Esophageal Atresia With Distal Tracheo-Esophageal Fistula

  • Etiology: congenital
  • CXR: distended proximal pouch with coiled nasogastric tube within it and intestinal gas
  • Complications: at risk for having tracheomalacia
  • Clinical: most common (85%) esophageal atresia

Cases of Esophageal Atresia With Distal Tracheo-Esophageal Fistula

CXR of esophageal atresia with distal fistula
CXR shows a nasogastric tube coiled within a dilated proximal esophagus. There is gas in the stomach.
CXR AP (left) shows a nasogastric tube that cannot be advanced further in the esophagus. Vintage upper GI lateral image (right) shows a dilated proximal esophageal pouch compressing the airway. In current practice, there is no indication for doing an upper GI with positive contrast material.