Tracheo-Oesophageal Fistula

Sunita Goel
Tracheo-Oesophageal Fistula - Classification
Gross divided this in to five groups:
- A: Esophageal atresia without fistula
- B: Atresia with upper segment communication
- C: Atresia with lower segment communication
- D: Atresia with both segments communicating
- E: Fistula with no disruption in continuity
-F: Esophageal stenosis

ANTENATAL: Polyhydramnios
POST-NATAL: drooling, respiratory distress, choking, coughing, cyanosis

Overall incidence of associated anomalies is 50-70%
- Cardiac (30%): PDA, VSD, ASD
- Gastrointestinal (12%): Imperforate anus, duodenal atresia, annular pancreas, pyloric stenosis
- VACTERL (25%)

Group Survival(%) Waterson classification
A 100 Birth Weight > 2500g, well child
B1 85 Birth Weight 1800-2500g, well child
B2   Higher weight with moderate associated anomalies
C1 65 Birth Weight < 1800g
C2   Birth Weight < 1800g, severe anomalies

Tracheo-Oesophageal Fistula Tracheo-Oesophageal Fistula 02/23/2001
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