In this video, Emily DeBoer, MD, reviews recommendations to guide management of the respiratory complications of esophageal atresia and tracheoesophageal fistula. This includes tracheomalacia, the primary abnormality that predisposes children to respiratory complications. She also describes the multidisciplinary aerodigestive care provided by experts within the Aerodigestive Program.
Esophageal atresia, or EA, is a rare birth defect in which a baby’s esophagus is not fully formed and does not connect the mouth to the stomach. Tracheoesophageal fistula (TEF) is an abnormal connection between the esophagus and the trachea. A TEF often occurs in babies with EA so the condition is referred to as EA/TEF. EA/TEF is usually repaired shortly after birth, but even after surgery, the tissue of the trachea and esophagus are often not normal. This can cause long-term gastrointestinal, respiratory and feeding/swallowing problems.
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