Esophageal Atresia, Duodenal Atresia, and Imperforate Anus: Triple Atresia

Triple atresia (TA), that is, esophageal atresia (EA), duodenal atresia (DA), and imperforate anus is very uncommon. We retrospectively analyzed five children who presented with TA from January 2007 to December 2012. High sigmoid colostomy was done in three and excision of pouch colon in two cases, as the first stage of surgery. Out of five cases, three cases underwent DA surgery as the third stage, and in two cases, the diagnosis was made later, and in one case the child was not stable during the tracheoesophageal fistula surgery, and hence, it was postponed. In case of the two cases where it was diagnosed at the time of admission, they directly underwent DA surgery as the first stage. A high index of suspicion for the detection of coexisting gastrointestinal anomalies is mandatory in the management EA patients, to avoid undue morbidity and mortality.