Clinical outcomes following implementation of a management bundle for esophageal atresia with distal Tracheoesophageal fistula

Multi-institutional study of 170 infants with Type-C EA/TEF demonstrates 2.5-fold increase in protocol bundle compliance without compromising safety outcomes. Key finding: eliminating transanastomotic tubes correlated with reduced stricture rates over time, challenging traditional practice patterns in EA/TEF repair.