<prompt> Newborn baby with regurgitation of feeds and continuous drooling of saliva is:Esophageal atresiaGERDDiffuse esophageal spasm DESZenkers diverticulum  <response>: Ans. a. Esophageal atresiaESOPHAGEAL ATRESIA EA AND TRACHEOESOPHAGEAL FISTULA TEFThree basic types:Isolated EAIsolated H-type TEFEA and distal TEFMost common anatomy is upper esophagus ends in blind pouch and TEF connected to distal esophagusH-type--presents chronically and diagnosed later in life with chronic respiratory problemsHalf with associated anomalies--VACTERL associationVACTERL AssociationNonrandom association of birth defects:Vertebra! anomaliesAna! atresiaCardiac defectTracheoEsophageal fistulaRenal anamoliesLimb abnormalitiesClinical presentation in neonate EA or EATEFBubbling, Frothing, cyanosis, cough, and respiratory distressWith feedings - immediate regurgitation and aspirationClinical presentation with just TEF--feeding problems and recurrent aspirationDiagnosisInability to pass nasogastricorogastric tubeIsolated TEF: Esophagram with contrast media or bronchoscopy or endoscopy with methylene blueEsophageal atresia: X-ray shows coiled nasogastric tube in blind pouch with no distal gas gasless abdomenEsophageal atresia and distal fistula: Coiled nasogastric tube in blind pouch the large amount of air in stomach and intestinesTreatment--surgical ligation of TEF and resection with end-to-end anastomosis of esophageal atresia 