# Esophageal Atresia Masterclass — GCMD Library living collection

Updated: n/a · 9 episodes · 3 cited statements

## Episodes
### Surgical Techniques
- [Congenital and acquired tracheoesophageal fistulas in children](https://qa.library.globalcastmd.com/article/congenital-and-acquired-tracheoesophageal-fistulas-in-children-13456) — article · [machine version](https://qa.library.globalcastmd.com/article/congenital-and-acquired-tracheoesophageal-fistulas-in-children-13456.md)
- [Thoracoscopic repair of esophageal atresia with and without tracheoesophageal fistula Reparación toracoscópica de atresia esofágica con y sin fistula traqueoesofágica](https://qa.library.globalcastmd.com/article/thoracoscopic-repair-of-esophageal-atresia-with-and-without-tracheoesophageal-fi-13472) — article · [machine version](https://qa.library.globalcastmd.com/article/thoracoscopic-repair-of-esophageal-atresia-with-and-without-tracheoesophageal-fi-13472.md)
- [Reparación toracoscópica de atresia esofágica con y sin fistula traqueoesofágica](https://qa.library.globalcastmd.com/article/reparaci-n-toracosc-pica-de-atresia-esof-gica-con-y-sin-fistula-traqueoesof-gica-13471) — article · [machine version](https://qa.library.globalcastmd.com/article/reparaci-n-toracosc-pica-de-atresia-esof-gica-con-y-sin-fistula-traqueoesof-gica-13471.md)
- [Atresia Esofágica con Fístula Dr. Miguel Guelfand Clínica Las Condes](https://qa.library.globalcastmd.com/watch/atresia-esof-gica-con-f-stula-dr-miguel-guelfand-cl-nica-las-condes-13484) — video · [machine version](https://qa.library.globalcastmd.com/watch/atresia-esof-gica-con-f-stula-dr-miguel-guelfand-cl-nica-las-condes-13484.md)
- [Staged thoracoscopic internal traction approach for early repair of long-gap esophageal atresia (LGEA) with distal tracheoesophageal fistula (TEF)](https://qa.library.globalcastmd.com/article/staged-thoracoscopic-internal-traction-approach-for-early-repair-of-long-gap-eso-13453) — article · [machine version](https://qa.library.globalcastmd.com/article/staged-thoracoscopic-internal-traction-approach-for-early-repair-of-long-gap-eso-13453.md)
- [Atresia de Esófago Compleja Dr. Miguel Guelfand](https://qa.library.globalcastmd.com/watch/atresia-de-es-fago-compleja-dr-miguel-guelfand-13479) — video · [machine version](https://qa.library.globalcastmd.com/watch/atresia-de-es-fago-compleja-dr-miguel-guelfand-13479.md)
- [Atresia Esofágica sin Fístula  Long Gap - Dr. Miguel Guelfand Clínica Las Condes](https://qa.library.globalcastmd.com/watch/atresia-esof-gica-sin-f-stula-long-gap-dr-miguel-guelfand-cl-nica-las-condes-13483) — video · [machine version](https://qa.library.globalcastmd.com/watch/atresia-esof-gica-sin-f-stula-long-gap-dr-miguel-guelfand-cl-nica-las-condes-13483.md)

### Complications & Advanced Management
- [Early Management of Esophageal Leak in Esophageal Atresia: Changing Paradigms](https://qa.library.globalcastmd.com/article/early-management-of-esophageal-leak-in-esophageal-atresia-changing-paradigms-13643) — article · [machine version](https://qa.library.globalcastmd.com/article/early-management-of-esophageal-leak-in-esophageal-atresia-changing-paradigms-13643.md)
- [Update Course Rewind: Management of Esophageal Leaks 2022](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505) — podcast · 8:02 · [machine version](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505.md)

## Chapters
- [0:07](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=7) Introduction and First Case: Contained Leak Management (Ep 9)
- [1:36](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=96) Case 1 Management: Antisialagogue Therapy and Retrograde Endoscopy (Ep 9)
- [3:16](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=196) Case 2: Endoscopic Vacuum Therapy for Cervical Leak (Ep 9)
- [5:56](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=356) Case 3: Surgical Re-anastomosis for Large Unexplained Leak (Ep 9)
- [7:20](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=440) Summary and Key Takeaways (Ep 9)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- The endo-bag device is kept in place for 4 or 5 days and then reviewed in the OR. (clinical) [Ep 9 · 5:11](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=311)
- In the cervical leak case, the leak was completely shut down immediately after endo-bag placement and completely closed at 5 days. (clinical) [Ep 9 · 5:05](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=305)
- After surgical re-anastomosis for the large leak, the patient had no stenosis at 3 days and 3 weeks post-operatively and required no dilatation. (clinical) [Ep 9 · 6:59](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=419)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Every small or moderate leak that is contained can be managed by observation with no need for new intervention. — Cecilia Gigena summarizing the discussion [Ep 9 · 1:16](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=76)
- New intervention for esophageal leaks is only considered when leaks create huge pneumothorax that are not well drained, or if the patient is unstable. — Cecilia Gigena summarizing the discussion [Ep 9 · 1:29](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=89)
- Botulinum toxin can be used to block the secretion of saliva in patients with esophageal leaks. — Cecilia Gigena summarizing the discussion [Ep 9 · 1:41](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=101)
- Glycopyrrolate is a medicine available in the US that blocks the secretion of saliva. — Cecilia Gigena summarizing the discussion [Ep 9 · 1:55](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=115)
- Retrograde endoscopy via gastrostomy tube is used when normal endoscopy cannot visualize the esophagus adequately due to stricture. — Cecilia Gigena summarizing the discussion [Ep 9 · 2:50](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=170)
- Endoscopic vacuum closure (endo-bag) is constructed from an NG tube with a hose covered by a surgical sponge, which is covered by a perforated transparent adhesive. — Cecilia Gigena summarizing the discussion [Ep 9 · 5:24](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=324)
- Endoscopic vacuum closure helps granulation tissue form by negative pressure, making the patient heal faster. — Cecilia Gigena summarizing the discussion [Ep 9 · 5:38](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=338)
- Most esophageal leaks can be treated by observation or chest drain. — Cecilia Gigena summarizing the discussion [Ep 9 · 7:22](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=442)
- If there is an external leak like in the neck or a fistula that is not healing well, an endovac can be a great solution. — Cecilia Gigena summarizing the discussion [Ep 9 · 7:28](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=448)
- For some patients with deteriorated status or great leaks, a re-anastomosis can be attempted. — Cecilia Gigena summarizing the discussion [Ep 9 · 7:37](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=457)
- After a leak, a stricture is more common, so patients have to be followed more thoroughly. — Cecilia Gigena summarizing the discussion [Ep 9 · 7:45](https://qa.library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=465)

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