<![CDATA[Esophageal atresia & TOF Latest Topics]]>https://pediatricsurgeryclub.com/forum/124-esophageal-atresia-tof/en22/2/2026https://pediatricsurgeryclub.com/topic/3481-2222026/[size=6]A four-month old boy with a history of prior esophageal atresia and tracheoesophageal fistula repair has undergone previous aortopexy when he presented with a brief resolved unexplained event (BRUE). Postoperatively, he continues to have significant episodes of BRUE and intermittent hypoxic spells. Persistent tracheomalacia is identified on radiographic and bronchoscopic evaluation. The next best step in management of this patient with BRUE episodes is

 

a fundoplication.

 

b tracheostomy.

 

c tracheal stenting.

 

d posterior tracheopexy.

 

e repeat aortopexy.[/size]

]]>3481Mon, 23 Feb 2026 06:38:41 +00003/11/2024https://pediatricsurgeryclub.com/topic/3264-3112024/[size=20px]An 8-month-old girl presents with choking with every feeding. She had a previous proximal esophageal atresia (EA) and distal tracheoesophageal fistula (TEF) repair at birth with an uneventful recovery although she is still taking antireflux medication. An esophagram shows minimal narrowing at the anastomosis but a smooth narrowing in the distal esophagus with contrast passing into the stomach. What is the most appropriate step in management?

 

a increase proton pump inhibitor dose

 

b esophagoscopy

 

c laryngoscopy and bronchoscopy

 

d balloon dilation

 

e surgical resection[/size]

]]>3264Sun, 03 Nov 2024 12:12:04 +0000Thoracoscopic repair of EA and TOFhttps://pediatricsurgeryclub.com/topic/1837-thoracoscopic-repair-of-ea-and-tof/any one want link of HQ video please contribute with one thread to forums, and I will sent it to you by email

 

Edit: available without restrictions in next post

 

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]]>1837Thu, 25 Feb 2021 08:43:31 +0000Long gap EAhttps://pediatricsurgeryclub.com/topic/2259-long-gap-ea/]]>2259Mon, 12 Jul 2021 16:54:01 +0000During dissection of upper esophageal pouchhttps://pediatricsurgeryclub.com/topic/3229-during-dissection-of-upper-esophageal-pouch/]]>3229Thu, 05 Sep 2024 05:09:34 +0000Thoracoscopic repair of Esophageal atresia with Right Aortic Archhttps://pediatricsurgeryclub.com/topic/3388-thoracoscopic-repair-of-esophageal-atresia-with-right-aortic-arch/see video link in second post

 

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]]>3388Tue, 29 Apr 2025 21:24:58 +0000Thoracoscopic Staged Esophageal Atresia and Tracheoesophageal Fistula Repair (Type B)https://pediatricsurgeryclub.com/topic/3347-thoracoscopic-staged-esophageal-atresia-and-tracheoesophageal-fistula-repair-type-b/see video link in second post

 

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]]>3347Sat, 08 Feb 2025 09:54:30 +0000cervical oesophagostomyhttps://pediatricsurgeryclub.com/topic/3315-cervical-oesophagostomy/see video link in second post

 

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]]>3315Tue, 24 Dec 2024 17:55:05 +0000during thoracoscopic repair of EA/TOFhttps://pediatricsurgeryclub.com/topic/3059-during-thoracoscopic-repair-of-eatof/]]>3059Mon, 04 Dec 2023 03:43:53 +0000Training Sliding Knot for Long gap thoracoscopic EA. Patkowski techniquehttps://pediatricsurgeryclub.com/topic/3300-training-sliding-knot-for-long-gap-thoracoscopic-ea-patkowski-technique/see video link in second post

 

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]]>3300Tue, 19 Nov 2024 18:32:47 +0000Esophageal atresia historyhttps://pediatricsurgeryclub.com/topic/3273-esophageal-atresia-history/]]>3273Mon, 18 Nov 2024 17:24:55 +0000Clinical decision-making algorithm for right aortic arch with esophageal atresiahttps://pediatricsurgeryclub.com/topic/3275-clinical-decision-making-algorithm-for-right-aortic-arch-with-esophageal-atresia/]]>3275Mon, 18 Nov 2024 17:41:39 +0000Right aortic arch and esophageal atresia with Thoracoscopic approachhttps://pediatricsurgeryclub.com/topic/3254-right-aortic-arch-and-esophageal-atresia-with-thoracoscopic-approach/see video lecture link in second post

 

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]]>3254Fri, 18 Oct 2024 10:54:08 +000012/5/2024https://pediatricsurgeryclub.com/topic/3155-1252024/[size=20px]While on call, you cover a community hospital 25 miles away. This hospital has a small NICU and pediatric ward. The neonatologists and hospitalists are the same group you work with at your children’s center. There are no additional pediatric specialists at this hospital. You are called in the middle of the night by an experienced neonatologist that a full-term, 3 kg baby girl was born and incidentally found to have a proximal esophageal atresia (EA) and distal tracheoesophageal fistula (TEF). The patient had some respiratory distress and was just intubated. The baby is stable and now on minimal ventilatory settings. You inform the neonatologist that the most appropriate management is

 

A Extubate the patient

 

B Transfer to a children’s center

 

C Immediate repair of EA/TEF

 

D Immediate TEF ligation only

 

E Wait until the next morning for repair of EA/TEF[/size]

]]>3155Sun, 12 May 2024 11:44:55 +00004/2/2024https://pediatricsurgeryclub.com/topic/3104-422024/A 10 month old, former term infant boy with a history of long gap EA repair at another institution (done at the age of 4m after initial gastrostomy at birth) is on PPI for GERD. baby is complaining of infrequent attacks of Choking and regurgitation without weight loss and on upper GI study there is severe reflux but no stricture. baby sent to you by primary care physician for evaluation for fundoplication (as a second opinion after Primary surgeon is advising only using PPI). you advised doing fundoplication. The MOST compelling reason to stop the proton pump inhibitor and doing fundoplication[size=20px], as soon as reasonably possible, is due to the potential increased risk of:

 

A Clostridium Difficile infection[/size]

 

B Meningitis

 

C Pneumonia

 

D Necrotizing enterocolitis

 

E Fractures

]]>3104Sun, 04 Feb 2024 13:22:37 +0000Update on thoracoscopic repair of EA/TEF, 24 years after the first thoracoscopic ophttps://pediatricsurgeryclub.com/topic/3110-update-on-thoracoscopic-repair-of-eatef-24-years-after-the-first-thoracoscopic-op/see video link in second post

 

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]]>3110Mon, 05 Feb 2024 14:45:15 +0000Esophageal Atresia open Surgeryhttps://pediatricsurgeryclub.com/topic/1519-esophageal-atresia-open-surgery/

see video in second post

]]>1519Sat, 03 Oct 2020 05:59:03 +00001/10/2023https://pediatricsurgeryclub.com/topic/2992-1102023/[size=20px]After performing an esophageal atresia repair the patient is doing well but an esophagram on postoperative day seven identifies an anastomotic leak adequately drained with a chest tube. Which of the following medications has been shown to slow or stop the esophageal leak?

 

 

A metoclopramide / Reglan™

 

B esomeprazole / Nexium™

 

C guaifenesin / Mucinex™

 

D acetylcysteine / Mucomyst™

 

E glycopyrrolate / Robinul™

YES.png

​[/size]

]]>2992Sun, 01 Oct 2023 10:39:28 +0000Timing of EA/TOF repairhttps://pediatricsurgeryclub.com/topic/3053-timing-of-eatof-repair/]]>3053Thu, 30 Nov 2023 19:23:41 +0000Preop assessment of esophageal length in EA type Chttps://pediatricsurgeryclub.com/topic/2260-preop-assessment-of-esophageal-length-in-ea-type-c/]]>2260Tue, 13 Jul 2021 10:06:48 +0000spot diagnosis of neonate with frothy secretions per mouth and feeding intolerancehttps://pediatricsurgeryclub.com/topic/3051-spot-diagnosis-of-neonate-with-frothy-secretions-per-mouth-and-feeding-intolerance/ .]]>3051Sun, 26 Nov 2023 16:40:53 +0000Diagnosis of H/N type TEFhttps://pediatricsurgeryclub.com/topic/3020-diagnosis-of-hn-type-tef/]]>3020Wed, 25 Oct 2023 05:00:41 +0000Cbclips # 3https://pediatricsurgeryclub.com/topic/2596-cbclips-3/Six days after repair of esophageal atresia with distal tracheo-esophageal fistula in a baby boy born at term, this esophagogram is obtained.What do you see, and what will you do next?

 

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]]>2596Mon, 20 Dec 2021 21:49:53 +0000CBCLIPS Episode 20https://pediatricsurgeryclub.com/topic/2579-cbclips-episode-20/A few hours old baby boy born at 26 weeks gestation, weighing 680 grams, is transferred to your center with a diagnosis of Esophageal Atresia.

 

The baby underwent a difficult intubation immediately after birth and a nasogastric tube could not be passed into the stomach.

 

On exam, the baby is hemodynamically stable and has no other obvious anomalies. The naso-esophageal tube has some scant blood. Two chest x-rays done two hours apart are shown.

 

How do you proceed with management?

 

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]]>2579Mon, 20 Dec 2021 20:08:56 +0000in cases of tight Esophageal Anastomosis during TEF repairhttps://pediatricsurgeryclub.com/topic/3019-in-cases-of-tight-esophageal-anastomosis-during-tef-repair/ .]]>3019Tue, 24 Oct 2023 18:02:29 +0000