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Doctor insights on: Esophageal Atresia In Children

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What are the tests for esophageal atresia?

What are the tests for esophageal atresia?

Esophageal atresia: Esophageal atresia is a congenital defect. Feeding the affected infant leads to choking, coughing and blue spells. Tests used to diagnose esophageal atresia include inability to pass a small feeding tube from the nose or mouth into the stomach. A plain x-ray of the esophagus may show air in the "pouch" of the atretic portion and coiled up feeding tube in that portion. ...Read more

Dr. Frazier Frantz
102 doctors shared insights

Esophageal Atresia (Definition)

Esophageal atresia (EA) is a congenital defect, which occurs before birth. There are several types. In most cases, the upper esophagus ends and does not connect with the lower esophagus and stomach. Most infants with EA may have another ...Read more


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What are the early symptoms of esophageal atresia?

What are the early symptoms of esophageal atresia?

Early Symptoms.: As a clinical neonatologist, the first symptom of esophageal atresia is the inability to pass an orogastric tube into the infant's stomach. I do this routinely in all newborn babies I examine in the delivery room. If the orogastric tube coils back and returns to the oral cavity, there is esophageal atresia. Determining if it is accompanied by a fistula with the trachea requires imaging studies. ...Read more

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My boyfriend had esophageal atresia so is our baby at risk?

Minimal risk: Most studies do not support a strong genetic predisposition in isolated esophageal atresia. ...Read more

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What is the definition or description of: Esophageal atresia?

Esophageal atresia: Esophageal atresia (EA) is a congenital defect, which occurs before birth. There are several types. In most cases, the upper esophagus ends and does not connect with the lower esophagus and stomach. Most infants with EA may have another defect called tracheoesophageal fistula. ...Read more

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If my boyfriend had an esophageal atresia what are the chances my child will too?

If my boyfriend had an esophageal atresia what are the chances my child will too?

Depends: Roughly half of the esophageal atresia cases with or without te fistula (lung attachment) occur in isolation with polygenic influence.(little recurrence risk) the others occur with other defects in heart, kidney, bone or other areas. Genetic microarray studies have shown chromasomal micro-deletions in these more complex cases.(more recurrence risk) prenatal genetic counseling can define your risk. ...Read more

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What is the treatment for esophageal atresia?

What is the treatment for esophageal atresia?

Treatment.: The treatment for esophageal atresia is surgical. ...Read more

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How long can you wait before having surgery for an esophageal atresia?

How long can you wait before having surgery for an esophageal atresia?

Hours/days not more: Esophageal atresia prevents a kid from receiving fluids & maintaining normal metabolic balance. While awaiting surgery, mouth secretions can build up in the remnant and transfer into the lungs causing pneumonia. Stabalization with IV fluids, suction & close monitoring is reasonable until the kid can be moved to a center where surgery can procede. Further, delays deminish the chances for good outcome. ...Read more

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If someone has an esophageal atresia, are they likely to have some other problems with the GI tract?

If someone has an esophageal atresia, are they likely to have some other problems with the GI tract?

Yes: Esophageal atresia (ea) commonly occurs in association with other congenital anomalies, including the vacterl (vertebral/vascular, aortic/anorectal, cardiac, tracheo-esophageal, renal, and limb anomalies) association. Other atresias of the GI tract, such as duodenal and anal atresia occur. Aside from congenital anomalies, ea is commonly associated with ge reflux and esophageal dysmotility. ...Read more

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Does anything during pregnancy cause esophageal atresia?

Does anything during pregnancy cause esophageal atresia?

No known cause: There is no known cause of esophageal atresia. It happens in about 1 out of 3000-4000 babies, which is 3 kids out of 10, 000 born. The esophagus (tube for food flow to stomach) and the trachea (tube for air flow to lungs) develop from the same part of an embryo. Because life is not perfect, once in a while the two tubes form an incorrect connection or a blind-ended tube. ...Read more

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Esophageal atresia and tracheoesophageal fistula: where can I get info?

Need Info.: Esophageal atresia and tracheo-esophageal fistulas are unfortunately frequently seen in my practice. The best source of information regarding these entities for a non medical individual would be a google search. ...Read more

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What is the difference between an esophageal atresia and a tracheoesophageal fistula?

Often associated: About 1 in 4000 live births results in an anomaly of the esophagus &/or trachea. The most common form is esophageal atresia (ea) with distal tracheosesophageal fistula (tef) -- the upper and lower parts of the esophagus (swallowing tube) are not connected, & the lower part is connected to the trachea (breathing tube). There can also be ea by itself, or tef by itself, or other rarer combinations. ...Read more

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How can you treat a really bad cough when you had esophageal atresia surgery a long time ago?

Mgt/workup: It really depends on the underlying cause. If you have had a repair of esophageal atresia, there can be areas of swelling that may impinge on the airway. I would recommend seeing your physician and having pulmonary function testing and a TB test.
A virtual appt is available online. ...Read more

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What can you do if you got a really bad cough and you had esophageal atresia surgery as a baby?

What can you do if you got a really bad cough and you had esophageal atresia surgery as a baby?

Uber-late fistula: With esophageal atresia, one would worry whether you ever had a tracheo-esophageal fistula. If so, the cough could signal some kind of leak in the integrity of the esophagus. Get to an ENT (airway) or GI (food path) so that you can get checked out. ...Read more

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I have tricuspid atrsia I also have a pacemaker and I am wanting to have children would that be possible for me to carry out a healthy pregnancy

I have tricuspid atrsia I also have a pacemaker and I am wanting to have children would that be possible for me to carry out a healthy pregnancy

Depends: The safety of pregnancy depends on numerous other issues, like your heart function (I assumed you've had a fontan) other medical issues etc. If all other aspects are good, then pregnancy can be safe with very close monitoring. But please discuss this with your cardiologist. ...Read more

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What happens if a baby has tricuspid atresia?

What happens if a baby has tricuspid atresia?

Need Surgery: All infants with tricuspid atresia will require surgery if they survive (which most do). They will ultimately require a few surgeries and this depends on what form of tricuspid atresia they have--but all will ultimately require a fontan. But if no other issues, they can do relatively well overall. ...Read more

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What is pulmonary atresia?

What is pulmonary atresia?

Congenital defect: Pa involves the valve, which is imperforate, and makes blood flow to the lungs dependent on other sources. If combined with a ventricular septal defect it can be repaired in most cases. If no vsd exists the right chamber is most often underdeveloped and repair is more complex. You should seek advice from your cardiologist who knows the details about your (childs) anatomy. ...Read more

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Is biliary atresia hereditary?

No: There is no proof that it is hereditary. Fortunately it is quite rare. ...Read more

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What exactly is biliary atresia?

What exactly is biliary atresia?

Birth defect: Malformation and scarrng obliteration of the bile ducts. Starts at birrth and progresses. Any infant who is jaundiced after one month of age needs a bilirubim level and a gallbladder ultrasound. Will need surgical correction prior to 60 days of life. ...Read more

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What is done for biliary atresia?

What is done for biliary atresia?

Depends on situation: If picked up early enough, some respond to surgery to re-establish bile flow. If operated later than 10 weeks of age, most will need a liver transplant to survive. All cases are quite unique & conferring with the treatment team will provide the best information. ...Read more

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Anyone's baby got biliary atresia?

Anyone's baby got biliary atresia?

Yes: Several in las vegas. About one third do well. One third will do well for a time and will eventually need a liver transplant. Another third do not benefit from a kasai procedure and go straight to liver transplant. ...Read more

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What exactly causes biliary atresia?

What exactly causes biliary atresia?

See below: The causes of biliary atresia are not well-established and are probably multifactorial; genetic factors may play a permissive role in some cases, but infectious, toxic, or immunologic mechanisms are probably involved. ...Read more

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What is the disorder biliary atresia?

What is the disorder biliary atresia?

Bile Duct Blockage: The bile duct carries the bile formed in the liver to the small intestine. Any disease that narrows, scars, or obstructs the duct can be called atresia. In some cases a patient is born with a narrow duct, called congenital atresia. In other cases chronic inflammation, infection, or even rejection of a liver transplant can cause scarring or narrowing of the duct. ...Read more

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What are the tests for biliary atresia?

Multiple: Usually start with laboratory tests followed by ultrasound, scintigraphy and biopsy. The gold standard is an operative cholangiogram. ...Read more

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How is biliary atresia generally treated?

Surgery: Once the diagnosis is made and if the baby is considered an appropriate candidate, the approach is surgical. As the problem is lack of drainage of bile from the liver to the intestine, a new connection is made between the liver and intestine. It is called a portoenterostomy or a kasai procedure. Sometimes the child is not a candidate and may need transplantation of liver. ...Read more

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What are some causes of duodenal atresia?

What are some causes of duodenal atresia?

Duodenum-congenital: The cause is the same, a failure of the process of developing an opening in the duodenum in utero. About 1/3 of the cases are found in children with down syndrome. That is the single most common association. There are children born with both esophageal and duodenal atresia and that is a surgical emergency. ...Read more

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What are the tests for intestinal atresia?

What are the tests for intestinal atresia?

Ultrasound, x-ray: Ultrasounds can be used to diagnose intestinal atresia prior to birth. Once born if suspected, plain abdominal films or with contrast can diagnose and locate level of intestinal atresia. ...Read more

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Describe the features of biliary atresia.?

See below: Jaundice (yellow eyes and skin) is the first sign of ba. The onset occurs any time from birth up to 8 weeks of age, and it is unlikely to appear later. Some infants have pale, gray (acholic) stools. Most infants have dark urine because of bilirubin excretion into the urine. If the jaundice has gone unnoticed and the disease progresses an enlarged liver and spleen may develop. ...Read more

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How is biliary atresia typically diagnosed?

Multidisciplinary: This diagnosis is made by a team of neonatologists, pediatric surgeons and pediatric gastroenterologists. It includes blood test, an ultrasound, a nuclear scan called hida scan to evaluate drainage of the liver, a liver biopsy and finally a cholangiogram. As you can see it is not straightforward and that is why so many specialists are required. ...Read more

Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more