CHAPTER 20 Paediatric surgery
Alimentary tract emergencies in the newborn
Oesophageal atresia
The commonest type is a blind-ended, upper oesophagus associated with a tracheo-oesophageal fistula involving the lower oesophagus (→ Fig. 20.1). Oesophageal atresia may occur alone or with a tracheo-oesophageal fistula. The incidence is approximately 1:3000 births. There may be co-existing anomalies of the heart, kidneys and intestines.
Duodenal atresia
Malrotation (volvulus neonatorum)
Meconium ileus
Diaphragmatic hernia
Hirschsprung’s disease
Treatment

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