Esophageal Atresia and Tracheoesophageal Fistula Repairs: Feeding/Swallowing

Esophageal Atresia and Tracheoesophageal Fistula Repairs: Feeding/Swallowing

ESPGHAN-NASPGHAN Guidelines for the Evaluation and Treatment

This is an excellent summary of recent research and current perspectives on management from leading GI physicians worldwide. Infants and children with EA or TEF have complex co-morbidities, among them airway, GI, and respiratory that can result in an impairment or alteration in swallowing physiology. Although they are at high risk for vocal cord paralysis post-op that can lead to aspiration, they also frequently present with esophageal swallowing problems that may result in compensations along the swallow pathway that also predispose them to aspiration. In addition, the adverse effects of gastroesophageal and extraesophageal reflux on the integrity of the esophageal repair site can further complicate motility and create enduring problems through adolescence. This guideline attached provides information to inform our practice, increases our ability to speak in a more informed way with physicians and can help us advocate for our pediatric patients. I hope you enjoy it as much as I did.

Catherine

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s