The Teaching Point

Radiology is critically important in the initial diagnosis and ongoing management of long-gap oesophageal atresia. Contrast studies are useful for measuring the growth of the lower pouch and in assessing the distance between the upper and lower oesophageal pouches. Following a period of waiting (up to 10 weeks) there is growth of the lower pouch which facilitates a primary anastamosis of the ends. Feeding into the stomach via the gastrostomy assists development of the lower pouch.






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From the manuscript

A Radiological Chronicle of the Presentation and Management of a Long Gap Oesophageal Atresia

Free full text article: A Radiological Chronicle of the Presentation and Management of a Long Gap Oesophageal Atresia

Abstract
Long gap oesophageal atresia is a clinically and technically challenging condition to manage. Documentation of the gap between the upper and lower pouches is critical to deciding the timing and feasibility of a primary anastamosis. Integral to this process is the role of radiology. We present a case of long gap oesophageal atresia accompanied by chronological radiography demonstrating its` staged management and highlighting some common complications.






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