Tracheoesophageal Fistula
Everything in the library about tracheoesophageal fistula — 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
2 items
Treatment for Long Gap Esophageal Atresia: Esophageal Elongation and Replacement
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Pediatric surgeons Dr. Daniel Von Allmen and Dr. Todd Ponsky from Cincinnati children's Hospital discussing the technique for treating long gap esophageal atresia. For additional info please visit: https://www.youtube.com/c/CincinnatiChildr
podcast10:56 · Jan 2022
QUAD #6 Slide Tracheoplasty for TEF, Otolaryngology Approach with Dr. Mike Rutter
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Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway c
video7:37 · Mar 2024
Evidence & Research
2 items
Case Based Journal Review: Esophageal Atresia in 2022
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Dr. José Campos is back, this time helping us review some of the latest literature on the diagnosis and management of Esophageal Atresia in children. In this podcast, we're reviewing a typical case with Dr. Todd Ponsky and incorporating lit
podcast17:55 · Aug 2022
Quick Literature Updates Episode 9
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We’re back with ninth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most int
video · Jun 2023
Case-Based Learning
1 item
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
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Dr. Todd Ponsky introduces the seminar covering complexities in the management of Tracheal Esophageal Fistula (TEF). Points of interest will include discussion around the "unsalvageable esophagus" and diagnosis of TEF. Dr. Michael Rutter, P
video120:59 · Nov 2018
Long-Term Care
1 item
QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team
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In this special episode from the QUAD Conference hosted by Cincinnati Children’s, Lizzy Lee takes us inside one of the world’s largest and most advanced multidisciplinary programs for children with complex airway and digestive conditions: t
video10:19 · Apr 2025
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Quick Literature Updates Episode 9
Patients with a transanastomotic tube had a 2.72 times higher risk of developing a stricture post-operatively after esophageal atresia with tracheoesophageal fistula repair
clinical1:10 ↗
The Midwest Pediatric Surgery Consortium study examined every patient who had a laparoscopic pyloric myotomy to identify patent processus vaginalis and followed them annually
clinical1:30 ↗
Of 526 patients enrolled in the PPV study, 283 had a patent processus vaginalis (bilateral, right, or left)
epidemiological2:00 ↗
Of 208 patients with at least one year follow-up, only three underwent inguinal hernia repair, all within the first year
clinical2:13 ↗
Most patent processus vaginalis do not turn into inguinal hernias based on four-year interim analysis data
clinical2:35 ↗
Liver transplantation for biliary atresia can be performed as initial treatment (primary) or after failed Kasai hepatoportoenterostomy (salvage)
clinical2:45 ↗
The current standard in the US for biliary atresia is Kasai first and liver transplant only if that fails
guideline3:05 ↗
Children who had an early salvage liver transplant (before age one) and children who had a primary liver transplant had similar outcomes
clinical3:30 ↗
Children who had a late salvage liver transplant had improved graft survival compared to other groups
clinical3:45 ↗
Some children who undergo the Kasai procedure will never end up needing a liver transplant
clinical4:00 ↗
Social risk screening in pediatrics involves screening for risk factors including food and housing insecurity, financial strain, and unsafe environments
clinical4:30 ↗
There is low concordance between screening results showing who might need resources and who is actually asking for more resources
epidemiological5:00 ↗
Families may feel uncomfortable with social risk screening and may think there might be downstream repercussions based on their answers
opinion5:15 ↗
There may be racial biases in screening practices, with non-white patients potentially being asked social risk questions more often
epidemiological5:28 ↗
Current social risk screening protocols may not be effective and may actually lead to more inequities
opinion4:50 ↗
QUAD #6 Slide Tracheoplasty for TEF, Otolaryngology Approach with Dr. Mike Rutter
Slide tracheoplasty can be used as a method of repairing challenging tracheoesophageal fistulas
clinicalMichael Rutter0:49 ↗
In a case with complete tracheal rings and TEF, both conditions were repaired simultaneously because there was no other option
clinicalMichael Rutter1:11 ↗
The slide tracheoplasty technique involves transecting the trachea above and below the hole with a bevel to avoid losing too much trachea
clinicalMichael Rutter1:25 ↗
Part of the trachea is used to repair the esophagus, then the trachea is slid over the top of it, often with a periosteal interposition graft
clinicalMichael Rutter1:35 ↗
Finding an H-type TEF can be quite difficult and is done via tracheoscopy or esophagoscopy
host_summaryKim Pribben2:06 ↗
In the slide tracheoplasty repair, a flap of trachea is sewn onto the esophagus so the front wall of the esophagus becomes a piece of trachea, using a quick running suture technique with 4-0 PDS
clinicalMichael Rutter2:18 ↗
When the distance between trachea and esophagus is large, using nerve hooks and slowly tightening multiple throws brings the structures together
clinicalMichael Rutter2:47 ↗
Serial esophagoscopies provide a good picture of outcomes in challenging TEF repair cases
host_summaryKim Pribben2:59 ↗
In the Swedish patient case, esophagoscopy at one month post-op showed the suture line where trachea was sewn to esophagus with the front wall being a piece of trachea
clinicalMichael Rutter3:08 ↗
The Swedish patient returned to eating and drinking everything despite having a very short trachea
clinicalMichael Rutter3:24 ↗
In the 4-year-old case, initial stabilization was achieved by placing an esophageal stent, which did not fix the holes but eliminated the mediastinal communication
clinicalMichael Rutter4:23 ↗
A slide tracheoplasty open approach provides much better visualization in the operating field for complex cases
host_summaryKim Pribben4:42 ↗
A transsternal, transtracheal approach provides fantastic exposure to the esophagus
clinicalMichael Rutter4:50 ↗
Tibial periosteum serves as a good interposition graft
clinicalMichael Rutter4:55 ↗
Periosteum is effective at protecting one lumen from another
clinicalMichael Rutter5:05 ↗
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