Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- história materna de polidrâmnio
- incapacidade de engolir secreções
- impossibilidade de passar uma sonda nasogástrica
Outros fatores diagnósticos
- respiração ofegante
- tosse
- sufocamento
- Associação VACTERL
- cianose
Fatores de risco
- trissomia 18 e 21
- história familiar
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- ultrassonografia pré-natal
- RNM pré-natal
- radiografia torácica e do abdome
Investigações a serem consideradas
- broncoscopia
- esofagoscopia
- esofagografia baritada
- ecocardiografia transtorácica
Algoritmo de tratamento
tipo A
tipo B e D
tipo C
tipo E
Colaboradores
Autores
Alexander J. Bondoc, MD
Associate Professor
UC Department of Surgery
UC Department of Pediatrics
Cincinnati Children's Hospital
Cincinnati
OH
Declarações
AJB declares that he has no competing interests.
Aaron Garrison, MD
Associate Professor
UC Department of Surgery
Cincinnati Children's Hospital
Cincinnati
OH
Declarações
AG declares that he has no competing interests.
Daniel von Allmen, MD
Professor-Associate
University of Cincinnati
Department of Surgery
Cincinnati
OH
Declarações
DVA is an investor for GlobalCastMD.
Agradecimentos
Dr Alexander J. Bondoc would like to gratefully acknowledge Dr Steven S. Rothenberg, a previous contributor to this topic.
Declarações
SSR declared that he had no competing interests.
Revisores
Michael D. Klein, MD, FACS, FAAP
Surgeon in Chief
Professor of Surgery
Department of Pediatric Surgery
Children's Hospital of Michigan
Wayne State University School of Medicine
Detroit
MI
Declarações
MDK declares that he has no competing interests.
Timothy D. Kane, MD
Clinical Director
Division Pediatric General and Thoracic Surgery
Children's Hospital of Pittsburgh of UPMC
Pittsburgh
PA
Declarações
TDK declares that he has no competing interests.
Lewis Spitz, MBChB, PhD, FRCS, MD, FRCPCH, FAAP, FCS
Emeritus Nuffield Professor of Paediatric Surgery
Institute of Child Health
University College
London
UK
Declarações
LS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Slater BJ, Rothenberg SS. Tracheoesophageal fistula. Semin Pediatr Surg. 2016 Jun;25(3):176-8. Resumo
van Lennep M, Singendonk MMJ, Dall'Oglio L, et al. Oesophageal atresia. Nat Rev Dis Primers. 2019 Apr 18;5(1):26. Resumo
Krishnan U, Mousa H, Dall'Oglio L, et al. ESPGHAN-NASPGHAN guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with esophageal atresia-tracheoesophageal fistula. J Pediatr Gastroenterol Nutr. 2016 Nov;63(5):550-70. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Fenda laríngea
Mais Diagnósticos diferenciaisDiretrizes
- Oesophageal atresia/tracheoesophageal fistula
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