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Virtual Pediatric Hospital: Paediapaedia: Approach to Failure to Pass a Nasogastric Tube Paediapaedia: Gastrointestinal Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Failure to Pass a Nasogastric Tube

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


DDX:

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.

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