Doctor insights on:
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.See 2 more doctor answers
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.
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.
Minimal risk: Most studies do not support a strong genetic predisposition in isolated 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.
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.See 1 more doctor answer
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.See 2 more doctor answers
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.See 1 more doctor answer
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.See 1 more doctor answer
Eapsa.org: Look at the website and patient responses.
No: True intestinal atresia, that is bowel that is discontinuous requires urgent operation. There are some circumstances such as following gastroschisis repair after which the diagnosis may be suspected but not confirmed. In that case surgery can be delayed until the diagnosis is clear.See 2 more doctor answers
Dad has cirrhosis of the liver and had esophageal variceal bleeding, how long does he have after surgery?
Unknown: If you are asking what his life span is, nobody knows. There are alternatives to surgery for esophageal varices including tips by interventional radiologists, and endoscopic banding done by gastroenterologists.
YES: Biliary atresia involves both intra- and extra hepatic bile duct pathology. Standard extrahepatic bypass can provide extended survival for a minority of patients. Liver transplantation provides the only possibility for cure, though it carries with it significant morbidity and mortality.See 2 more doctor answers
Depends: Normally yellow emesis may accompany feeds with or without history of jejunal atresia. However green emesis would be indicstive of possible obstruction.
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