Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Approach/Discussion:
The easiest way to differentiate between these two is to do an upper
GI with barium. In a perforated pharynx the barium will pool in the
posterior pharynx in a diffuse manner. In an esophageal atresia the
barium will pool in the proximal esophageal pouch.
Do an echocardiogram preoperatively on esophageal atresia patients to determine the side of aortic arch. This information is critical to the pediatric surgeon who must make their approach via the side opposite the aortic arch.
References:
See References Chapter.
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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