Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
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Monroe Carell Jr.
Children's Hospital
at Vanderbilt
2200 Children's Way
Nashville, TN 37232


(615) 936-1000

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AeroDigestive Procedures

 

After your appointment, we may recommend some or all the following procedures to understand your child’s condition.

Long segment colonic interposition for esophageal atresia

This procedure uses a long segment of colon to bridge the gap between the esophagus and stomach.

Tracheal resection

This procedure is necessary when part of the windpipe (trachea) is too narrow, inhibiting breathing.

Esophagogastroduodenoscopy (EGD)

In this procedure, the doctor uses a scope to see inside the esophagus, stomach, and duodenum, which is the first part of the small intestine. Sometimes we take small amounts of tissue from the area to view them under a microscope. This is called a biopsy.

The purpose of the EGD might be to discover the reason for difficulties with
swallowing, vomiting, reflux, bleeding, indigestion, stomach pain, weight loss, and failure to thrive.

Flex bronchoscopy

In this pulmonary procedure, where doctor uses a flexible scope to see inside the lungs. The scope enters through the nose, mouth, or tracheostomy tube, and then into the lungs. We sometimes collect cells from the lungs by rinsing an area with salt water, in a procedure called a lavage. We may take small amounts of tissue from the lungs to view them under a microscope. This is called a biopsy.

The purpose of this procedure might be to discover the reason for difficulties with allergies, repeated pneumonias, wheezing, and a variety of other breathing problems.

Laryngoscopy, bronchoscopy, and esophagoscopy

In this ENT procedure, the doctor uses a scope to see inside the upper and lower airway. The scope enters through the mouth and into the throat. We do this to view and assess the larynx (voice box), trachea (windpipe), and bronchi (lower branches of the windpipe). We may take small amounts of tissue from the lungs to view them under a microscope. This is called a biopsy.

The purpose of this procedure might be to discover the reason for difficulties like noisy breathing, persistent cough, weak cry, hoarse voice, reoccurring pneumonias and blockages.

Other diagnostic procedures

Video swallow studies, impedance probes, and sleep studies do not require anesthesia, so we may schedule them as outpatient procedures.

The impedance probe test involves placing a soft catheter tube through the nose and into the esophagus. A recording device is attached and worn for 24 hours. We use data from the recorder to either confirm or rule out reflux as a contributor to airway difficulties.

Our sleep study is a procedure we offer through the pulmonary service that involves an overnight stay at the Marriott Hotel. During a sleep study, specialized equipment
monitors breathing, movement, brain waves, and other sleep characteristics. The purpose of a sleep study in the CADET program is usually to determine if a child has obstructive sleep apnea.

A video swallow study is an outpatient diagnostic procedure by a speech pathologist at Children's Hospital. This procedure usually takes about 30 minutes and does not require sedation. Prior to the study, we have the child drink a contrast liquid, which is a flavored barium. Infants drink barium from a bottle. We take diagnosic pictures while they drink. Older children may drink barium with a straw. We take diagnostic pictures as they swallow.

The purpose of the video swallow study is to look at the quality of the swallowing process.


Last Edited: June 20, 2017
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