Esophageal Atresia and Tracheoesophageal Fistula Repairs: Feeding/Swallowing
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.