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Type C Esophageal Atresia
Everything in the library about type C esophageal atresia — built automatically from the recorded discussions that name it
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
Surgical Management
1 item
Esophageal Atresia - Arnold Coran: Update Course 2014
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Dr. Arnold G. Coran, professor Emeritus of Surgery, University of Michigan Health System, opens the symposium with discussion of esophageal atresia patients. His presentation provides insight on the current management of esophageal atresia
video · Nov 2018
Evidence & Research
2 items
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the first quarter of 2025, January, February and March issues. This time we're talking to editors Drs. Ro
podcast16:35 · May 2025
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2025
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the second quarter of 2025, April, May and June issues. This time we're talking to editors Drs. George Ho
podcast16:35 · Aug 2025
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
A subset of children after esophageal atresia repair experience severe airway collapse, leaving them ventilator dependent or suffering repeated cyanotic spells
host_summaryEm Gootee1:41 ↗
80 patients with severe airway collapse after esophageal atresia is a huge number; most pediatric surgeons won't see 10 such patients in their career, and many wouldn't see 5
epidemiologicalGeorge W. Holcomb III2:17 ↗
90% of patients showed complete airway collapse on dynamic bronchoscopy
host_summaryGeorge W. Holcomb III2:34 ↗
Three-quarters of tracheobronchopexy procedures used a posterior approach
host_summaryGeorge W. Holcomb III2:40 ↗
Tracheobronchopexy was performed on thoracic trachea alone in over half the patients, but had to be extended onto the bronchi in 40%
host_summaryGeorge W. Holcomb III2:44 ↗
94% of patients avoided tracheostomy with a mortality rate of 5%, and the procedure significantly reduced pressure ventilation and ventilator dependence
host_summaryGeorge W. Holcomb III2:57 ↗
In experienced hands who have done numerous or hundreds of these procedures, tracheobronchopexy can have very good outcomes for patients with severe airway collapse symptoms
opinionGeorge W. Holcomb III3:14 ↗
Canada is the second largest country in the world geographically, though population-wise smaller than California
epidemiologicalEric Skarsgard5:28 ↗
The majority of Canada's population lives within 200 kilometers of the US border, but there are definitely lots of children in remote communities where it is not easy to access care
epidemiologicalEric Skarsgard5:38 ↗
Outreach services were present in only 7 out of 10 provinces, and only 8 out of 18 children's hospitals (44%) provided outreach services
epidemiologicalPreet Bir6:43 ↗
A significant number of outreach services are located within 50 kilometers of a children's hospital, leaving vast regions without access to pediatric surgical care
host_summaryEm Gootee6:57 ↗
In most places in Canada, no one would transfer a 16 or 17 year old with appendicitis to a children's hospital for surgery; physiologically and every other way they're an adult and do not need the expertise of a pediatric surgeon
clinicalEric Skarsgard7:36 ↗
It's a misconception that the Canadian healthcare system ensures timely care; it actually doesn't, and children wait for surgery beyond their wait time target
clinicalEric Skarsgard8:01 ↗
Newfoundland and Labrador has the best outreach setup with only two pediatric surgeons who have established outreach clinics all over the province, serving as a model to others
clinicalEric Skarsgard8:16 ↗
The population of Newfoundland and Labrador is really rural and spread out, and weather-wise it can be impossible sometimes to access care or financially devastating
epidemiologicalEric Skarsgard8:31 ↗
There are measurable costs of living remote to accessible high-quality care in terms of time required to be seen and actual clinical outcomes
clinicalEric Skarsgard9:01 ↗
In the NSQIP database, 5% of all pediatric procedures were G-tube, which is a pretty sizable percent
epidemiologicalSean Kunisaki11:56 ↗
The study examined 4,612 G-tube placements from 71 NSQIP-Pediatric hospitals in 2023
host_summaryEm Gootee12:38 ↗
77% of G-tube cases were first-time G-tubes as opposed to redos
epidemiological12:46 ↗
Upper GI studies were obtained in 45% of first-time G-tube cases with substantial interhospital variability from 0 to 99%
host_summaryEm Gootee13:04 ↗
The heterogeneity in use of preoperative upper GIs was extremely broad with no real reason, indicating a potential teaching moment
opinionSean Kunisaki13:20 ↗
14% of G-tube cases resulted in an ED visit within 0 to 30 days
host_summaryEm Gootee13:45 ↗
5.2% of G-tube cases involved dislodgement within 0 to 30 days
host_summaryEm Gootee13:45 ↗
An additional 5.5% of G-tubes were dislodged in the 31 to 60 day period
clinical13:55 ↗
Dislodgement rates are higher than rates of readmissions or IR interventions, making dislodgements a great QI target
opinion13:55 ↗
If you can get dislodgements down, ED visits go down; when dislodgements happen early, patients are told to come back to the ED
clinical14:15 ↗
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2025
A subset of children after esophageal atresia repair experience severe airway collapse, leaving them ventilator dependent or suffering repeated cyanotic spells
host_summaryEm Gootee1:48 ↗
The tracheobronchopexy series included 80 patients, which is a huge number - most pediatric surgeons won't see 10 of these patients in their career, and many wouldn't see 5
epidemiologicalGeorge W. Holcomb III2:17 ↗
90% of patients on dynamic bronchoscopy showed complete airway collapse
host_summaryGeorge W. Holcomb III2:34 ↗
Three-quarters of tracheobronchopexy procedures used a posterior approach
host_summaryGeorge W. Holcomb III2:40 ↗
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