expressed breast milk which can be given slowly via the NG tube into their stomach. If you are unable to breastfeed, we will provide formula milk. Your child can continue to have NG feeds until the team feels it is time to start feeding by mouth, directly from the breast or bottle.
Specific methods used to diagnose EA/TEF after birth include a chest x-ray showing an NG tube coiled in the esophagus, an x-ray test of the esophagus called an esophagram, and a bronchoscopy which is a procedure a doctor performs using a telescope and camera to examine the inside of the baby's windpipe (trachea).
The most common complication in patients operated on for EA and TEF is recurrent pneumonia. Gastroesophageal reflux (GER) increases the risk of recurrent pneumonia, development of stricture in the esophagus, and growth retardation.
Without treatment, most patients with tricuspid atresia will die during the first year of life. However, with surgical intervention, the chances of longer-term survival increase substantially.
Esophageal atresia (EA) is a rare malformation with a wide range of co-morbidity and associated malformations impairing weight gain and growth.
Surgery for GERD
The goal of surgery for reflux disease is to strengthen the anti-reflux barrier. During a procedure known as a Nissen fundoplication, your surgeon wraps the upper part of your stomach around the lower esophagus. This enhances the anti-reflux barrier and can provide permanent relief from reflux.
What causes intestinal atresia and stenosis? Experts believe that intestinal atresia and stenosis are caused by an inadequate supply of blood to your baby's intestines during fetal development. They appear to run in families, although a specific genetic cause has yet to be discovered.
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