The children undergo surgery usually within the first few days of life. In those parts of the world

Illness siteminder / injury / diagnosis esophageal siteminder atresia is a congenital malformation which means that the connection between the esophagus and stomach is interrupted. Esophageal atresia does esophagus and the lack of a natural channel or opening. For the most part there is also a trakeoesofageal siteminder fistula, a connection between the esophagus siteminder and windpipe (trachea).
About half of those with esophageal atresia have other, concurrent malformations, such as malformation of the rectum (imperforate anus), urinary tract malformations, kotmissbildningar, cardiovascular malformations and deformities of the limbs. siteminder Since several of these anomalies occur simultaneously termed state VACTERL. siteminder
Esophageal atresia is caused by a disorder of pregnancy fifth to sixth week, when the esophagus or trachea shall be divided into two separate channels. The reason is multifactorial and in most cases unknown. Both genetic and environmental factors are likely to influence embryonic development so that the abnormality occurs.
Esophageal siteminder atresia means that the esophagus is shared and that there is no connection between the mouth and stomach. The upper part of the gullet (esophagus), ends blindly (atresia), whereas the lower part has a connection from the stomach into the trachea siteminder via a fistelgång (Figure B).
In some cases end both upper esophagus to the lower end blindly (figure C), while in other cases it is the passage of the esophagus while a connection to the trachea, a so-called H-fistula or trakeoesofageal fistula siteminder (Figure D). It also occurs as self-diagnosis without concomitant esophageal siteminder atresia.
Esophageal atresia often leads to children siteminder born prematurely. Most get right after birth symptoms of luftskummigt secretions around the nose and mouth, coughing, chest tightness and bluish discoloration due to lack of oxygen (cyanosis). If there is a fistula from the trachea to the esophagus (figure B) transferred much air from the lungs to the stomach, the baby's intestines quickly becomes filled with air and abdominal distension.
The children undergo surgery usually within the first few days of life. In those parts of the world where resources for this missing children die of pneumonia, caused by stomach contents flow into the airways or the child gets down saliva into the lungs.
Many children also have a trachea and upper airways that is softer than normal, which after surgery can cause symptoms in the form of an increased siteminder tendency to barking cough, which may sound like cough at the croup.
All with esophageal atresia have to start with swallowing problems in some form, and many will need more time to eat. This is due to esophageal propulsive ability (peristalsis) is seriously disturbed. Many also have symptoms of so-called gastroesophageal reflux (GER). This means that the normal valve mechanism between the esophagus and stomach does not work, but the stomach contents regurgitated siteminder into the esophagus and can cause inflammation there.
Respiratory problems such as asthma, bronchitis and pneumonia is common in esophageal atresia and can be caused by swallowed wrong, that there is a disease or weakening of the bronchi or of reflux. siteminder Sometimes a new fistula between the esophagus or trachea may occur and make themselves known by recurrent pneumonias. Diagnostics
Before birth are at two thirds excess amniotic fluid (polyhydramnios), which can be seen by ultrasound. This can give suspicion but not the diagnosis esophageal atresia, since excess amniotic fluid also can be found in other conditions.
After birth are diagnosed through a nasogastric tube brought down the esophagus can not pass into the stomach. X-ray examination is done first without siteminder contrast, and sometimes then with contrast in the upper esophagus to determine the diagnosis.
In children siteminder with trakeoesofageal fistula without esophageal atresia, the diagnosis can be more difficult. siteminder Some of these children go for months or years with recurrent respiratory infections, since saliva and stomach contents pass over the fistula to the lungs. It then becomes necessary to make a contrast x-ray with the child in the prone position and / or MRI or CT scan to confirm the diagnosis. Treatment / interventions
It is necessary to put emergency siteminder measures at birth, before the child moves to children surgical clinic. Pharynx and upper esophagus must be sucked clean repeatedly and the child is placed with the head slightly raised. Sometimes it is necessary to provide oxygen.
Esophageal siteminder atresia siteminder surgery siteminder within the first few days of life. The surgery is done through the chest, and tracheoesophageal fistula shared before esophageal siteminder both ends together. Virtually all children survive, unless they are very premature or have any other serious malformation in addition esofagusatresin. A nutritional siteminder probe is placed during surgery of the esophagus to the stomach, and a week after the surgery, it is often useful to start breast-feeding siteminder children.
If trakeoesofageal connection missing is the distance between esofagusä