ABSTRACT
Shortly after birth, a term newborn male is found to have recurrent choking and cyanotic spells during breast feeding. A nasogastric tube is successfully passed into the stomach, and the patient is transferred to your NICU on the second day of life for further work-up. The patient is asymptomatic on arrival to the NICU with a nasogastric tube draining scant gastric secretions. Physical examination is normal. A plain film shows the nasogastric tube in the stomach with a normal bowel gas pattern. A water-soluble contrast esophagogram, shown in Figure 14.1, clearly demonstrates a tracheoesophageal fistula (TEF).
