A patient with a trachesophageal defect may present with signs and symptoms that correlate with the type of defect present.
Signs and Symptoms
Probable Anatomic Correlate
esophageal atresia (without tracheal fistula)
coughing and choking
esophageal atresia with tracheal fistula to distal esophagus
coughing and choking at feeding
cyanosis at feeding
esophageal atresia with tracheal fistula to proximal esophagus
episodic coughing and choking
tracheal fistula to esophagus without atresia
partial regurgitation and dysphagia
esophageal stenosis (without tracheal fistula)
(1) The first 3 groups usually present in infancy and would be associated with poor weight gain and other symptoms.
(2) Patients in Group IV tend to have problems as infants, but problems can persist into adulthood.
(3) Patients in Group V may go undetected if stenosis is mild.
(1) excessive salivation: atresia of esophagus with upper segment ending blindly
(2) coughing and choking: tracheal fistula
(3) cyanosis:tracheal fistula
(4) symptoms associated with feeding: esophageal atresia with tracheal fistula arising off upper segment
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Specialty: Gastroenterology, Pedatrics