Esophageal atresia with distal tracheo-esophageal fistula


A congenital tracheo-esophageal fistula (TOF) is a communication between the trachea and esophagus.

The diagnosis is usually made in the neonatal period, as they experience feeding difficulties and respiratory compromise due to repeated aspiration.

Plain radiography is usually sufficient for diagnosis but barium study is the gold standard technique for demonstrating and typing TOF.

With proximal atresia and a probable tracheal/distal esophageal fistula, this would be a type C TOF.