Management of VATER Syndrome

Initial Evaluation and Diagnosis

Genetic counseling should be provided to explain etiology, natural history, and recurrence risk, as recommended by genetics specialists 1
Complete physical examination to identify all associated anomalies should be performed, as suggested by medical professionals 2
Renal and bladder ultrasound, as well as cardiac evaluation with echocardiogram and EKG, are essential for initial evaluation 1

Regular cardiac follow-up for all patients with cardiac defects is crucial, according to the American College of Cardiology 1
Periodic screening for arrhythmias/EKG abnormalities should be conducted, as recommended by cardiovascular specialists 1
Transition to adult congenital heart disease specialists as patients age is necessary, as suggested by the American Heart Association 1
Nutritional assessment and support, especially for patients with tracheoesophageal fistula, should be provided, as recommended by gastrointestinal specialists 1
Evaluation and management of feeding difficulties, swallowing issues, and GERD should be performed, according to the North American Society for Pediatric Gastroenterology 1

Regular multidisciplinary clinic visits to coordinate care are essential, as recommended by the American Academy of Pediatrics 2
Annual/biennial assessments of all affected systems should be conducted, according to medical professionals 1
Developmental and cognitive assessments should be performed, as suggested by the American Academy of Neurology 1
Transition planning to adult care services is necessary, as recommended by the American College of Physicians 1

Family support and resources should be provided for families managing the complex care needs, as recommended by social work specialists 1

Lack of coordination between multiple specialists involved in care should be avoided, as suggested by medical professionals 1
Inadequate transition planning from pediatric to adult care should be prevented, according to the American College of Physicians 1