2. DISORDERS OF THE OESOPHAGUS
2.1 CONGENITAL
ESOPHAGEAL ATRESIA
A developmental
defect is because of incomplete canalisation
of
esophagus.
The
defect is suspected on first feeding of
the new
born.
- There is choking
coughing and cynosis on feeding.
- There are five
varieties of the observed defects as
shown in
Fig The
variety C is the most common (85%).
- The diagnosis is
established by passage of
rubber catheter
through the nose
and confirming the obstruction.
* AP & Lat chest
Xray will give the level of obstruction.
* If Xray shows
gas in GI Tract or Tracheo-Esophageal fistula is
suspected .
TREATMENT
* Pump suction of
proximal pouch
* Immediate
assessment for other congenital defects
* Surgical repair
of the defect
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