The most common long-term problem for babies with TEF/EA is a condition called gastroesophageal reflux. We usually can treat this with medicine. Children with TEF/EA also might get more colds and other respiratory illnesses than other children. Tracheoesophageal Fistula and Esophageal Atresia Tracheoesophageal Fistula (TEF) TEF is an abnormal opening in one or more places between the esophagus (tube going from the mouth to the stomach) and the trachea (windpipe that goes from the throat to the lungs). Tracheoesophageal fistula (TEF) is a birth defect in which the trachea is connected to the esophagus. In most cases, the esophagus is discontinuous (an esophageal atresia ), causing immediate feeding difficulties. Definition Tracheoesophagealfistula and esophageal atresia repair is surgery to repair two birth defects in your esophagus and trachea. Your esophagus is the tube that carries food from the mouth to the stomach. Gastroesophageal reflux (GER) in infants, Management of Gastroesophageal Reflux After Esophageal Atresia Repair. esophageal atresia/tracheoesophagealfistula Background and aims: Gastroesophageal reflux (GER) is extremely frequent in patients with esophageal atresia and tracheoesophagealfistula (EA/TEF). Surgery can usually repair a TEF and EA. Once healing from the surgery is complete, your child may have these problems: The part of the esophagus that was repaired may become narrower. Your child may need to have more surgery to treat this. Your child may have heartburn or gastroesophageal reflux (GERD). This study represents the experience of a tertiary care center in the Kingdom of Saudi Arabia (KSA) on the long-term effect on the lungs of esophageal atresia (EA) and tracheoesophagealfistularepair (TEF), and to emphasize the magnitude of gastroesophageal reflux (GER) post-EA or post-TEF repair Oesophageal Atresia-Tracheoesophageal Fistula Esophageal atresia is among the most common congenital digestive malformations, affecting 1 in 3,000 newborn babies at birth. Since the first successful primary repair of esophageal atresia (EA) in 1941, improvements in operative and perioperative care have led to better outcomes, and thus we have seen an evolvement from mortality to morbidity and quality-of-life issues. Background. Esophageal atresia (EA), with or without tracheoesophagealfistula (TEF), is commonly associated with gastroesophageal reflux (GER) after surgical repair.