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A 2.5-kg neonate with esophageal atresia and distal tracheoesophageal fistula undergoes a thoracoscopic primary repair on the second day of life. Salivary drainage is noted in the chest tube on postoperative day seven. A contrast study confirms controlled extravasation at the anastomosis.
The most appropriate initial management of this patient with an esophageal anastomotic leak is
A nothing by mouth, broad spectrum antibiotics and total parenteral nutrition.
B endoscopic placement of a stent across the anastomosis.
C right thoracoscopy with repair of the anastomosis.
D right thoracotomy with repair of the anastomosis.
E diverting cervical esophagostomy.
A 2.5-kg neonate with esophageal atresia and distal tracheoesophageal fistula undergoes a thoracoscopic primary repair on the second day of life. Salivary drainage is noted in the chest tube on postoperative day seven. A contrast study confirms controlled extravasation at the anastomosis.
The most appropriate initial management of this patient with an esophageal anastomotic leak is
A nothing by mouth, broad spectrum antibiotics and total parenteral nutrition.
B endoscopic placement of a stent across the anastomosis.
C right thoracoscopy with repair of the anastomosis.
D right thoracotomy with repair of the anastomosis.
E diverting cervical esophagostomy.
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