Pediatric Malnutrition and Fluid Management in Tracheoesophageal Fistula

Alegra Rifani Masharto^1*, Kohar Hari Santoso², Bambang Pujo Semedi²

Abstract

Esophageal atresia, often accompanied by tracheoesophageal fistula (TEF), is a congenital anomaly that frequently requires urgent neonatal care and surgical repair. Children with TEF are at high risk of early and long-term malnutrition and feeding problems due to preoperative aspiration risk, perioperative fasting, anastomotic strictures, dysmotility, and comorbidities. Appropriate assessment of nutritional status, early targeted nutritional support (enteral and/or parenteral), and careful perioperative fluid and electrolyte management are critical to reduce complications, support healing, and optimize growth. This review synthesizes contemporary evidence on the epidemiology and mechanisms of malnutrition in TEF, nutritional assessment and strategies (TPN, gastrostomy, tube feeding, early oral feeding pathways), and perioperative fluid management principles tailored for neonates and malnourished children with TEF.

Keywords

pediatric anesthesia; perioperative strategies; esophageal atresia

Cite This Article

Masharto, A. R., Santoso, K. H., Semedi, B. P. (2025). Pediatric Malnutrition and Fluid Management in Tracheoesophageal Fistula. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 6: Nov – Dec 2025, Pages 1036-1039 URL: https://www.ijscia.com/wp-content/uploads/2025/11/Volume6-Issue6-Nov-Dec-No.969-1036-1039.pdf

Volume 6 | Issue 6: Nov – Dec 2025