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