Related Experiment Video

Updated: Jul 14, 2025

Transuterine Fetal Tracheal Occlusion Model in Mice
06:31

Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

3.1K

Diagnosis and management of congenital type D esophageal atresia

Cuizhu Feng1,2, Long Li1, Yanxia Zhang1

  • 1Department of Pediatric Surgery, Capital Institution of Pediatrics, Beijing, People's Republic of China.

Pediatric Surgery International
|October 10, 2023
PubMed

Insights

Type D esophageal atresia often presents with vague symptoms, leading to frequent misdiagnosis as type C. Early detection and appropriate surgical repair are crucial for favorable outcomes, especially in patients without severe comorbidities.

Area of Science:

  • Pediatric Surgery
  • Congenital Malformations
  • Gastrointestinal Surgery

Background:

  • Type D esophageal atresia (EA), characterized by a proximal and distal fistula, presents diagnostic challenges.
  • Its rarity and lack of specific clinical manifestations contribute to delayed or incorrect diagnoses.

Purpose of the Study:

  • To describe current clinical practices and outcomes for Type D EA.
  • To highlight the impact of misdiagnosis on patient management and reoperation rates.

Main Methods:

  • Retrospective analysis of 10 patients with Type D EA treated between January 2017 and May 2022.
  • Review of diagnostic methods, surgical approaches (thoracoscopic and open), and patient outcomes.

Main Results:

  • 70% of patients were initially misdiagnosed as Type C EA.
  • Neonatal repairs involved thoracoscopic ligation and anastomosis, with variable detection of proximal fistulas.
  • Non-neonatal repairs utilized both thoracic and cervical approaches.
  • Nine out of ten patients achieved a cure; one death was attributed to severe congenital heart disease.

Conclusions:

  • Type D EA requires high clinical suspicion due to non-specific symptoms.
  • Misdiagnosis as Type C EA is a significant factor leading to unplanned reoperations.
  • Patients without severe associated anomalies demonstrate a good prognosis following appropriate surgical intervention.

Keywords:
EsophagographySurgical treatmentTracheoscopyType D esophageal atresia

More Related Videos

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

5.3K
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

13.5K

Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
84
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
170
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
70
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
105
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
74
Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
105