Esophageal Atresia: Explained | Cincinnati Children's скачать в хорошем качестве

Esophageal Atresia: Explained | Cincinnati Children's

https://www.cincinnatichildrens.org Esophageal Atresia: Explained - A GlobalCastMD production Daniel von Allmen, MD, Surgeon-in-Chief: My name is Dan von Allmen. I have the privilege in being the Surgeon-in-Chief at Cincinnati Children’s hospital. We’re here today to talk about Esophageal Atresia. Esophageal Atresia is a congenital anomaly that is caused by failure of the esophagus, which is the swallowing tube, to form completely between the mouth and the stomach in the abdomen. There are multiple different forms of Esophageal Atresia. In the most common type: the upper part of the esophagus, or the proximal esophagus, ends in a blind pouch. And the lower part of the esophagus, rather than connecting all the way through the esophagus, actually connects to the airway, or the trachea. The second most common type of Esophageal Atresia is actually a pure atresia, where there is a closed off pouch at top and a closed off pouch at the bottom just above the stomach. There’s no connection of the esophagus to itself, or to the airway in the chest. In some babies, Esophageal Atresia can be a much more complicated problem. Here at Cincinnati Children’s Hospital we have a multiple disciplinary team that includes general surgery, ENT, pulmonary, and gastroenterology, and we all work together to determine the best treatment plan for the patient. Multiple operations may be required to get the esophagus together. Ideally we’d like to pull the two ends of the esophagus together, that’s called a “primary repair.” Sometimes that takes multiple stretching episodes and that’s called a “delayed primary repair.” If it’s not possible to pull the esophagus together then we may need to replace it. The options for replacement include: the stomach, the small bowel, and the colon. Children that have a complicated esophageal atresia repair often times require a long term follow up for potential complications in the future. Many of the children have difficulties eating, and a feeding team and nutrition team are important. In addition, there are other anomalies that can occur in association with esophageal atresia. So genetics may be important as well as social work to address family concerns. The most important thing to remember is that Esophageal Atresia is a treatable condition. And while your child may require multiple operations, and that’s a serious thing, we strive to have your child reach their full potential and lead a long and happy life.