Congenital Anomalies

Allan M. Goldstein, Daniel P. Doody, Priscilla P. L. Chiu

Key Points

  • Esophageal atresia with tracheoesophageal fistula is the most common developmental esophageal anomaly.
  • Esophageal atresia, with or without fistula, is a component of the VACTERL association.
  • Search for associated cardiac and renal anomalies is mandatory before surgery for esophageal atresia.
  • Most congenital esophageal anomalies can be surgically corrected with minimal morbidity and mortality.
  • Treatment of syndromic, long-gap atresia or complex laryngotracheoesophageal clefts is associated with prolonged hospitalization and significant morbidity.
  • Ideal operation for repair of long-gap esophageal atresia has not been established.

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Last updated: April 5, 2020