Definition
Tracheoesophageal fistula (TEF)is a hole or abnormal connection between the food pipe (esophagus)
and the windpipe (trachea), which allows food or liquids to enter the lungs and air to pass into the
stomach.
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Types
1. Type A:Esophageal atresia without fistula.
2. Type B: Fistula between upper esophagus and trachea.
3. Type C: Fistula between lower esophagus and trachea (most common).
4. Type D: Fistula between both upper and lower esophagus with trachea.
5. Type E (H-type): Fistula without esophageal atresia — shaped like the
letter “H”.
Surgical Management
1. •Primary repair of fistula
• Esophageal reconstruction
● • Post-operative care to prevent
complications
11.
Nursing Management
● •Maintain airway . Maintain Airway: Keep the airway clear; position the baby
to prevent aspiration (usually semi-upright).
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● 2. Prevent Aspiration: Avoid oral feeding until surgery; use suction to
remove secretions.
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● 3. Monitor Breathing: Observe for signs of respiratory distress or cyanosis.
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● 4. Provide Nutrition: Give IV fluids or gastrostomy feeding as prescribed.
● 5. Postoperative Care: Monitor surgical site, maintain tube patency, and
provide emotional