Past Events

Esophageal Atresia: Complicated Situations, Pitfalls, and Pearls

Aired on 12.12.2012
Esophageal Atresia: Complicated Situations, Pitfalls, and Pearls CME


This course will review the basics of Esophageal Atresia, the current treatment modalities, the possible complications and how they can be avoided, and most importantly, tips and tricks for managing variations.

Directors & Faculty


Arnold G. Coran, MD

Professor Emeritus of Surgery, University of Michigan Health System. Ann Arbor, Michigan.

Steve Rothenberg, MD

Chief of Pediatric Surgery at Rocky Mountain Hospital for Children, Denver, Colorado. Professor of Surgery at Columbia University, New York, New York He was a founder and past president of the International Pediatric Endosurgical Group (IPEG), SAGES, Telementoring Task Force Member

Todd Ponsky, MD

Todd Ponsky is currently Professor of Surgery at the University of Cincinnati and a pediatric surgeon at Cincinnati Children’s Hospital Medical Center and Akron Children’s Hospital. He is the Director of Clinical Growth and Transformation at Cincinnati Children’s Hospital. He attended medical school at Case Western Reserve University in Cleveland, Ohio from 1995-1999,Residency in General Surgery at The George Washington University in Washington, DC from 1999-2005, Pediatric Surgery Fellowship at Children's National Medical Center in Washington, DC from 2005-2007,and an Advanced Minimally Invasive Pediatric Surgery Fellowship at The Rocky Mountain Hospital for Children in Denver, CO from 2007-2008. Dr. Ponsky was the first to perform and report single port surgery in children and modernized the methods of the laparoscopic pediatric hernia repair. He has published over 125 manuscripts, edited 3 textbooks, and authored over 30 book chapters. He has directed over 50 national/international courses and has given over 200 visiting lectureships. He is the Associate Editor for The Journal of Pediatric Surgery, and serves on three editorial boards. He is the immediate past president of the International Pediatric Endosurgery Group (IPEG) and holds, or has held, leadership positions in the American College of Surgeons (ACS), the American Pediatric Surgical Association (APSA), the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the International Society for Pediatric Innovation (iSPI). He has won numerous faculty teaching awards. He is involved in both outcomes and animal research with a focus on inguinal hernia physiology, surgical telementoring, endoscopic repair techniques for pure esophageal atresia, and innovations in education. He founded GlobalcastMD and Stay Current in Surgery, both of which serve to democratize and internationalize medical knowledge and modernize the way we teach and learn surgery.

Additional Faculty

Aayed Al Qahtani, MD, FRCSC, FACS

Director KSU Obesity Chair, Associate Professor & Consultant of Obesity; MIS Surgery, College of Medicine, King Saud University & KFMC, Riyadh, Saudi Arabia

Pietro Bagolan, MD

Chief of Dept. of Medical and Surgical Neonatology, Chief of Newborn Surgery, Bambino Gesu' Children's Hospital, Rome, Italy

Matias Bruzoni

Assistant Professor - Med Center Line, Surgery - Pediatric Surgery, Lucile Packard Children's Hospital, Palo Alto, California.

John Foker, MD, PhD

Dr. Foker is the Robert L. and Sharon G. Kaster Professor, Division of Cardiovascular & Thoracic Surgery at the University of Minnesota and has been a leader in the areas of congenital heart disease, esophageal atresia and tracheoesophageal fistula.Minneapolis, Minnesotanbsp;

Miguel Guelfand

Assistant Professor of Pediatric Surgery Chief of Neonatal Surgery University of Chile Exequiel Gonzalez Cortez Children’s Hospital Santiago, Chile

Cynthia Reyes

Pediatric Surgeon, Associate Professor of Surgery, University of New Mexico, Albuquerque, New Mexico.

Amber Shada

Pediatric Surgeon, University of Virginia Children's Hospital, Charlottesville, Virginia

Anna Shawyer

Hospital for Sick Children, Toronto, Canada

Holger Till, MD

Pediatric Surgery, Fur Kinder-Und Jugendchirurgie Medizinische Universitat Leipzig, Germany

Patricio Varela, MD

Assistant Professor, Pediatric Surgery Universidad de Chile Calvo Mackenna Children Hospital Clinica Las Condes Medical Center, Santiago, Chile

kamalesh pal

Department of Surgery, King Fahad Hospital of the University, College of Medicine, Raid, Saudi Arabia

wolfgang sterh

Pediatric Surgeon, Pediatric Surgical Associates of the East Bay and the Children's Hospital and Research Center at Oakland, California


9:00 am - 9:05 am
9:05 am - 9:40 am
Panel Discussion
Pearls and Pitfalls

9:40 am - 9:50 am
Tips and Tricks for the standard repair of a esophagealatresia with TEF Discussion of different options and techniques
9:50 am - 10:00 am
Panel Discussion
10:00 am - 10:13 am
Long Gap Atresia: What are the options? How to assess the gap

10:13 am - 10:15 am
Panel Discussion & Case Presentations
Long gap esophageal atresia: Assessing the Gap
10:15 am - 10:30 am
Panel Discussion
Pearls and Pitfalls

10:30 am - 10:45 am
New Paradigm for assessing Ultra Long EA gap
10:45 am - 11:00 am

11:00 am - 11:10 am
Panel Discussion & Case Presentations
Use of Fogarty Catheter for pushing ends together
11:10 am - 11:15 am
11:15 am - 11:25 am
Esophageal Replacement: What are the options? Pros and Cons?
11:25 am - 11:50 am
Panel Discussion
Tips and Tricks, Pearls and Pitfalls

11:50 am - 12:00 pm
Complications: Recurrent TEF, fistula, reflux: endoscopic vs thoracotomy, tips and tricks
12:00 pm - 12:15 pm
Panel Discussion

12:15 pm - 12:25 pm
Panel Discussion & Case Presentations
EA Complications Case Presentation
12:25 pm - 12:30 pm
Panel Discussion & Case Presentations
Endoscopic Closure of fistula with Tricloric Acid
12:30 pm - 1:00 pm
Panel Discussion

1:00 pm - 1:15 pm
Panel Discussion & Case Presentations
Case: Esophageal Atresia with Tracheo-Esophageal Fistula
1:15 pm - 1:30 pm
Panel Discussion & Case Presentations
Tracheo Esophageal Fistula\vHow one patient trained an entire fellow
1:30 pm - 1:45 pm
Panel Discussion & Case Presentations
Interesting Case Presentation: \v\vEsophageal Atresia
1:45 pm - 2:00 pm
Panel Discussion & Case Presentations
Long-Gap Esophageal Atresia in an infant with CHARGE Association and Tetralogy of Fallot
2:00 pm - 2:15 pm
Panel Discussion & Case Presentations
H fistula Case Presentation
2:15 pm - 2:15 pm
Panel Discussion

2:15 pm - 2:30 pm
Panel Discussion & Case Presentations
Long Gap EA with TEF with right esophageal lung in a preterm SGA baby

2:30 pm - 3:00 pm

Topics Covered

How to decrease the chances for leak or recurrent fistula

How to assess the gap, Esophageal Replacement: Complications: Recurrent TEF, endoscopic vs thoracotomy, tips and tricks, Reflux


1. Recognize how to better prevent complications such as leakage and fistula.

2. Recognize benefits and drawbacks of minimally invasive approaches to treatment of esophageal atresia and understand limitations of endoscopic vs. thoracotomy.

3. Describe how to manage stricture and recurrence

4. Identify indications, options for long gap atresia and better understand uses 

Disclosures and Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas, Elements & Policies of the Ohio State Medical Association through the joint sponsorship of Children’s Hospital Medical Center of Akron and GlobalCastMD. Children’s Hospital Medical Center of Akron is accredited by the OSMA to provide continuing medical education for physicians.

The Children’s Hospital Medical Center of Akron designates this live activity for a maximum of 4.00 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in this activity.