tracheoesophageal fistula, esophageal atresia repair…

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tracheoesophageal fistula repair, tef repair, esophageal atresia repair, surgery is used, repair two congenital defects, the airway, digestive tract, tracheoesophageal fistula, tef, esophageal atresia, defects, occur together, occur separately, in babies, tef, trachea, airway, upper portion, the digestive tract fail to develop, early fetal development, in those, esophageal atresia, esophagus is interrupted, ends, blind pouch, lower portion, the esophagus is abnormally connected, airway, trachea, by a small channel, tube, a fistula, five basic anatomic variations of tef, management is similar, all types, congenital anomaly is thought to occur in 1 in 1,500-3000 infants, boys, girls, affected equally, associated congenital anomalies, the heart, gastrointestinal tract, nervous system, common, surgery is performed the child is under general anesthesia, unconscious, pain-free, an incision is made, in the right chest between the ribs, thoracotomy, tracheoesophageal fistula is closed off, upper, lower portions, the esophagus, sewn together, infants, not suitable candidates, immediate repair, the case, other congenital anomalies, present that contribute to severe illness, infant was born prematurely, a low birth weight, infants undergo surgical repair after other problems have resolved, in cases where surgery, delayed, a venting gastrostomy tube, in the stomach to decompress the stomach, prevent fluid from going up the esophagus, trachea, gastrostomy tube, placed using local anesthesia, in otherwise healthy infants, certain types of tef, simpler, repair after a period of time has passed, the baby to grow, period, is 2-4 months, periodic dilations, the underdeveloped esophagus performed to enlarge it, make subsequent repair easier, such infants, require a venting gastrostomy tube, decompression, the stomach, feedings, repair, accomplished, life-threatening problems requiring immediate intervention, saliva, gastric secretions aspirated, lungs, the abnormal opening, in the trachea, normal swallowing, digestion of food cannot occur, the abnormal esophagus, risks, anesthesia, reactions to medications, problems breathing, surgery, bleeding, infection, additional risks, narrowing of repaired organs, collapsed lung, pneumothorax, hypothermia this problem, corrected surgically, two portions, the esophagus, too short, further reconstruction necessary, a gastrostomy tube temporarily inserted, feedings, infant, cared, surgery, neonatal intensive care unit, baby, in an isolette, incubator, to keep warm, prevent infection, oxygen, mechanical ventilation necessary, a chest tube placed to drain fluids, intravenous fluids, pain medications, feedings, started, depending on the extent, the repair, length of hospitalization, depending on the seriousness, the surgery, baby's condition.