Esophageal atresia (gastric pull-up procedure)

Discussion:

This patient was diagnosed with esophageal atresia as a baby. She had successful corrective surgery at that time.

Esophageal atresia refers to an absence of the continuity of the esophagus due to an inappropriate division of the primitive foregut into the trachea and esophagus. it is a condition usually diagnosed in the neonatal period. Some relevant facts about esophageal atresia include: 

  • it is the most common congenital anomaly of the esophagus (~1:3000-4500 live births)
  • may be sporadic, but most are found associated with other abnormalities: 
    • other intestinal atresias: duodenal atresia, jejunoileal atresia, anal atresia
    • annular pancreas
    • pyloric stenosis
    • VACTERL
    • CHARGE syndrome
    • chromosomal anomalies such as: trisomy 21 and trisomy 18
  • it is frequently associated with a tracheo-esophageal fistula , with the majority of them (~85%) characterized by a proximal atresia with distal fistula
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