A newborn of 37 weeks gestational age, with no pathological findings in the prenatal ultrasound, presents in the examination performed in the delivery room a "stop" to the passage of the nasogastric tube. Chest and abdominal X-ray showed an atresic esophageal pouch, with normal gastrointestinal pneumatization. After a diagnostic evaluation that ruled out other anomalies and being in a stable respiratory condition, surgical intervention was decided. On what basis was the priority to intervene in this patient based?
The correct answer is 3. The fact that there is intestinal aeration points to the existence of a fistula of the lower esophageal segment with the trachea or with a bronchus. In this case, pulmonary complications are frequent due to the passage of gastric contents into the airway.
Due to the impossibility of swallowing saliva.
Because of frequently associated cardiac malformations.
Because of the risk of aspiration pneumonitis.
Due to the impossibility of enteral feeding.
Associated tracheomalacia.
The fact that there is intestinal aeration points to the existence of a fistula of the lower esophageal segment with the trachea or with a bronchus. In this case, pulmonary complications are frequent due to the passage of gastric contents into the airway.