First one with correct answer with justification win.

 

A 2.5-kg neonate with esophageal atresia and distal tracheoesophageal fistula undergoes a thoracoscopic primary repair on the second day of life. Salivary drainage is noted in the chest tube on postoperative day seven. A contrast study confirms controlled extravasation at the anastomosis.

 

 

 

[size=20px]The most appropriate initial management of this patient with an esophageal anastomotic leak is

 

A nothing by mouth, broad spectrum antibiotics and total parenteral nutrition.

 

B endoscopic placement of a stent across the anastomosis.

 

C right thoracoscopy with repair of the anastomosis.

 

D right thoracotomy with repair of the anastomosis.

 

E diverting cervical esophagostomy.[/size]

A

A

correct answer:

 

A nothing by mouth, broad spectrum antibiotics and total parenteral nutrition.