Esophageal atresia / tracheoesophageal fistula (ea/tef) clinic

Provides EA/TEF patients and their families a multidisciplinary and interdisciplinary expertise to optimize the care and prevent the morbidity associated with complications that may develop during follow-up. 

Dep

Our services

All newborns with this malformation will automatically be referred to the clinic and be followed according to a well-defined protocol. Older children and adolescents who already have the malformation are gradually integrated into the clinic to allow standardization of follow-up, and ensure preparation for a smooth transition to a specialized adult site in the future.

Our team

Staff members:

How to contact us

To make an appointment or reach the office call : 514-412-4400, ext. 24474

Resources for parents
Research, publications and presentations

PUBLICATIONS

Articles  

  1. Sun L Y-C, Laberge J-M, Yousef Y, Baird R.  The esophageal anastomotic stricture index (EASI) for the management of esophageal atresia. J Pediatr Surg 2015; 50:107-110.
  2. Gurgerg J, Birnbaum R, Daniel S.  Laryngeal Penetration on Videofluoroscopic Swallow Study is Associated with Increased Pneumonia in Children. International Journal of Pediatric Otorhinolaryngology 2015; Nov 79(11):1827-30
  3. Kemps G, Sewitch M, Birnbaum R, Daniel S.  Contrast pooling in videofluoroscopic swallowing study as a risk factor for pneumonia in children with dysphagia.  International Journal of Pediatric Otorhinolaryngology 2015; Aug 79(8):1306-9.
  4. M Ramsay, R Birnbaum.  Feeding difficulties in children with esophageal atresia:  treatment by a multidisciplinary team. Dis Esophagus 2014; 26:410-412.
  5. Baird R, Lévesque D, Birnbaum R, Ramsay M.  A pilot investigation of feeding problems in children with esophageal atresia.  Dis Esophagus 2015; 28:224-228.  Online publication2014 Jan 28; doi: 10.1111/dote. 12178. 
  6. Kay-Rivest E, Baird R, Laberge J-M, Puligandla PS. An Evaluation of Aortopexy in the Management of Severe Tracheomalacia after Esophageal Atresia Repair. Dis Esophagus 2014. Online publication 22 Jan 2014 DOI: 10.1111/dote.12179.
  7. Lemoine C, Aspirot A, LeHenaff G, Piloquet H, Lévesque D, Giguère L, Morris M, Faure C. Characterization of esophageal motility following esophageal repair using high resolution manometry. J Pediatr Gastroenterol Nutr 2013; 56(6):609-14.
  8. Baird R, Laberge J-M, Lévesque D.  Anastomotic stricture after esophageal atresia repair: a critical review of recent literature.  Eur J Pediatr Surg 2013; 23:204-13.
  9. Lévesque D, Baird R, Laberge J-M. Refractory strictures post esophageal atresia repair: What are the alternatives?Dis Esophagus 2013; 26(4):382-87.
  10. Laberge J-M, Blair G. Thoracotomy for repair of esophageal atresia: Not as bad as they want you to think! Dis Esophagus 2013; 26:365-371.
  11. Aspirot A, Baird R, Faure C, Laberge J-M.  Editorial.  Second conference on esophageal atresia.  Dis Esophagus 2013; 26:353.
  12. Lo A, Baird R, De Angelis P, Lévesque D, et al.  Arterioesophageal fistula after stenting for esophageal atresia—a plea for caution.   J Pediatr Gastroenterol Nutr 2013 May; 56(5) e30-1. 
  13.  Abdullah Alshehri, Andrea Lo, Robert Baird.  An analysis of early nonmortality outcome prediction in esophageal atresia.  J Pediatr Surg 2012; 47:881–884.
  14. Lévesque D.  Multidisciplinary clinics: how to improve the follow-up of the patients?  JPGN Volume 52(Supp 1):S37-38, May 2011.
  15. Moreau B, Lévesque D, Faure C. Association of gastric heterotopic pancreas and esophageal atresia. JPGN 49: 1-3, 2009.
  16. Alabbad SI, Shaw K, Puligandla PS, Carranza R, Bernard C, Laberge J-M. The pitfalls of endotracheal intubation beyond the fistula in babies with type C esophageal atresia. Semin Pediatr Surg 18: 116-118, 2009.
  17. Abdalwahab A, Al Namshan M, Al Rabeeah A, Laberge J-M. Delayed fistulisation from esophageal replacement surgery. Semin Pediatr Surg 18: 104-108, 2009.
  18. Alabbad SI, Puligandla PS, Ryckman J, Shaw K, Nguyen LT, Laberge J-M. Use of transanastomotic feeding tubes at the time of esophageal atresia repair. J Pediatr Surg 44:902-905, 2009.
  19. Baird R, Laberge JM, Levesque D.  Caregiver Interaction in the Management of Children with Esophageal Atresia.  Manuscript.  ID DES-04-13-0173.  Submitted to Diseases of the Esophagus. 

ABSTRACTS (See also Poster Presentations)

  1. Aortic arch or descending aorta position during repair of esophageal atresia? Time to take sides. Delisle M, Baird R, Lévesque D, Laberge JM. Diseases of the Esophagus 26(4) 2013:428-442.
  2. Congenital esophageal stenosis (CES) associated with EA. McCann F, Michaud L, Aspirot A, Lévesque D, Gottrand F, Faure C. Diseases of the Esophagus 26(4) 2013: 428-442.
  3. A pilot investigation of feeding problems in children with EA. Baird R, Lévesque D, Birnbaum R, Ramsay M. Diseases of the Esophagus 26(4) 2013 428-442.
  4. Baird R, Lévesque D.  A Mixed Methodology Analysis of Caregiver Satisfaction Towards the Multidisciplinary Care of Children with Esophageal Atresia—the Importance of Caregiver Interactions.   JSR February 2013; vol 179 issue 2 page 195.
  5. Arterio-esophageal fistula from an aberrant right subclavian artery after esophageal stenting for stenosis after atresia repair. Andrea Lo (surgery fellow), Robert Baird, Dominique Lévesque, Véronique Morinville, Jean-Martin Laberge. First International Workshop on EA, Lille, France, May 27-28, 2010.
  6. Esophageal manometry: Mandatory for ph probe placement in EA paediatric patients Brigitte Moreau (GI fellow), Sandra Kambites, Dominique Lévesque. First international Workshop on EA, Lille, France, May 27-28, 2010.
  7. Association of ectopic pancreas and esophageal atresia-tracheo-esophageal fistula in        children. B Moreau (GI fellow), D Lévesque, C Faure. CAG Meeting, February 2009 and DDW 2009.
  8. Lévesque D. Achalasia-like motility disorder in a child after esophageal atresia repair. Acta Gastro-enterologica Belgica. 2003.
  9. Abdullah Al Shehri, Andrea Lo, Robert Baird. Non-mortality Outcome Prediction in Esophageal Atresia 2011 (CAPS meeting, Ottawa)

Poster Presentations  

  1. Le réseau québécois interuniversitaire d’étude de l’atrésie de l’œsophage: RQAO.  Righini Grunder F., Bouin M., Lévesque D., Castilloux J., Mayrand S., Faure C.  Montreal, Canada, JFI (Journées  fédératives interdisciplinaires) November 4, 2016.
  2. Parental Report of Feeding Problems in Children with Esophageal Atresia - Tracheoesophageal Fistula. Birnbaum R., Levesque D., Ramsay M.4th International Conference on Esophageal Atresia: Coming Together, Sydney Australia. September 15-16, 2016.
  3. Endoscopic multidisciplinary team for EA-TEF patients: A pilot study. Lévesque D, Zielinski D, Daniel S. 3rd International Congress on Esophageal Atresia: Bridging the Gap. Rotterdam, The Netherlands, October 2-3, 2014.
  4. Progression toward oral feeding in a child with long gap esophageal atresia: A case presentation of an interdisciplinary approach.Ramsay M, Birnbaum R, Trempe M-J, Puligandla P, Lévesque D. 3rd International Congress on Esophageal Atresia: Bridging the Gap. Rotterdam, The Netherlands, October 2-3, 2014.
  5. Yousef Y, Sun L Y-C, Baird R, Laberge J-M: Radiation Exposure and Attributable Lifetime Cancer Mortality Risk for Patients with Esophageal Atresia. Poster presentation, Third International Esophageal Atresia Conference, Rotterdam, October 2014.
  6. Sun L Y-C, Laberge J-M, Yousef Y, Baird R: The esophageal anastomotic stricture index (EASI) for the management of esophageal atresia. APSA meeting, May 2014; also presented as a poster at the Third International Esophageal Atresia Conference, Rotterdam, October 2014.
  7. A mixed methodology analysis of caregiver satisfaction towards the multidisciplinary care of children with esophageal atresia—the importance of caregiver interactions. Baird R, Lévesque D.Academic Surgical Congress (ASC 2013), New Orleans, February 2013.
  8. Aortic arch or descending aorta position during repair of esophageal atresia? Time to take sides. Delisle M, Baird R, Lévesque D, Laberge JM. 2nd International Conference on Esophageal Atresia: From the Fetus to the Adult. Montreal, Canada. October 8-9 2012.
  9. Kay-Rivest E, Baird R, Laberge J-M, Puligandla PS. An Evaluation of Aortopexy in the Management of Severe Tracheomalacia after Esophageal Atresia Repair. Second International Esophageal Atresia Conference, Montreal, Oct 2012.
  10. Congenital esophageal stenosis (CES) associated with EA.  McCann F, Michaud L, Aspirot A, Lévesque D, Gottrand F, Faure C. 2nd International Conference on Esophageal Atresia: From the Fetus to the Adult. Montreal, Canada. October 8-9 2012.
  11. A pilot investigation of feeding problems in children with EA. Baird R, Lévesque D, Birnbaum R, Ramsay M. 2nd International Conference on Esophageal Atresia: From the Fetus to the Adult. Montreal, Canada. October 8-9 2012.
  12. Arterio-esophageal fistula from an aberrant right subclavian artery after stenting esophageal for stenosis after atresia repair. Andrea Lo (surgery fellow), Robert Baird, Dominique Lévesque, Véronique Morinville, Jean-Martin Laberge. 2010 Annual Meeting of the Canadian Association of pediatric surgeons. Saskatoon, September 23-26, 2010.
  13. Esophageal manometry: Mandatory for ph probe placement in EA paediatric patients. Brigitte Moreau (GI fellow), Sandra Kambites, Dominique Lévesque. First International Workshop on EA, Lille, France, May 27-28, 2010.
  14. Association of ectopic pancreas and esophageal atresia-tracheo-esophageal fistula in children. B Moreau (GI fellow), D Lévesque, C Faure. CAG meeting February 2009 and DDW 2009.
  15. Achalasia-like motility disorder in a child after esophageal atresia repair. Lévesque D. Second European Pediatric GI Motility Meeting, Brugges, Belgium, 2003.

Oral Presentations

  1. The emotional burden of esophageal atresia.Baird R, Laberge J-M, Lévesque D. 3rd International Congress on Esophageal Atresia: Bridging the Gap.  Rotterdam, Netherlands, October 2-3, 2014.
  2. Nature is amazing: A case of spontaneous anastomosis in a long gap esophageal atresia. Emami C, Lévesque D, Laberge J-M, Emil S.  Canadian Association of Paediatric Surgeons 46th Annual Meeting, Montreal, Canada, September 18-20, 2014.
  3. A mixed methodology analysis of caregiver satisfaction towards the multidisciplinary care of children with esophageal atresia-the importance of caregiver interactions.  Baird R, Lévesque D. Presented at the Academic Surgical Congress, New Orleans 2013.
  4. Achalasia-like motility disorder in a child after esophageal atresia repair.1st North Eastern Pediatric GI Conference, Montreal, Canada, June 2003.

Plenary presentations

  1. 4th International Conference on Oesophageal Atresia:  Coming Together.  Sydney, Australia, September 15-16, 2016. Feeding difficulties in EA patients.  M. Ramsay.

2.         3rd International Conference on Esophageal Atresia:  Bridging the Gap.  Rotterdam, Netherlands, October 2-3, 2014. Feeding difficulties in esophageal atresia and tracheo-esophageal fistula: Physiological and psychological aspect and their impact on patents and their families. M. Ramsay.

3.         Congrès EA.  Montréal, September 13, 2012.     

  • Thoracotomy: not as bad as they want you to think.  Dr JM Laberge
  • What are the alternatives for refractory strictures?  Dre D Lévesque
  • Feeding difficulties in children with esophageal atresia. Dr M Ramsay et Rena Birnbaum

Conferences: Course Presentation

June 12-15, 2014                     ATOE-FTOE: Comment une approche multidisciplinaire peut améliorer le suivi de ces patients? Congrès international francophone ORL et chirurgie cervico faciale, SIFORL 2014, Montréal, Canada

November 2012            Summary of medical presentations of the 2nd International conference on esophageal atresia: from the fetus to the adult. AQAO (Association québécoise de l’atrésie de l’œsophage) Annual Meeting.Montreal, Canada

May 2010                                Multidisciplinary clinics: how to improve the follow-up of the patients? First International workshop on EA. Lille, France

BOOK CHAPTERS

  1. Baird R and Laberge JM:  Esophageal atresia and tracheo-esophageal fistula.  In: Mattei P editor: Fundamentals of Pediatric Surgery:  Second Edition, Springer, New York 2016.  Chapter 30, p. 257-267.
  2. Laberge J-M: Esophageal atresia and tracheo-esophageal fistula. In: Mattei P editor: Fundamentals of Pediatric Surgery.  Springer, New York 2011.  Chapter 33, p. 223-232.

TEXTBOOKS

  1. Pediatric Surgery, 7th Edition.  Coran AG, Adzick NS, Krummel T, Laberge J-M, Shamberger R, eds. Philadelphia, Elsevier Saunders 2012 (responsible for editing 28 chapters, among which the ones on esophageal atresia and esophageal replacement).

ONGOING PROJECTS

  1. Banque de données de patients opérés d’atrésie de l’œsophage. Approved by Ethics Committee. Principal Investigator: Dr. Faure. Co-Investigators: Dr. Bensoussan, Dr. Bouin, Dr. Lapierre, Dr. Lévesque, Dr.  Mayrand, Dr. Puligandla.
  2. Feeding difficulties in children with esophageal atresia. Approuvé par comités éthique et scientifique Approved by ethics and scientific committees October 2012. Principal Investigator: Dr. Robert Baird. Co-Investigators: Dr. D Lévesque, Maria Ramsay, Rena Birnbaum.
Refer a patient 

Room: B 04.2443.1, Glen site

To make an appointment : 514-412-4400, #24474