Pediatric Gastroenterology

Answer 1 Esophageal atresia. This patient has esophageal atresia, a common esophageal congenital malformation in which the proximal esophagus ends in a blind pouch and is not in continuity with the distal esophagus and stomach. Over 90% of patients with esophageal atresia have an associated tracheoesophageal fistula. The patient is experiencing episodes of aspiration when attempting to swallow. A Zenker’s diverticulum would be very unlikely in a neonate. Neonatal GERD is possible but typically would not be associated with cyanosis. Disordered pharyngeal function is highly unusual in a neonate, and milk allergy could mimic some of these symptoms but would not manifest this soon after birth. g’s disease may vomit, constipation is the more common presenting symptom. Click here to return to the questions

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