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The Vater Association

DAVID W. SMITH, MD
Am J Dis Child. 1974;128(6):767. doi:10.1001/archpedi.1974.02110310015001.
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The report by Barry and Auldist in this issue of the Journal (see page 769) further establishes and confirms the VATER association of anomalies. The authors, representing a most commendable association between a pediatrician and a surgeon, retrospectively evaluated 277 cases ascertained over a ten-year period because of the occurrence of either esophageal atresia, tracheoesophageal fistula, anorectal anomaly, or radial aplasia. The most common associated anomalies in these patients were found to be those of the VATER association, with a minimum of 8% of the patients having three or more of the anomalies that have been reported in this pattern of malformation.1 These anomalies include vertebral defects, anal atresia, esophageal atresia with tracheoesophageal fistula, radial dysplasia, renal anomaly (trill the r in VATER!), and cardiac defects that are not alluded to in the VATER terminology. Other defects that may occur as nonrandom features of this association include single umbilical

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