Past Events

Complexities in Pediatric Upper Aerodigestive and Esophageal Surgery

Aired on 12.17.2014
Complexities in Pediatric Upper Aerodigestive and Esophageal Surgery CME
Join the multidisciplinary team from Cincinnati Children’s Hospital as they review the complexities in the management of Tracheal Esophageal Fistula (TEF). This fast paced live event will feature case presentations, video, and panel discussion with live call-in from colleagues and participants around the globe. Points of interest will include discussion around the "unsalvageable esophagus” and diagnosis of TEF. Course directors are Michael Rutter MD, Pediatric Otolaryngologist at Cincinnati Children’s Hospital, and Todd Ponsky MD, Pediatric Surgeon at Akron Children’s Hospital.


This event will provide insight to the surgical challenges in managing complex issues in the upper aerodigestive tract and esophagus, with an emphasis on Tracheal Esophageal Fistula. Faculty from pulmonology, GI, pediatric ENT, and pediatric surgery will review cases and discuss issues involved in managing and diagnosing these complex cases.

Directors & Faculty


Michael J. Rutter, MD

Pediatric Otolaryngologist, Cincinnati Children's Hospital and Director of Clinical Research UC Department of Otolaryngology – Head and Neck Surgery.  Dr. Rutter specializes in tracheal reconstruction and complex airway surgery, and is an integral part of the collaborative treatment team in the Esophageal Center at Cincinnati Children’s Hospital.

Todd Ponsky, MD

Todd Ponsky is currently Professor of Surgery at the University of Cincinnati and a pediatric surgeon at Cincinnati Children’s Hospital Medical Center and Akron Children’s Hospital. He is the Director of Clinical Growth and Transformation at Cincinnati Children’s Hospital. He attended medical school at Case Western Reserve University in Cleveland, Ohio from 1995-1999,Residency in General Surgery at The George Washington University in Washington, DC from 1999-2005, Pediatric Surgery Fellowship at Children's National Medical Center in Washington, DC from 2005-2007,and an Advanced Minimally Invasive Pediatric Surgery Fellowship at The Rocky Mountain Hospital for Children in Denver, CO from 2007-2008. Dr. Ponsky was the first to perform and report single port surgery in children and modernized the methods of the laparoscopic pediatric hernia repair. He has published over 125 manuscripts, edited 3 textbooks, and authored over 30 book chapters. He has directed over 50 national/international courses and has given over 200 visiting lectureships. He is the Associate Editor for The Journal of Pediatric Surgery, and serves on three editorial boards. He is the immediate past president of the International Pediatric Endosurgery Group (IPEG) and holds, or has held, leadership positions in the American College of Surgeons (ACS), the American Pediatric Surgical Association (APSA), the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the International Society for Pediatric Innovation (iSPI). He has won numerous faculty teaching awards. He is involved in both outcomes and animal research with a focus on inguinal hernia physiology, surgical telementoring, endoscopic repair techniques for pure esophageal atresia, and innovations in education. He founded GlobalcastMD and Stay Current in Surgery, both of which serve to democratize and internationalize medical knowledge and modernize the way we teach and learn surgery.

Additional Faculty

Philip Putnam, MD

Philip E. Putnam, MD, is the director of Endoscopy Services within the Division of Gastroenterology, Hepatology and Nutrition at Cincinnati Children's Hospital Medical Center. His focuses of care involve Eosinophilic enteritis; abdominal pain; gastroesophageal reflux; complex nutrition related to the GI tract; GI bleeding; inflammatory bowel disease; diarrhea and failure to thrive.

Robert Wood, PhD, MD

Before coming to Cincinnati Children's Hospital Medical Center, Dr. Wood was on the faculty of Case Western Reserve University in Cleveland, Ohio (1976 to 1983), and the University of North Carolina at Chapel Hill (1983 to 1999).

Daniel von Allmen, MD

Dr. von Allmen is the Senior Vice President of Surgical Services and Surgeon-in-Chief at Cincinnati Children's Hospital Medical Center. Additionally, Dr. von Allmen holds the Lester W. Martin Chair of Pediatric Surgery. His special clinical interests include pediatric surgical oncology, pediatric inflammatory bowel disease, esophageal disorders, surgical innovation and surgical robotics. He has been a long term participant in the Surgical Section of the Children's Oncology group, the Crohn's and Colitis Foundation of America and the International Pediatric Endosurgery Group.


1:00 pm - 1:15 pm
Opening Remarks

1:15 pm - 2:15 pm
Difficult Tracheal Esophageal Fistula
We will discuss review cases and endoscopic videos with comments
2:15 pm - 3:00 pm
The Unsalvageable Esophagus
Discussing Procedures gone wrong, caustic line, colonic intra-position vs. gastric pull-up, jejunal pre-flap pros and cons
3:00 pm - 3:15 pm
3:15 pm - 4:45 pm
Diagnosis of Tracheal Esophageal Fistula
Video---Where is the TEF?---Tricks for finding it and decision tree on management.
4:45 pm - 5:00 pm
Closing Remarks

Topics Covered

  • Tracheal Esophogeal Fistula
  • The unsalvagable esophagus
  • Managing procedures gone wrong
  • Diagnosis of TEF
  • Tricks for locating fistula
  • Decision tree for management


  • Differentiate between methods that assist in the diagnosis of hard to find TEFs
  • Describe the indications for and techniques to endoscopically repair a TEF
  • Discuss the technique of slide tracheoplasty for the repair of large or recurrent TEFs
  • ​Recognize the advantages a team approach offers in esophageal replacement surgery

Disclosures and Accreditation Statement

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