# Esophageal Atresia Masterclass — GCMD Library living collection

Updated: n/a · 9 episodes · 4 cited statements

## Episodes
### Surgical Techniques
- [Congenital and acquired tracheoesophageal fistulas in children](https://library.globalcastmd.com/watch/congenital-and-acquired-tracheoesophageal-fistulas-in-children-13456) — article · [machine version](https://library.globalcastmd.com/watch/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://library.globalcastmd.com/watch/thoracoscopic-repair-of-esophageal-atresia-with-and-without-tracheoesophageal-fistula-reparaci-oacute-n-toracosc-oacute-pica-de-atresia-esof-aacute-gica-con-y-sin-fistula-traqueoesof-aacute-gica-13472) — article · [machine version](https://library.globalcastmd.com/watch/thoracoscopic-repair-of-esophageal-atresia-with-and-without-tracheoesophageal-fistula-reparaci-oacute-n-toracosc-oacute-pica-de-atresia-esof-aacute-gica-con-y-sin-fistula-traqueoesof-aacute-gica-13472.md)
- [Reparación toracoscópica de atresia esofágica con y sin fistula traqueoesofágica](https://library.globalcastmd.com/watch/reparaci-n-toracosc-pica-de-atresia-esof-gica-con-y-sin-fistula-traqueoesof-gica-13471) — article · [machine version](https://library.globalcastmd.com/watch/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://library.globalcastmd.com/watch/atresia-esof-gica-con-f-stula-dr-miguel-guelfand-cl-nica-las-condes-13484) — video · [machine version](https://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://library.globalcastmd.com/watch/staged-thoracoscopic-internal-traction-approach-for-early-repair-of-long-gap-esophageal-atresia-with-distal-tracheoesophageal-fistula-13453) — article · [machine version](https://library.globalcastmd.com/watch/staged-thoracoscopic-internal-traction-approach-for-early-repair-of-long-gap-esophageal-atresia-with-distal-tracheoesophageal-fistula-13453.md)
- [Atresia de Esófago Compleja Dr. Miguel Guelfand](https://library.globalcastmd.com/watch/atresia-de-es-fago-compleja-dr-miguel-guelfand-13479) — video · [machine version](https://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://library.globalcastmd.com/watch/atresia-esof-gica-sin-f-stula-long-gap-dr-miguel-guelfand-cl-nica-las-condes-13483) — video · [machine version](https://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://library.globalcastmd.com/watch/early-management-of-esophageal-leak-in-esophageal-atresia-changing-paradigms-13643) — article · [machine version](https://library.globalcastmd.com/watch/early-management-of-esophageal-leak-in-esophageal-atresia-changing-paradigms-13643.md)
- [Update Course Rewind: Management of Esophageal Leaks 2022](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505) — podcast · 8:02 · [machine version](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505.md)

## Chapters
- [0:07](https://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://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=96) Management with Antisialagogue Therapy and Retrograde Endoscopy (Ep 9)
- [3:16](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=196) Second Case: Endoscopic Vacuum Therapy for Cervical Leak (Ep 9)
- [5:56](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=356) Third Case: Surgical Re-anastomosis for Large Unexplained Leak (Ep 9)
- [7:20](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=440) Summary and Key Management Principles (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://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=311)
- With endoscopic vacuum therapy, the leak can be completely shut down immediately as seen on esophagram (clinical) [Ep 9 · 5:03](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=303)
- The endo-bag technique was described by Cristobal Abelo in a paper available online (clinical) [Ep 9 · 4:34](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=274)
- In the case of surgical re-anastomosis for a large unexplained leak, the patient required no dilatation and had no stenosis at 3-week follow-up (clinical) [Ep 9 · 6:59](https://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://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://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 management of esophageal leaks — Cecilia Gigena summarizing the discussion [Ep 9 · 1:41](https://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://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=115)
- Retrograde endoscopy via gastrostomy tube can be used to dilate esophageal strictures when antegrade visualization is inadequate — Cecilia Gigena summarizing the discussion [Ep 9 · 2:50](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=170)
- Endoscopic vacuum closure (endo-bag) consists of an NG tube with a hose covered by a surgical sponge, which is covered by a perforated transparent adhesive, connected to suction — Cecilia Gigena summarizing the discussion [Ep 9 · 5:24](https://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 and makes the patient heal faster — Cecilia Gigena summarizing the discussion [Ep 9 · 5:38](https://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://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://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://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=457)
- After a leak, a stricture is more common, so the patient must be followed more thoroughly — Cecilia Gigena summarizing the discussion [Ep 9 · 7:45](https://library.globalcastmd.com/watch/update-course-rewind-management-of-esophageal-leaks-2022-13505?t=465)

---
Educational content from recorded physician discussions — not medical advice. Cite the canonical URL or the ?t= deep link. Policy: https://library.globalcastmd.com/ai