Collection
Esophageal Atresia Masterclass
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Standard EA/TEF Repair4 items
Congenital and acquired tracheoesophageal fistulas in children
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Tracheoesophageal fistulas (TEF) are an anomalous communication between airway and esophagus. There are several types of TEF. Congenital are mainly associated to an esophageal atresia. The type III or C, in which the upper segment of the es
article · Jun 2026
Thoracoscopic repair of esophageal atresia with and without tracheoesophageal fistula Reparación toracoscópica de atresia esofágica con y sin fistula traqueoesofágica
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Repositorio académico de la Universidad de Chile. Tesis, artículos y libros publicados en formato digital con distintos niveles de acceso
article · Jun 2026
Reparación toracoscópica de atresia esofágica con y sin fistula traqueoesofágica
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… Recent advances in surgical techniques have made possible correction with minimally invasive surgery (MIS). Objective: To evaluate the management of thoracoscopic technique in the …
article · Jun 2026
Atresia Esofágica con Fístula Dr. Miguel Guelfand Clínica Las Condes
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Atresia Esofágica con Fístula Dr. Miguel Guelfand Clínica Las Condes
video · Jun 2026
Long-Gap Esophageal Atresia3 items
Staged thoracoscopic internal traction approach for early repair of long-gap esophageal atresia (LGEA) with distal tracheoesophageal fistula (TEF)
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Staged thoracoscopic internal traction approach for early repair of long-gap esophageal atresia (LGEA) with distal tracheoesophageal fistula (TEF) - PubMed Clipboard, Search History, and several other advanced features are temporarily unava
article · Jun 2026
Atresia de Esófago Compleja Dr. Miguel Guelfand
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Atresia de Esófago Compleja Dr. Miguel Guelfand
Dentro de las actividades del Programa Académico de Cirugía Pediátrica del Hospital Roosevelt en Guatemala, tuvimos un invitado especial que nos platica sobre las complicaciones de la correcc
video · Jun 2026
Atresia Esofágica sin Fístula Long Gap - Dr. Miguel Guelfand Clínica Las Condes
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Atresia Esofágica sin Fístula Long Gap - Dr. Miguel Guelfand Clínica Las Condes
video · Jun 2026
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. Update Course Rewind: Management of Esophageal Leaks 2022 · 6:59
Early Management of Esophageal Leak in Esophageal Atresia: Changing Paradigms
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Introduction: A leak at the esophageal anastomosis can occur in 10%-20% of cases of esophageal atresia (EA). Thoracoscopic repair is trans-pleural, with the potential development of an empyema. Standard treatment of an anastomotic leak in a
article · Jul 2026
Update Course Rewind: Management of Esophageal Leaks 2022
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Podcast Episode · Stay Current in Pediatric Surgery · March 16, 2023 · 8m
podcast8:02 · Jun 2026
Featured picks for families are being prepared — the summaries above are written for you.
Expert statements from the recordings in this collection.
Update Course Rewind: Management of Esophageal Leaks 2022
Every small or moderate leak that is contained can be managed by observation with no need for new intervention.
New intervention for esophageal leaks is only considered when leaks create huge pneumothorax that are not well drained, or if the patient is unstable.
Botulinum toxin can be used to block the secretion of saliva in patients with esophageal leaks.
Glycopyrrolate is a medicine available in the US that blocks the secretion of saliva.
Retrograde endoscopy via gastrostomy tube is used when normal endoscopy cannot visualize the esophagus adequately due to stricture.
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.
Endoscopic vacuum closure helps granulation tissue form by negative pressure, making the patient heal faster.
The endo-bag device is kept in place for 4 or 5 days and then reviewed in the OR.
In the cervical leak case, the leak was completely shut down immediately after endo-bag placement and completely closed at 5 days.
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.
Most esophageal leaks can be treated by observation or chest drain.
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.
For some patients with deteriorated status or great leaks, a re-anastomosis can be attempted.
After a leak, a stricture is more common, so patients have to be followed more thoroughly.