This site is intended for healthcare professionals
General Practice Notebook
Medical search

treatment

FREE subscriptions for doctors and students... click here
You have 3 open access pages.

A baby with oesophageal atresia or tracheo-oesophageal fistula should be nursed with a tube providing continuous suction drainage of the oesophageal pouch.

Medical management involves rehydration and correction of any electrolyte imbalance or hypoglycaemia. If there is an aspiration pneumonia then this should be treated with antibiotics.

Surgical correction of the abnormality is made by an end-to-end anastomosis through a right thoracotomy in the bed of the fifth rib. The azygous vein is doubly ligated, divided, and the mediastinal pleura incised. If a fistula is present, it is divided at its entrance into the trachea and sewn shut. The proximal pouch is then mobilized and the end-to-end anastomosis is established.

With early diagnosis and surgical intervention, as few as 10% of patients perish.

 
General Practice Notebook
General Practice Notebook
The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions LtdĀ®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions LtdĀ® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.