Emily Christison-Lagay, MD
Cards
About
Titles
Associate Professor of Surgery (Pediatrics)
Director of Pediatric Trauma, Surgery; Surgical Director, Pediatric Thyroid Center, Surgery
Biography
Emily Christison-Lagay, MD is a pediatric surgeon with broad clinical interests spanning the width pediatric surgery from congenital anomalies in newborns to common childhood surgical conditions (hernias, appendicitis, gallbladder disease) to childhood tumors, trauma, and benign and malignant thyroid disease. She is the surgical director of the Pediatric Thyroid Center at Yale and the Director of Pediatric Trauma. Following completion of her pediatric surgical training, Dr. Christison-Lagay pursued additional training in the medical and surgical management of pediatric solid tumors including thoracic, liver, and renal tumors, as well as neuroblastoma, childhood sarcomas, and pediatric diseases of the thyroid. She is board-certified in surgery and pediatric surgery,
Dr. Christison-Lagay completed her medical degree at Harvard Medical School and her general surgical residency at the Massachusetts General Hospital, with research in tumor angiogenesis at Boston Children's Hospital. From there, she completed a pediatric surgical fellowship at the Hospital for Sick Children in Toronto, followed by a "super"-fellowship in pediatric surgical oncology at Memorial Sloan Kettering Cancer Center. She is a member of the Children's Oncology Group and the International Society of Paediatric Surgical Oncology as well the American Thyroid Association Taskforce on Pediatric Thyroid Disease and a founding member of the Child and Adolescent Thyroid Consortium.
Appointments
Pediatric Surgery
Associate Professor on TermPrimaryPediatrics
Associate Professor on TermSecondary
Other Departments & Organizations
- Fetal Care Center
- General Pediatric & Thoracic Surgery
- Pediatric Aerodigestive Disorders Program
- Pediatric Inflammatory Bowel Disease Surgery Program
- Pediatric Surgery
- Pediatric Surgery
- Pediatric Trauma Surgery Program
- Pediatrics
- Surgery
- Yale Medicine
- Yale Ventures
Education & Training
- Fellowship
- Memorial Sloan Kettering Cancer Center (2012)
- Fellowship
- Hospital for Sick Children (2011)
- Residency
- Massachusetts General Hospital (2009)
- MD
- Harvard Medical School (2002)
Research
Publications
2024
Synoptic operative reports for pediatric surgical oncology
Baertschiger R, Polites S, Fusco J, Roach J, ChristisonâLagay E, Malek M, Gow K. Synoptic operative reports for pediatric surgical oncology. Pediatric Blood & Cancer 2024, e31280. PMID: 39152638, DOI: 10.1002/pbc.31280.Peer-Reviewed Original ResearchImprove patient care outcomesElectronic medical record systemMultidisciplinary healthcare teamPatient care outcomesSurgical oncologySynoptic operative reportMedical record systemCare outcomesHealthcare teamPediatric surgical oncologyQuality assurance effortsDocumentation practicesData extractionDocumentation of surgical proceduresEffective communicationSynoptic reportingOperative notesRecording systemAssurance effortsEnhanced accessOncologyTumor characteristicsOperative reportsPediatric patientsResearch purposesEvaluation and Management of Biliary Dyskinesia in Children and Adolescents: A Systematic Review from the APSA Outcomes and Evidence-Based Committee
Kulaylat A, Lucas D, Chang H, Derderian S, Beres A, Ham P, Huerta C, Sulkowski J, Wakeman D, Englum B, Gulack B, Acker S, Gonzalez K, Levene T, Christison-Lagay E, Mansfield S, Yousef Y, Pennell C, Russell K, Rentea R, Tashiro J, Diesen D, Alemayehu H, Ricca R, Kelley-Quon L, Rialon K. Evaluation and Management of Biliary Dyskinesia in Children and Adolescents: A Systematic Review from the APSA Outcomes and Evidence-Based Committee. Journal Of Pediatric Surgery 2024 DOI: 10.1016/j.jpedsurg.2024.08.018.Peer-Reviewed Original ResearchSystematic reviewBiliary dyskinesiaOxford Levels of EvidencePreferred Reporting ItemsGrading of RecommendationsAmerican Pediatric Surgical Association OutcomesRisk of biasEvidence-based recommendationsDiagnostic criteriaPredictors of symptom reliefLevel of evidenceNon-operative managementResolution of symptomsPediatric-specific guidelinesOutcome of medical managementLong-term outcomesReporting ItemsNon-randomized studiesOxford LevelsMeta-analysesMethodological IndexAssociated outcomesClinical entityProspective studySymptom reliefCurrent surgical practice for central venous access to deliver chemotherapy and enteral access for nutritional support in pediatric patients with an oncological diagnosis
van den Bosch C, Grant C, Brown E, Morrison Z, Luques L, ChristisonâLagay E, Baertschiger R. Current surgical practice for central venous access to deliver chemotherapy and enteral access for nutritional support in pediatric patients with an oncological diagnosis. Pediatric Blood & Cancer 2024, e31206. PMID: 39030929, DOI: 10.1002/pbc.31206.Peer-Reviewed Original ResearchCentral venous catheterCentral venous accessPediatric patientsEnteral accessVenous accessNutritional supportTunneled central venous cathetersParenteral nutrition deliveryAdministration of chemotherapyLong-term outcomesCurrent surgical practiceDeterminants of outcomeSurgical oncology patientsModern oncology practiceCentral venous catheter managementDeliver chemotherapyVenous cathetersNutrition deliveryNutritional assessmentAccess surgerySurgical perspectiveOncological diagnosisOncology patientsNutritional statusSurgical practiceImplementing Screening, Brief Interventions, and Referral to Treatment at Pediatric Trauma Centers: A Step Wedge Cluster Randomized Trial
Mello M, Baird J, Spirito A, Lee L, Kiragu A, Scott K, Zonfrillo M, Christison-Lagay E, Bromberg J, Ruest S, Pruitt C, Lawson K, Nasr I, Aidlen J, Maxson R, Becker S. Implementing Screening, Brief Interventions, and Referral to Treatment at Pediatric Trauma Centers: A Step Wedge Cluster Randomized Trial. Journal Of Pediatric Surgery 2024 PMID: 39097494, DOI: 10.1016/j.jpedsurg.2024.07.003.Peer-Reviewed Original ResearchPediatric trauma centerElectronic health recordsReferral to treatmentBrief interventionTrauma centerImplementation strategiesPost-implementationAmerican College of Surgeons criteriaPrimary care providersCluster randomized trialStepped wedge cluster randomized trialCluster randomized designHigh-risk useTrauma patientsDeliver SBIRTLevel of Evidence Level IIAdolescent trauma patientsCare providersImplementation trialImplementing screeningAOD screeningHealth recordsSpecialty servicesPre-implementationEHR dataScreening and Prophylaxis for Venous Thromboembolism in Pediatric Surgery: A Systematic Review
Kelley-Quon L, Acker S, St Peter S, Goldin A, Yousef Y, Ricca R, Mansfield S, Sulkowski J, Huerta C, Lucas D, Rialon K, Christison-Lagay E, Ham P, Rentea R, Beres A, Kulaylat A, Chang H, Polites S, Diesen D, Gonzalez K, Wakeman D, Baird R. Screening and Prophylaxis for Venous Thromboembolism in Pediatric Surgery: A Systematic Review. Journal Of Pediatric Surgery 2024, 161585. PMID: 38964986, DOI: 10.1016/j.jpedsurg.2024.05.015.Peer-Reviewed Original ResearchIncidence of venous thromboembolismVenous thromboembolismPharmacological prophylaxisSystematic reviewUltrasound screeningEpidemiology of venous thromboembolismAmerican Pediatric Surgical Association OutcomesPreferred Reporting ItemsStudy systematically reviewsLow-molecular-weight heparinRoutine ultrasound screeningCongenital heart diseasePediatric trauma populationPediatric surgical populationBody mass indexPediatric surgical patientsMolecular weight heparinSequential compression devicesInjury Severity ScoreCentral line placementSpinal cord injuryInflammatory bowel diseaseWeb of Science databasesLength of stayReporting ItemsClassification and Surgical Management of Anorectal Malformations: A Systematic Review and Evidence-Based Guideline from the APSA Outcomes and Evidence-Based Practice Committee
Smith C, Rialon K, Kawaguchi A, Dellinger M, Goldin A, Acker S, Kulaylat A, Chang H, Russell K, Wakeman D, Derderian S, Englum B, Polites S, Lucas D, Ricca R, Levene T, Sulkowski J, Kelley-Quon L, Tashiro J, Christison-Lagay E, Mansfield S, Beres A, Huerta C, Ham P, Yousef Y, Rentea R, Committee T. Classification and Surgical Management of Anorectal Malformations: A Systematic Review and Evidence-Based Guideline from the APSA Outcomes and Evidence-Based Practice Committee. Journal Of Pediatric Surgery 2024, 161598. PMID: 38997855, DOI: 10.1016/j.jpedsurg.2024.06.007.Peer-Reviewed Original ResearchSystematic reviewAnorectal malformationsEvidence-based best practicesSurgical managementConsensus-based questionsComprehensive search strategyPreferred Reporting ItemsComplex patient populationLevel of evidenceAmerican Pediatric Surgical Association OutcomesImprove careDiagnosis of anorectal malformationsGroup of anorectal malformationsTiming of surgical managementManagement of anorectal malformationsReporting ItemsLate repair groupMethod of fecal diversionTreatment of neonatesSurgical careOptimal surgical approachRate of prolapseMulti-institutional registryManagement of childrenSurgical management of anorectal malformationsManagement and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review from the APSA Outcomes and Evidence-Based Practice Committee
Huerta C, Beres A, Englum B, Gonzalez K, Levene T, Wakeman D, Yousef Y, Gulack B, Chang H, Christison-Lagay E, Ham P, Mansfield S, Kulaylat A, Lucas D, Rentea R, Pennell C, Sulkowski J, Russell K, Ricca R, Kelley-Quon L, Tashiro J, Rialon K, Committee T. Management and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review from the APSA Outcomes and Evidence-Based Practice Committee. Journal Of Pediatric Surgery 2024, 161589. PMID: 38914511, DOI: 10.1016/j.jpedsurg.2024.05.019.Peer-Reviewed Original ResearchSystematic reviewLymphatic malformationsConsensus statement of recommendationsPreferred Reporting ItemsEvidence-based recommendationsMedical therapyStatements of recommendationsLevel of Evidence 4Reporting ItemsModerate qualityPediatric lymphatic malformationsMulti-modality treatmentType of LMExtraction of dataConsensus statementOptimal individualized treatmentMacrocystic lesionsComplete responsePercutaneous treatmentMultidisciplinary approachSurgeryMalformationsOutcomesPatientsIndividualized treatmentA Unique Presentation of Nodular Masses in Infancy.
Velagala S, Heiden E, Lisse S, Wu H, Prior D, Chen G, Christison-Lagay E, Provini L, Antaya R, Spencer-Manzon M, Johnston L. A Unique Presentation of Nodular Masses in Infancy. NeoReviews 2024, 25: e370-e374. PMID: 38821908, DOI: 10.1542/neo.25-6-e370.Peer-Reviewed Original ResearchCentral Venous Catheter Consideration in Pediatric Oncology: A Systematic Review and Meta-analysis From the American Pediatric Surgical Association Cancer Committee
Christison-Lagay E, Brown E, Bruny J, Funaro M, Glick R, Dasgupta R, Grant C, Engwall-Gill A, Lautz T, Rothstein D, Walther A, Ehrlich P, Aldrink J, Rodeberg D, Baertschiger R. Central Venous Catheter Consideration in Pediatric Oncology: A Systematic Review and Meta-analysis From the American Pediatric Surgical Association Cancer Committee. Journal Of Pediatric Surgery 2024, 59: 1427-1443. PMID: 38637207, DOI: 10.1016/j.jpedsurg.2024.03.047.Peer-Reviewed Original ResearchCentral venous catheterIncreased risk of complicationsAbsolute neutrophil countRisk of complicationsIncreased riskCatheter placementCatheter compositionIncreased risk of hematomaTunneled central venous cathetersPlatelet count <Risk of hematomaMeta-analysisIncidence of complicationsLimited evidenceModern oncology practiceEnglish-language articlesCatheter salvageLock therapyNeutropenic patientsCatheter removalBloodstream infectionsTunneled cathetersPlatelet countNo significant differenceVenous cathetersMolecular Genetics Augment Cytopathologic Evaluation and Surgical Planning of Pediatric Thyroid Nodules
Spaulding S, Maayah M, Dinauer C, Prasad M, Darbinyan A, Morotti R, Christison-Lagay E. Molecular Genetics Augment Cytopathologic Evaluation and Surgical Planning of Pediatric Thyroid Nodules. Journal Of Pediatric Surgery 2024, 59: 975-980. PMID: 38246817, DOI: 10.1016/j.jpedsurg.2024.01.001.Peer-Reviewed Original ResearchFine-needle aspiration biopsyPediatric thyroid nodulesMolecular genetic testingBethesda IV nodulesPrediction of malignancyDICER1 mutationsThyroid nodulesGenetic testingNRAS mutationsMethods Retrospective chart reviewRetrospective chart reviewTime of surgeryBRAF V600E testingMutations/fusionsBethesda III nodulesChart reviewSurgical resectionFinal histopathologyThyroid resectionPediatric dataHistologic classificationSurgical specimensBRAF mutationsAspiration biopsyCytopathologic evaluation
Clinical Care
Overview
Emily Christison-Lagay, MD, is a pediatric surgeon with broad clinical interests spanning the width of pediatric surgery from congenital anomalies in newborns to common childhood surgical conditions (hernias, appendicitis, gallbladder disease) to childhood tumors, trauma, and benign and malignant thyroid disease. She is board-certified in surgery and pediatric surgery and has pursued additional training in the medical and surgical management of pediatric solid tumors including thoracic, liver, and renal tumors, as well as neuroblastoma, childhood sarcomas, and pediatric diseases of the thyroid.
She completed her medical degree at Harvard Medical School and her general surgical residency at the Massachusetts General Hospital, with research in tumor angiogenesis at Boston Children's Hospital. From there, she completed a pediatric surgical fellowship at the Hospital for Sick Children in Toronto, followed by a "super" fellowship in pediatric surgical oncology at Memorial Sloan Kettering Cancer Center. She is a member of both the Children's Oncology Group and the American Thyroid Association Taskforce on Pediatric Thyroid Disease.
Clinical Specialties
Fact Sheets
Pediatric Crohn's Disease
Learn More on Yale MedicinePediatric Congenital Heart Surgery
Learn More on Yale MedicinePediatric Ulcerative Colitis
Learn More on Yale MedicinePyloric Stenosis
Learn More on Yale Medicine
Board Certifications
Pediatric Surgery
- Certification Organization
- AB of Surgery
- Latest Certification Date
- 2022
- Original Certification Date
- 2012
Surgery General
- Certification Organization
- AB of Surgery
- Latest Certification Date
- 2022
- Original Certification Date
- 2009