Sonography of combined esophageal and duodenal atresia.

Congenital Triple Atresia of the Esophagus, Duodenum and Rectum – A Diagnostic Dilemma

“…Spitz in a review of 18 patients of esophageal atresia and duodenal atresia emphasized that these babies are at high risk with.mortality rates ranging from 67% to 94% [4]. Jackson and colleagues infer that the majority of these deaths are caused by failure to recognize the second abnormality pre-operatively [5]. In the present case, the x-ray of chest and abdomen was taken with red rubber catheter in situ to confirm the diagnosis of esophageal atresia and the same film revealed the typical double bubble appearance of gas shadow in the upper abdomen.…”

Ultrasound ‘Double Bubble’ Sign in the Diagnosis of Duodenal Atresia

“…The combination of oesophageal and duodenal atresia is particularly lethal, with mortality rates ranging from 67-94%. 4 Such high mortality often reflects a failure to recognise the second abnormality preoperatively, 5 with consequent dehydration and electrolyte loss resulting in profound metabolic alkalosis.…”

Duodenal Obstruction

“…Spitz and colleagues reported the combination of esophageal and duodenal atresias as particularly lethal, with mortality rates ranging from 67% to 94% in various series (Spitz et al 1981). Jackson et al inferred that the majority of these deaths are caused by failure to recognize the second abnormality preoperatively (Jackson et al 1983).…”