Introduction Esophageal Atresia (EA) and Tracheoesophageal Fistula (TEF) are congenital defects of the esophagus. Esophageal Atresia can occur either by itself or along with Tracheoesophageal Fistula; however, it is more common for them to occur together. EA happens when the esophagus is incomplete and terminates before reaching the stomach. It is frequently associated with a fistula between the trachea and esophagus (Potts & Mandleco, 2013, p. 669). There are five different types of EA/TEF: 1) Esophageal atresia with distal tracheoesophageal fistula (87%) 2) isolated or pure esophageal atresia (8%) 3) pure tracheoesophageal fistula (4%) 4) esophageal atresia with proximal tracheoesophageal fistula (<1%) (Clark, n.d.). According…show more content… If EA is suspected after birth, the physician will diagnose by inserting a nasogastric tube (NG tube). Normally, the NG tube will pass through the nose to the esophagus and into the stomach. However, with EA/TEF it hits a pouch blockade. This blockade can be seen through an X-RAY. Newborns with Pure TEF are usually diagnosed using a barium swallow test. Barium enhances visibility of the digestive tract through X-RAY. In newborns with EA and TEF, gas bubbles accumulate in the abdomen causing abdominal distention. This can be diagnosed with the use of sonogram or X-RAY “Tracheoesophageal Fistula and Esophageal Atresia Symptoms and Diagnosis”,…show more content… (2013). Gastrointestinal Alterations. In Pediatric Nursing: Caring for
Children and Their Families (3rd ed., pp. 669-673). Clifton Park, New York: Thomas
Delmar Learning.
CLARK, D. (n.d.). Esophageal Atresia and Tracheoesophageal Fistula. Retrieved November 1, 2015.
Data & Statistics. (2015, October 27). Retrieved November 1, 2015.
Leifer, G. (2015). The Child with Gastrointestinal Condition. In Introduction to maternity and pediatric nursing (7th ed., pp. 643-644). St. Louis, Missouria: Elsevier.
Scott, D. (2014, June 12). Retrieved November 1, 2015.
Tracheoesophageal Fistula and Esophageal Atresia Symptoms and Diagnosis. (n.d.). Retrieved
November 1, 2015.
Silvestri, L. (2013). Metabolic, Endocrine, and Gastrointestinal Disorders. In Saunders comprehensive review for the NCLEX-PN examination (5th ed., pp. 409-410). St. Louis,
Missouri: Elsevier/Saunders.
Glossary Fig 1. There are five types of EA/TEF: 1) EA with distal TEF 2) isolated or pure esophageal atresia 3) pure tracheoesophageal fistula 4) EA with proximal TEF 5) EA with double