Pediatric surgery basics: common congenital anomalies
General Surgery · MBBS
Study notes
A newborn drooling with choking on first feed — TE fistula; NG tube curls on X-ray; repair. TE fistula (tracheoesophageal — drooling, choking/cyanosis on feeds, NG tube curls in pouch: X-ray — coiled tube: preop — suction, antibiotics; repair — fistula ligation + anastomosis). Hirschsprung's (aganglionic colon — delayed meconium >48h, obstruction: biopsy — no ganglion cells; pull-through — Soave/Swenson). Anorectal malformation (no anal opening — invertogram; colostomy → PSARP). Intussusception (6–18 months — colicky pain, red currant jelly stools, sausage mass: air enema reduces; failed/peritonitis — surgery). The drooling newborn is TE fistula — the X-ray curl confirms.
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