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Living with Esophageal atresia/tracheoesophageal fistula

A birth difference in which the food pipe (esophagus) is not formed normally and may connect to the windpipe.

Understanding Esophageal atresia/tracheoesophageal fistula

Esophageal atresia/tracheoesophageal fistula (EA/TEF) is a condition in which the esophagus develops abnormally before birth.

The esophagus carries food from the mouth to the stomach. In esophageal atresia, the upper esophagus does not connect to the lower part and stomach. Most babies also have a tracheoesophageal fistula, an abnormal link between the esophagus and windpipe. It usually shows up soon after birth, when saliva or milk may enter the airway.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Extra saliva
  • Feeding difficulties in infancy
  • Trouble swallowing (dysphagia)
  • Vomiting
  • Repeated breathing infections
  • Poor weight gain

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of EA/TEF does my child have?
What follow-up care will help with feeding and breathing?
Should we check for other differences in the body?

Quick facts

Symptoms usually startNewborn

Changes in genes cause this condition. GARD says it arises when the esophagus and windpipe do not separate properly in early development. GARD does not name a specific gene.

GeneticGastrointestinal

Also known as: abnormal connection between trachea and esophagus; abnormal connection between trachea and oesophagus; esophageal atresia; esophageal atresia and/or tracheoesophageal fistula; tof - tracheoesophageal fistula; tracheoesophageal fistula

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Esophageal atresia/tracheoesophageal fistulaGARD ID 6381 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Esophageal atresia/tracheoesophageal fistula.

Explore the Esophageal atresia/tracheoesophageal fistula blog

Explore research for Esophageal atresia/tracheoesophageal fistula

Explore actively recruiting Esophageal atresia/tracheoesophageal fistula studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Esophageal atresia/tracheoesophageal fistula with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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