Objective: To probe the diagnosis and treatment of Ⅴ type esophageal atresia. Methods: A total of 15 children(from January 2000 to November 2015)with Ⅴ type esophageal atresia were enrolled in this retrospective study. The diagnosis and treatment of Ⅴ type esophageal atresia were analyzed. Results: All the 15 cases with Ⅴ type esophageal atresia were diagnosed by iodine oil contrast examination of esophagus

fiberoptic bronchoscopy combined with gastroscope and three-dimensional CT reconstruction of trachea and esophagus. One patient of V type esophageal atresia underwent tracheo-esophageal fistula ligation directly and experienced recurrence at one month postoperation; the patient recovered after tracheo-esophageal fistula suture. All other 14 patients recovered by suturing after tracheo-esophageal fistula. All patients were followed up for one year without suffering from anastomosis orifice stenosis

gastroesophageal reflux and recurrent respiratory tract infection. Conclusion: Ⅴ type esophageal atresia can be diagnosised definitely by iodine oil contrast examination of esophagus

fiberoptic bronchoscopy combined with gastroscope and three-dimensional CT recon-struction of trachea and esophagus. The tracheo- esophageal fistula cutting off and suturing is an effective treatment for Ⅴ type esophageal atresia.