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Just a quick update is all I have time for my hands are tied with Lucian. He is not doing so well since yesterday. I was really hoping he would take off like he did this last time. He did so awesome but not

The mainstay of treatment for benign esophageal strictures is dilation. Although dilation usually results in symptomatic relief, recurrent strictures do occur. In order to predict which types of strictures are most likely to recur, it is important to differentiate between esophageal strictures that are simple and those that are more complex.

Fundoplication is currently either the first or the second most commonly performed intra-abdominal procedure in infants and children in most pediatric surgical centers. Since the 1970s, surgical correction for gastroesophageal reflux (GER) has been performed by wrapping the upper stomach around the esophagus either a partial (Thal, Boix-Ochoa, Dor, Toupet) or complete (Nissen) fundoplication. In [...]

Esophageal atresia is frequently associated with other predictable anomalies and prematurity. The management of esophageal atresia will vary according to the size and vigor of the baby, the severity of complicating anomalies, and the distance between the 2 esophageal

in infants with repaired esophageal atresia or tracheoesophageal fistula (EA/TEF) are attributed conventionally to tracheomalacia. In the current study, the authors tested the hypothesis that a retrodisplacement of the tongue (glossoptosis), by causing a functional upper airway obstruction (obstructive apnea/hypopnea),

During a period of two decades, 1972-1991, 303 patients with esophageal atresia and/or tracheo-esophageal fistula were treated at the department of Pediatric Surgery, SMS Medical College, Jaipur, India. More than half of our patients fall into Waterston’s risk category C. To evaluate the improvement in the results, the patients were divided into four phases of [...]

What is tracheoesophageal fistula?
Tracheoesophageal fistula is an abnormal connection in one or more places between the esophagus (the tube that leads from the throat to the stomach) and the trachea (the tube that leads from the throat to the windpipe and lungs). Normally, the esophagus and the trachea are two separate tubes that are not [...]

Esophageal stricture
involves abnormal narrowing of the distal portion of the esophagus. It is a relatively common phenomenon, affecting approximately two in 1,000 people. Symptoms of this disorder vary and may include difficulty swallowing (dysphagia), painful swallowing, regurgitation of food and weight loss. Further complications may also arise if the stricture is left untreated. Fortunately, esophageal [...]

Purpose: This is a report of 4 patients with long gap/pure esophageal atresia, who, after an initial gastrostomy and cervical esophagostomy at birth, were treated with a new technique called fundal tube esophagoplasty.
Methods: The technique consisted of mobilization of the distal esophageal stump, division of the left gastric artery, and mobilization of upper half of [...]

At birth, the neonate’s primary concerns are protection of the airway and oral intake. The neonate is equipped with anatomical and physiological mechanisms to ensure these tasks that are somewhat different than the adult’s. Both airway anatomy and swallowing change with maturation.
The mouth and pharynx are much more compact in the neonate compared to [...]