9,917 results on '"esophageal atresia"'
Search Results
2. Long Term Outcome of Easophageal Atresia : Transmics Profiles in Adolescence (TransEAsome)
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Institut National de la Santé Et de la Recherche Médicale, France
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- 2024
Catalog
3. Management of Esophageal Atresia With Right Aortic Arch: Is the Side of Approach Important?
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- 2024
4. Transanastomotic Tube for Proximal Esophageal Atresia With Distal Tracheoesophageal Fistula Repair (TEF)
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Justin Lee, MD, Pediatric Surgeon
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- 2024
5. Complex trajectories are associated with neurological impairment in infants with congenital gastrointestinal malformations aged two.
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Midavaine, Manon, Vinit, Nicolas, Sartorius, Victor, Kermorvant‐Duchemin, Elsa, and Lapillonne, Alexandre
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NEONATAL intensive care units , *NEONATAL surgery , *DEVELOPMENTAL delay , *DIAPHRAGMATIC hernia ,ESOPHAGEAL atresia - Abstract
Aim Methods Results Conclusion Our aims were to describe the neurodevelopment of infants with congenital gastrointestinal malformations at 2 years of age and to investigate the association between developmental delay and complex trajectories.We conducted a retrospective cohort study. Infants operated on for oesophageal atresia, abdominal wall defects, intestinal malformation, congenital diaphragmatic hernia and anorectal malformation were analysed. Neurodevelopment was assessed using the Ages and Stages Questionnaire at 24 months. The primary outcome was the presence of developmental delay, defined as ASQ‐24 months of total score ≤ 185.Of 118 patients, 11 (9%) had an ASQ‐24 months ≤185. Factors associated with an ASQ‐24 months ≤185 were earlier gestational age (p = 0.045), longer invasive ventilation (p = 0.046), longer parenteral nutrition (p = 0.043) and ≥2 hospitalisations in the first 2 years (p = 0.022). They had a significantly longer stay in the neonatal intensive care unit and subsequent hospitalisations (p = 0.007). After adjustment for prematurity and breastfeeding, this association remained statistically significant.Nine per cent of children with a gastrointestinal malformation show a developmental delay at the age of two. A prolonged stay in the neonatal intensive care unit and subsequent hospitalisations are associated with an increased risk of neurodevelopmental disorders, while breastfeeding may have a protective effect. [ABSTRACT FROM AUTHOR] more...
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- 2024
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6. The intraoperative localization in recurrent tracheoesophageal fistula after esophageal atresia repair: a comparative study.
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Hua, Kaiyun, Liao, Junmin, Sun, Dayan, Wang, Dingding, Zhao, Yong, Gu, Yichao, Li, Shuangshuang, Wang, Peize, Zhang, Yanan, and Huang, Jinshi
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ESOPHAGEAL fistula ,TRACHEAL fistula ,ESOPHAGEAL atresia ,BRONCHIAL fistula ,CHEST endoscopic surgery - Abstract
Background: Recurrent tracheoesophageal fistula (rTEF) is a rare complication following initial esophageal atresia (EA) surgical repair, posing challenges in localization the fistula during surgery due to severe thoracic adhesions and structural ambiguity from previous operations. Objective: We introduced two new localization methods for rTEF patients during surgery and aimed to compare the impact of using these localization techniques versus not using them on the surgical outcomes for rTEF patients. Methods: We retrospectively analyzed the clinical data of rTEF cases that underwent thoracoscopic repair at our hospital from September 2017 to December 2024. Patients were divided into localization group and non-localization group based on whether using intraoperative localization techniques, and comparative analysis of clinical variables was conducted between groups. Results: A total of 106 patients were included in this study, undergoing a total of 113 thoracoscopic rTEF repair surgeries at our center. Their fistula type included 89 cases of tracheoesophageal fistula (TEF), 19 cases of esophageal-pulmonary fistula (EPF), 3 cases of esophageal bronchial fistula (EBF), and 2 cases of combined EPF and TEF. All cases were categorized based on whether using localization techniques, resulting in the localization group (n = 52) and the non-localization group (n = 61). The median operation time in the localization group (2.5 h) was significantly lower than in the latter (3.0 h) (P = 0.001), and regardless of the fistula type being TEF or EPF. Additionally, the average postoperative hospital stay was significantly shorter in the localization group (17.7 ± 7.5 days) than in the non-localization group (23.6 ± 20.0 days) regarding the fistula type of TEF (P = 0.03). Conclusions: The use of localization techniques in thoracoscopic surgery for rTEF leads to better outcomes, evidenced by reduced operation time and hospital stay, suggesting enhanced surgical accuracy and improved patient postoperative recovery. Level of evidence: LEVEL III. [ABSTRACT FROM AUTHOR] more...
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- 2024
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7. Determining the Risk Factors for Anastomotic Stricture Development after Esophageal Atresia Repair: Results from the Turkish Esophageal Atresia Registry.
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Öztorun, Can İhsan, Ulukaya Durakbaşa, Çiğdem, Soyer, Tutku, Özcan, Coşkun, Fırıncı, Binali, Demirel, Berat Dilek, Çiftçi, İlhan, Parlak, Ayşe, Öztan, Mustafa Onur, Göllü Bahadır, Gülnur, Akkoyun, İbrahim, Karaman, Ayşe, Gül, Cengiz, Şalcı, Gül, İlhan, Hüseyin, Oral, Akgün, Özcan, Rahşan, Özaydın, Seyithan, Kılıç, Şeref Selçuk, and Kıyan, Gürsu more...
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TRACHEAL fistula , *GASTROESOPHAGEAL reflux , *LOGISTIC regression analysis , *BIRTH weight , *ODDS ratio ,ESOPHAGEAL atresia - Abstract
Introduction Anastomotic stricture (AS) is the second most common complication after esophageal atresia (EA) repair. We aimed to evaluate the data in the Turkish Esophageal Atresia Registry to determine the risk factors for AS development after EA repair in a large national cohort of patients. Methods The data between 2015 and 2021 were evaluated. Patients were enrolled into two groups according to the occurrence of AS. Patients with AS (AS group) and without AS (non-AS group) were compared according to demographic and operative features, postoperative intubation status, and postoperative complications, such as anastomotic leaks, fistula recanalization, and the presence of gastroesophageal reflux (GER). A multivariable logistic regression analysis was performed to define the risk factors for the development of AS after EA repair. Results Among the 713 cases, 144 patients (20.19%) were enrolled into the AS group and 569 (79.81%) in the non-AS group. The multivariable logistic regression showed that, being a term baby (odds ratio [OR]: 1.706; p = 0.006), having a birth weight over 2,500 g (OR: 1.72; p = 0.006), presence of GER (OR: 5.267; p < 0.001), or having a recurrent tracheoesophageal fistula (TEF, OR: 4.363; p = 0.006) were the risk factors for the development of AS. Conclusions The results of our national registry demonstrate that 20% of EA patients developed AS within their first year of life. In patients with early primary anastomosis, birth weight greater than 2,500 g and presence of GER were risk factors for developing AS. When patients with delayed anastomosis were included, in addition to the previous risk factors, being a term baby, and having recurrent TEF also became risk factors. Level of Evidence III. [ABSTRACT FROM AUTHOR] more...
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- 2024
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8. Feeding jejunostomy in children: safety, effectiveness and perspectives.
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Forlini, Valentina, Sacchetti, Caterina, Gandullia, Paolo, Avanzini, Stefano, Mattioli, Girolamo, and Wong, Michela Cing Yu
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SURGICAL indications , *GASTROESOPHAGEAL reflux , *CHILDREN'S hospitals , *JEJUNOSTOMY ,ESOPHAGEAL atresia - Abstract
Purpose: Jejunal feeding (JF) indications in children have recently increased. However, surgical jejunostomy (SJ) is reported to be subjected to a high complication rate. The aim of the study is to focus on safety, effectiveness, and complications of SJ and to identify those categories of patients who could most benefit from it. Methods: A retrospective analysis of all SJ performed at Giannina Gaslini Children's Hospital between 2014 and 2022 was performed. Data were collected regarding demographics characteristics, past medical history, surgical indications, surgical technique (Roux-en-y (REYJ), omega jejunostomy (OJ)), complications and nutritional outcomes. Results: Fourteen patients were included. Nine (64%) had severe neurological impairment. The most frequent indication for SJ was gastroesophageal reflux. REYJ was performed in five (36%) patients, OJ in nine (64%); no technique appears to be superior. One patient experienced a major long-term complication. After a follow-up of 40 months (range: 1–152), five (36%) patients discontinued JF: three (21%) successfully completed JF cessation, and two (14%) had their jejunostomy closed due to JF intolerance. Conclusions: Based on our experience and on data available in the literature, SJ should be recommended in selected patients as temporary procedure or as bridge treatment to prevent or at least delay more invasive surgeries. [ABSTRACT FROM AUTHOR] more...
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- 2024
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9. Follow-up and transition practices in esophageal atresia: a review of European Reference Network on rare Inherited and Congenital Anomalies (ERNICA) centres and affiliates.
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Durkin, Natalie, Pellegrini, Marco, Gorter, Ramon, Slater, Graham, Cross, Kate M. K., Ure, Benno, Wijnen, Rene, Gottrand, Frédéric, Eaton, Simon, and De Coppi, Paolo
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PEDIATRIC gastroenterology , *CONGENITAL disorders , *HUMAN abnormalities , *HEPATOLOGY ,ESOPHAGEAL atresia - Abstract
Purpose: The purpose of this study was to understand the provision and distribution of esophageal atresia (EA) follow-up (FU) and transition services across European Reference Network for rare Inherited and Congenital Anomalies (ERNICA) member and affiliate centers. Methods: A REDCap questionnaire was sent to clinical leads of 18 ERNICA members and 14 affiliate centers. Results: 29 of 32 centers responded (91%), the majority of which were highly specialized. Two-thirds had a dedicated EA clinic with a specialist multi-disciplinary team (MDT), offered to selected/complex patients only in 40% of centers. ERNICA centers were more likely to offer an MDT FU clinic than affiliates, with lack of resources most cited as a barrier to uptake (67%). Delivery of routine investigations was heterogeneous, particularly provision of three endoscopies over the course of FU (24%). Only 55% had a dedicated transition pathway, more prevalent in ERNICA centers (81% vs. 30%; p < 0.01). Self-reported awareness of ERNICA and European Society for Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) guidance for FU and transition was poor (28%). Conclusion: Despite the existence of European follow-up and transition guidelines, their delivery is not uniform and may be limited by lack of awareness of the guidelines and a lack of resources. [ABSTRACT FROM AUTHOR] more...
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- 2024
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10. Clinical translation of tissue-engineered oesophageal grafts: are patients ready for us?
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Durkin, N., Pellegrini, M., Karaluka, V., Slater, G., Leyden, D., Eaton, S., and De Coppi, Paolo
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MEDICAL personnel , *ANIMAL products , *TISSUE engineering , *LIKERT scale ,ESOPHAGEAL atresia - Abstract
Purpose: We sought to engage with expert patient/carers to understand attitudes towards use of tissue engineering (TE) for long-gap oesophageal atresia (OA). Methods: An in-person engagement event for 70 patients/parents was held by the OA patient group, TOFS. Attitudes towards TE were assessed before and after a talk on use of TE oesophagi in a pre-clinical OA model. Perceptions were assessed using a 5-point Likert scale (median [range]) and compared using Mann–Whitney test. Results: 43 attendees responded; 56% parents/caregivers, 21% patients, 7% healthcare workers, 16% unreported. Most (85%) had some awareness of TE but for 15%, it was a new concept. Attendees were receptive to TE; 89% reported no concerns about growth of their/child(s) cells in a lab and 61% reported no concerns about using animal products. Perceptions of TE significantly improved after the presentation from 4 (2–5, n = 32) to 5 (3–5, n = 28) p < 0.0001, and 96% would like to be involved in focus groups on development of a TE product for use in OA. Conclusion: Input from key stakeholders is essential to introduction of TE constructs clinically. The overall response to TE constructs was positive, and informs development of an OA-specific focus group to guide translation. [ABSTRACT FROM AUTHOR] more...
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- 2024
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11. Thoracoscopic Repair for Kluth Type Ⅲb3 Esophageal Atresia and Distal Tracheoesophageal Fistula.
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Li, Bing, Chen, Wei Bing, Xia, Shun Lin, and Li, Shi Ting
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TRACHEAL fistula ,ESOPHAGEAL atresia - Published
- 2024
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12. Evaluating the Impact of Elective Endotracheal Tube Replacement on Postoperative Outcomes in Esophageal Atresia: A STROBE-guided Study.
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Nandan, Ruchira, Singh, Ram Badan, Bhalekar, Arvind, Marripati, Bhanumurthy Kaushik, Gangopadhyay, Ajay Narayan, and Pandey, Vaibhav
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ENDOTRACHEAL tubes , *TREATMENT effectiveness , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *ELECTIVE surgery , *ARTIFICIAL respiration , *MEDICAL records , *ACQUISITION of data , *EVALUATION ,PREVENTION of surgical complications ,ESOPHAGEAL atresia - Abstract
ABSTRACT: Background: Elective ventilation and paralysis have been shown to decrease the anastomosis-related complications following primary repair of esophageal atresia (EA). Repeated endotracheal tube (ETT) block and replacement can increase these complications. We evaluated the results of our strategy of electively changing the ETT just before shifting the patient to the postoperative ward for elective ventilation. Materials and Methods: A retrospective study was conducted using the case records of patients from July 2015 to February 2024 including all the patients of EA with tracheoesophageal fistula who underwent primary repair with end-to-end esophageal anastomosis. The patients were divided into two groups Group A: ETT was changed and Group B: ETT was not changed immediately before shifting. The groups were compared for anastomotic leak and ETT tube block in the first 48 h. Results: Ninety-one patients were included in the study, 36 in Group A and 55 in Group B. Elective replacement of ETT decreased the tube block rates in the first 48 h following surgery (P = 0.032). Tension in the anastomosis was associated with a higher leak rate. The leak was present in 58.3% and 3.6% in cases with and without tension in the anastomosis (P = 0.001). Overall, the anastomotic leak was similar in both groups. In the subgroup of patients with anastomosis under tension, the rate of anastomotic leak was higher in patients with ETT block (P = 0.028). Conclusion: Elective replacement of EET decreases the tube block rates and anastomotic leak rates in cases with anastomosis under tension. [ABSTRACT FROM AUTHOR] more...
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- 2024
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13. Impact of definitive surgery for esophageal atresia on long‐term outcomes in patients with trisomy 18.
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Tamaki, Shoko, Iwatani, Sota, Ikuta, Toshihiko, Takeoka, Emiko, Matsui, Sachiko, Mimura, Hitomi, Yokoi, Akiko, Hatakeyama, Tadashi, Yoshimoto, Seiji, and Nakao, Hideto
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This study investigates the long‐term outcomes of palliative and definitive surgeries for esophageal atresia (EA) in patients with trisomy 18 syndrome. A retrospective study included 25 cases undergoing EA surgery at our center between 2008 and 2022. The Palliative group (n = 16) comprised 13 cases with esophageal banding and 3 with tracheoesophageal fistula (TEF) division. The Definitive group (n = 9) included 5 cases with primary repair and 4 with staged repair following TEF division. The patient characteristics exhibited no significant differences between the groups. In the Definitive group, 56% (5/9) were successfully weaned off mechanical ventilation, compared with none in the Palliative group (p = 0.002). Survival‐to‐discharge rates were 31% (5/16) in the Palliative group and 67% (6/9) in the Definitive group. Home ventilator management was required for all 5 cases that required ventilation in the Palliative group, whereas only 17% (1/6) in the Definitive group needed it. The Palliative group also required continuous oral suction for persistent saliva removal, with two cases undergoing laryngotracheal separation. Overall, definitive surgery for EA in patients with trisomy 18 syndrome may provide enhanced respiratory stability, thereby improving the survival‐to‐discharge rate and overall quality of life for patients and their families. [ABSTRACT FROM AUTHOR] more...
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- 2024
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14. Thoracotomy vs. Thoracoscopy for Esophageal Atresia with Tracheoesophageal Fistula Repair: Is There a Difference in Quality of Life?
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Di Fabrizio, Donatella, Mastroberti, Francesca, Cruccetti, Alba, Bindi, Edoardo, and Cobellis, Giovanni
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VIDEO-assisted thoracic surgery ,CHILDREN'S health ,THORACOTOMY ,HEALTH status indicators ,PATIENT safety ,QUESTIONNAIRES ,TREATMENT effectiveness ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,MANN Whitney U Test ,ESOPHAGEAL atresia ,SURGICAL complications ,QUALITY of life ,MEDICAL records ,ACQUISITION of data ,GESTATIONAL age ,PHYSICAL fitness ,FOOD habits ,ANTHROPOMETRY ,DATA analysis software ,BIRTH weight ,COMPARATIVE studies ,TRACHEAL fistula ,CHILDREN - Abstract
Aim: Esophageal atresia (EA) is the most common congenital esophageal malformation. Thoracoscopic repair is gaining popularity, but controversy persists regarding the ideal surgical approach for this challenging anomaly. This study's aim is to analyze outcomes in terms of quality of life (QoL) of children undergoing thoracotomy and thoracoscopy for type III EA repair. Methods: Perinatal characteristics, malformations, surgical procedures, complications, gastrointestinal, and respiratory current symptoms were collected. QoL was investigated through Esophageal-Atresia-QoL (EAQoL) and Pediatric-QoL (PedsQL) 4.0 standardized and validated questionnaires. Statistical Mann–Whitney test with significance level p < 0.05 was carried out. Main results: A total of 32 patients undergoing type III EA primary repair answered the questionnaire, including 17 thoracotomy and 15 thoracoscopy. Median birth weight was not significantly different between two groups (median [2.385; 2.475], p = 0.3529) while gestational age showed statistically difference (median [36; 38], p = 0.0063). Thirty-five associated malformations (15 thoracotomy, 20 thoracoscopy) in 23 patients were observed. Postoperative complications occurred in nine patients in the thoracotomy group (one recurrent fistula, two leakages, six stenosis) and in six patients in the thoracoscopic group (two recurrent fistula, four stenosis). Analyzing EAQoL, we found statistically significant difference in physical health between the two groups (median [83; 96], p = 0.0119), while there was no difference in social relations, eating, and total score (median [100; 100], p = 0.3473) (median [91; 97], p = 0.5749) (median [91; 96], p = 0.1710). Investigating PedsQL, psychosocial health score (median [88; 98], p = 0.0069), and total score (median [91;99], p = 0.0043) were statically significant different between the groups, whereas there was no difference for physical health score (median [91; 100], p = 0.0706). Conclusions: Thoracoscopic EA repair is safe and feasible, allowing patient to have a better QoL in terms of physical and psychosocial health score. [ABSTRACT FROM AUTHOR] more...
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- 2024
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15. Usefulness of lateral-anteroposterior dimeter ratio in patients with tracheomalacia associated with esophageal atresia.
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Sumida, Wataru, Tainaka, Takahisa, Shirota, Chiyoe, Makita, Satoshi, Amano, Hizuru, Yasui, Akihiro, Maeda, Takuya, Kato, Daiki, Goda, Yosuke, Ishii, Hiroki, Ota, Kazuki, Yaohui, Guo, Jiahui, Liu, Hinoki, Akinari, and Uchida, Hiroo more...
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BRACHIOCEPHALIC trunk , *COMPUTED tomography , *TREATMENT effectiveness , *DIAMETER ,ESOPHAGEAL atresia - Abstract
Purpose: Tracheomalacia (TM) is commonly associated with esophageal atresia (EA) and compression by the brachiocephalic artery is a factor for TM. Previous research has focused on the lateral-to-anteroposterior tracheal diameter ratio (LAR). This study aimed to assess the LAR and postoperative outcomes of EA patients. Methods: Patients undergoing thoracoscopic repair for EA between March 2020 and October 2023 were enrolled. Posterior tracheopexy (PT) was performed during thoracoscopic repair of EA on patients with bronchoscopy-confirmed TM; clinical courses and LAR were retrospectively analyzed. Results: Overall, 18 patients were enrolled; 14 patients underwent PT. Their median preoperative and postoperative LARs were 2.26 and 1.50, respectively; this difference was statistically significant. Four patients without TM did not undergo PT and their median LAR was 1.59. Median LAR for patients without PT was lower than that of preoperative patients with PT and no statistical differences were observed from that of postoperative patients with PT. The patients whose LAR improved with PT did not require further surgical intervention for TM. One patient who had a postoperative LAR of 2.25 required external tracheal stenting. Conclusion: LAR is a useful index for determining the severity of TM associated with EA. LAR can reflects the efficacy of PT. [ABSTRACT FROM AUTHOR] more...
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- 2024
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16. Decortication with uniport video-assisted thoracoscopic surgery for empyema due to postoperative esophageal leakage: a report of two pediatric cases.
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Goto, Yudai, Ogata, Seiya, Shimizu, Hirofumi, Yamashita, Michitoshi, Inoue, Takuya, Hasegawa, Takeo, Shio, Yutaka, Suzuki, Hiroyuki, and Tanaka, Hideaki
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VIDEO-assisted thoracic surgery ,CHEST endoscopic surgery ,ESOPHAGEAL atresia ,ESOPHAGEAL perforation ,RESPIRATORY insufficiency ,EMPYEMA ,FUNDOPLICATION - Abstract
Background: Video-assisted thoracoscopic surgery (VATS) is considered useful for the treatment of parapneumonic empyema in children. However, thoracoscopic management of empyema due to esophageal leakage as an operative complication has not been well described in the literature. Case presentation: We successfully decorticated severe empyema using uniport VATS in 2 children (a 2-year-old boy who suffered esophageal perforation after laparoscopic anti-reflux surgery, and a 7-month-old girl who had anastomotic leakage after thoracoscopic repair of esophageal atresia). In these patients, we noticed that pleural effusion rapidly progressed to empyema and caused respiratory insufficiency due to wide-range coverage by fibrotic pleural rind that was successfully decorticated under video-assisted vision from a mini-thoracotomy, followed by spontaneous healing of the leakage. Conclusions: We did not attempt to closely approach or try to repair the esophageal leakage. We believe that this is an important tip for these situations. [ABSTRACT FROM AUTHOR] more...
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- 2024
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17. Burden and mortality of congenital gastrointestinal anomalies: insights from a nationwide cohort study.
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Rahman, Norhafiza Ab., Abdullah, Mohd Yusof, Abidin, Muhammad 'Adil Zainal, Nah, Shireen Anne, MYPaedSurg Research Collaboration, Ter, Alvin, Diong, Annabella, Mat Nepa, Ateeq Muneera, Kuthubul Zaman, Azrina Syarizad, Sun, Carine, Che Salim, Che Ahmad Muttaqin, Chin, Yen Ming, Chung, Kuet Jun, Abdul Aziz, Dayang Anita, Hashim at Mohd Kasim, Hidayah Hayati, Hassan, Junaidah, Kamilen, Khalilah Alhuda, Osman, Marjmin, Unal, Meryem Irfan, and Rahizan, Mohamad Ikhwan more...
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HIRSCHSPRUNG'S disease , *HUMAN abnormalities , *DIAPHRAGMATIC hernia , *ABDOMINAL wall , *GASTROSCHISIS ,ESOPHAGEAL atresia - Abstract
Purpose: Improved perioperative care has enhanced survival in children with congenital gastrointestinal conditions and abdominal wall defects (AWD). However, epidemiological and surgical outcomes in developing nations are still scarce. Our aim was to assess the burden and mortality of common congenital gastrointestinal anomalies and AWD in Malaysia, and their influencing factors. Methods: Using the Global PaedSurg study protocol with permission, we performed a prospective cohort study on children presenting for the first time between October 2021 and April 2022 with these conditions: Esophageal atresia (EA), congenital diaphragmatic hernia (CDH), intestinal atresia, gastroschisis, exomphalos, anorectal malformation (ARM) and Hirschsprung's disease. We compared mortality and 30-day outcome data across different geographical regions in Malaysia. Results: There were 228 patients with 242 study conditions (EA n = 28, CDH n = 36, intestinal atresia n = 49, gastroschisis n = 12, exomphalos n = 8, ARM n = 77, Hirschsprung's disease n = 32). Our mortality rate was 8.8%; 60% of these were CDH patients. Factors significantly associated with mortality were CDH diagnosis, central venous access requirement, higher American Society of Anesthesiologists (ASA) score, blood transfusion and ventilation requirement. Conclusion: Diagnosis of CDH is the most important predictor for sepsis on arrival and mortality, therefore measures should be taken for early recognition and aggressive management. [ABSTRACT FROM AUTHOR] more...
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- 2024
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18. Critical Role of Pleural Wrap and Post-operative Neonatal Protocol in Long-gap Oesophageal Atresia: A Team Effort.
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Khanna, Sanat Kumar, Tiwari, Vishal Vishnu, Singh, Gurjot, and Panchal, Gaurav
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ESOPHAGEAL fistula , *PEDIATRIC surgeons , *TRACHEAL fistula , *POSTOPERATIVE period ,ESOPHAGEAL atresia - Abstract
Background: The objectives of this study were to bring out the results of application of pleural wrap in primary repair of tracheo - esophageal fistula (TEF) with long-gap oesophageal atresia (LGEA) and also define the role of neonatologists and paediatric intensivists in post-operative management in these patients by laying down standard neonatal management protocol. Materials and Methods: This was a retrospective descriptive observational study conducted between March 2011 and April 2019 on 23 cases of LGEA with TEF. The study was conducted at two tertiary care paediatric surgery centres in Northern part of India wherein these newborn babies were operated by two paediatric surgeons with variable experience of 8–12 years. It also describes the neonatal management protocol used in post-operative period. Results: Out of 23 patients, 15 were boys and 8 were girls, with a mean age of 32.25 weeks and a mean birth weight of 2.02 kg. The mean hospital stay was 23.5 ± 8 days. Eleven cases had gap between 3 and 3.5 cm, 8 cases between 3.5 and 4 cm and 4 cases had gap more than 4 cm. The incidence of associated anomalies was 52%. Anastomotic leak rate was 8.69%, and 3 (13.04%) patients died in the post-operative period. All the operated patients were managed postoperatively as per strict neonatal management protocol exclusively by the team of neonatologists and neonatal intensivists. Conclusion: Application of pleural wrap over anastomosis following primary repair of LGEA with TEF significantly reduced the incidence of anastomotic leak in our study. Apart from the pleural wrap, the key to successful outcome also is contributed by the little prolonged, controlled ventilation and patience and perseverance in post-operative feeds. This post-operative management protocol that has been followed by us in our study is easily reproducible and can be adopted by paediatric surgeons working alongside neonatologists as a team. [ABSTRACT FROM AUTHOR] more...
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- 2024
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19. Selection of Quality Indicators to Evaluate Quality of Care for Patients with Esophageal Atresia Using a Delphi Method.
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Teunissen, Nadine M., Brendel, Julia, Heurn, L.W. Ernest van, Ure, Benno, Wijnen, Rene, and Eaton, Simon
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MEDICAL personnel , *MEDICAL personnel as patients , *DELPHI method , *LIKERT scale ,ESOPHAGEAL atresia - Abstract
Objective Survival of neonates with esophageal atresia (EA) is relatively high and stable, resulting in increased attention to optimizing care and longer-term morbidity. This study aimed to reach consensus on a quality indicator set for benchmarking EA care between hospitals, regions, or countries in a European clinical audit. Methods Using an online Delphi method, a panel of EA health care professionals and patient representatives rated potential outcome, structure, and process indicators for EA care identified through systematic literature and guideline review on a nine-point Likert scale in three questionnaires. Items were included based on predefined criteria. In rounds 2 and 3, participants were asked to select the five to ten most essential of the included indicators. Results An international panel of 14 patient representatives and 71 multidisciplinary health care professionals representing 41 European hospitals completed all questionnaires (response rate: 81%), eventually including 22 baseline characteristics and 32 indicators. After ranking, 10 indicators were prioritized by both stakeholder groups. In addition, each stakeholder group highly prioritized one additional indicator. Following an additional online vote by the other group, these were both added to the final set. Conclusion This study established a core indicator set of twenty-two baseline characteristics, eight outcome indicators, one structure indicator, and three process indicators for evaluating (quality of) EA care in Europe. These indicators, covering various aspects of EA care, will be implemented in the European Pediatric Surgical Audit to enable recognition of practice variation and focus EA care improvement initiatives. [ABSTRACT FROM AUTHOR] more...
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- 2024
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20. Dynamic Imaging Grade of Swallowing Toxicity in Children with Esophageal Atresia.
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Demir, Numan, Pişiren, Begüm, Arslan, Selen Serel, Boybeyı-Turer, Ozlem, and Soyer, Tutku
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TRACHEAL fistula , *MEDICAL records , *DEGLUTITION , *VIDEOFLUOROSCOPY , *DEGLUTITION disorders , *AIRWAY (Anatomy) ,ESOPHAGEAL atresia - Abstract
Introduction The Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) scale was developed to evaluate the safety, efficiency, and overall pharyngeal swallowing performance in patients with dysphagia (DIGESTs, DIGESTe, and DIGESTt, respectively). Although various types of swallowing dysfunction are encountered in children with esophageal atresia (EA), oropharyngeal dysphagia poses risk for aspiration. Therefore, a retrospective study was performed to evaluate the safety and efficacy of swallowing by using DIGEST score in children with EA. Patients and Methods Thirty-nine EA patients were included. The demographic features, respiratory problems, results, and outcomes of surgical treatment were evaluated from medical records. The videofluoroscopic swallowing evaluation investigated for both airway protection and bolus residuals at the level of vallecula, posterior pharyngeal wall, and pyriform sinus at liquid and pudding consistencies. The penetration and aspiration scale (PAS) was used to define penetration and aspiration severity, and DIGEST was used to evaluate DIGESTs, DIGESTe, and DIGESTt. Results The median age of the patients were 13 months (7–39 months), and male-to-female ratio was 25:14. Sixty-seven percent of patients were type-C EA and 61% of them has associated anomalies; 38% of patients had aspiration (PAS = 6–8) in liquids and 10% in pudding consistency. Life-threatening/profound swallowing dysfunction in DIGESTe (DIGEST = 4) was seen in 13% (n = 5) of patients; 40% of EA patients showed severe problems in DIGESTt. Conclusion DIGEST is a valid and reliable tool to define the efficacy and safety of swallowing in children with EA. [ABSTRACT FROM AUTHOR] more...
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- 2024
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21. ATRESIA DE ESÔFAGO EM RECÉM NASCIDOS: REVISÃO BIBLIOGRÁFICA E IMPORTÂNCIA DE PROTOCOLOS EFICAZES NO CUIDADO NEONATAL.
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Coleta Drago, Marina, Reis Afonso, Beatriz, Alves das Oliveiras, Bruna, Marangon Balestreri, Ana Carolina, and Felipe Nácul, Eduardo
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MEDICAL personnel ,MAGNETIC resonance imaging ,LITERATURE reviews ,ESOPHAGEAL atresia ,SYMPTOMS - Abstract
Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) more...
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- 2024
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22. Evaluating the Impact of Elective Endotracheal Tube Replacement on Postoperative Outcomes in Esophageal Atresia: A STROBE-guided Study
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Ruchira Nandan, Ram Badan Singh, Arvind Bhalekar, Bhanumurthy Kaushik Marripati, Ajay Narayan Gangopadhyay, and Vaibhav Pandey
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anastomotic complication ,elective ventilation ,esophageal atresia ,tracheoesophageal fistula ,Pediatrics ,RJ1-570 ,Surgery ,RD1-811 - Abstract
Background: Elective ventilation and paralysis have been shown to decrease the anastomosis-related complications following primary repair of esophageal atresia (EA). Repeated endotracheal tube (ETT) block and replacement can increase these complications. We evaluated the results of our strategy of electively changing the ETT just before shifting the patient to the postoperative ward for elective ventilation. Materials and Methods: A retrospective study was conducted using the case records of patients from July 2015 to February 2024 including all the patients of EA with tracheoesophageal fistula who underwent primary repair with end-to-end esophageal anastomosis. The patients were divided into two groups Group A: ETT was changed and Group B: ETT was not changed immediately before shifting. The groups were compared for anastomotic leak and ETT tube block in the first 48 h. Results: Ninety-one patients were included in the study, 36 in Group A and 55 in Group B. Elective replacement of ETT decreased the tube block rates in the first 48 h following surgery (P = 0.032). Tension in the anastomosis was associated with a higher leak rate. The leak was present in 58.3% and 3.6% in cases with and without tension in the anastomosis (P = 0.001). Overall, the anastomotic leak was similar in both groups. In the subgroup of patients with anastomosis under tension, the rate of anastomotic leak was higher in patients with ETT block (P = 0.028). Conclusion: Elective replacement of EET decreases the tube block rates and anastomotic leak rates in cases with anastomosis under tension. more...
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- 2024
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23. A Study of Patients Undergoing Surgical Treatment for Oesophageal Atresia
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Elisa Severi, Principal Investigator
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- 2024
24. Robotic Versus Thoracoscopy Versus Thoracotomy Repair for Congenital Esophageal Atresia (RR VS TR VS OR)
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Guiyang Children's Hospital, Guizhou Provincial People's Hospital, Union Hospital,Tong Ji Medical College,Huazhong University of Science and Technology, Binzhou Medical University, and zebing Zheng, prof. more...
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- 2024
25. Tracheomalacia and surgical options: A case series perspective.
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Møller, Helene Holmark, Schmidt, Marika Nathalie, Ifaoui, Inge B. R., Thyregod, Hans G. H., Christiansen, Elisabeth S., Muthialu, Nagarajan, Buchvald, Frederik F., and Nielsen, Kim G.
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DANES , *TREATMENT effectiveness , *SURGERY , *SYMPTOMS ,ESOPHAGEAL atresia - Abstract
Tracheomalacia causes considerable morbidity in children, and the best treatment options remain debated. This paper presents a case series of seven Danish children who underwent surgical interventions, such as tracheopexy and aortopexy, demonstrating favourable clinical outcomes, notably with early intervention. We discuss the indications, timing and potential benefits of surgery for tracheomalacia in reducing respiratory symptoms caused by tracheal collapse. Our case series highlights the potential of surgical options in managing tracheomalacia, emphasising the need for standardised protocols, multidisciplinary and international collaboration, and further research to optimise treatment strategies and outcomes. [ABSTRACT FROM AUTHOR] more...
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- 2025
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26. Innovative minimally invasive gastric pull-up techniques in children: SILS and robot-assisted gastric pull-up.
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Dokumcu, Zafer, Celtik, Ulgen, Hasan, Samir, Ozcan, Coskun, and Erdener, Ata
- Abstract
Aim: This study aims to explore the rationality, feasibility, safety, and effectiveness of single-incision laparoscopic gastric pull-up (SILS-GPU) and robot-assisted gastric pull-up (R-GPU) methods. Methods: Hospital records of patients who underwent gastric pull-up with either SILS-GPU or R-GPU between May2016 and January 2024 were reviewed. Demographics, diagnosis, surgical techniques, and postoperative outcomes were evaluated. Results: Out of the total 12 patients (eight persistent corrosive esophageal stricture—PCES, four long gap esophageal atresia—LGEA), seven underwent SILS-GPU, while the remaining five underwent R-GPU. The choice of conduit route was based on the primary pathology (PCES/EA) and the presence of posterior mediastinal fibrosis and/or tracheomalacia. The posterior mediastinum was preferred in seven, intrathoracic in three, and retrosternal in two patients. Transhiatal esophagectomy was performed in seven patients, while transthoracic esophagectomy was performed in three. There were no instances of mortality or intraoperative complications related to the preferred technique. All patients except one with Down syndrome were able to feed orally. Conclusion: SILS-GPU and R-GPU are demonstrated to be safe and effective in the pediatric population, with relatively lower complication rates in children. [ABSTRACT FROM AUTHOR] more...
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- 2025
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27. Rare Postoperative Complication of Esophageal Atresia after Open Thoracotomy Repair in Newborn—Lung Torsion: A Case Report
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Szymon Gryboś, Viera Karaffová, and Katarina Klapačová
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esophageal atresia ,lung torsion ,postoperative complication ,newborn ,Medicine ,Pediatrics ,RJ1-570 - Abstract
In this case report, we described a rare complication—lung torsion after esophageal atresia repair in a newborn. Torsion of the lung is a critical condition in which either the entire lung or a lung lobe twists, leading to occlusion of blood vessels and airways. The patient’s clinical condition was poor after the primary operation. An emergency thoracotomy showed 180° torsion of the right upper lobe (RUL) and right middle lobe (RML). After detorsion, perioperatively, the lung was gradually reperfused and had a normal appearance. After surgery, the patient was unstable, which culminated in a fatal end (bradycardia, reperfusion injury). Immediate intervention can preserve the affected lung or lung lobe. However, pulmonary torsion typically has a poor prognosis due to misdiagnosis and delayed treatment. Additionally, diagnosis in the neonatal period is even more challenging because the clinical symptoms are nonspecific. In any case, the question is whether detorsion is the right solution or whether a segmentectomy is necessary. more...
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- 2024
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28. Enhanced estimation strategy for determining the location of tracheoesophageal fistula in a preterm, low-birth-weight infant with congenital esophageal atresia type C and duodenal atresia: a case report
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Seirin Yamazaki, Yusuke Miyazaki, Yoshie Taniguchi, and Shoichi Uezono
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Tracheoesophageal fistula ,Esophageal atresia ,Preterm ,Low-birth-weight infant ,Anesthesiology ,RD78.3-87.3 ,Medical emergencies. Critical care. Intensive care. First aid ,RC86-88.9 - Abstract
Abstract Background In esophageal atresia type C, identifying the tracheoesophageal fistula (TEF) location is crucial for airway management. However, a thin bronchoscope may not always be available. Case presentation We report on a low-birth-weight neonate with esophageal atresia type C who required immediate gastrostomy after birth. With no suitable thin bronchoscope available, alternative methods were utilized to estimate the TEF location post-gastrostomy. Submerging the gastrostomy tube tip in water and applying positive pressure ventilation via a tracheal tube allowed for observation of air bubbles emerging from the gastrostomy tube. As the tracheal tube was advanced, the cessation of bubbles indicated that the TEF was sealed by the tracheal tube. The location of the tracheal tube tip, confirmed by chest radiographs, was consistent with the TEF location identified during corrective surgery for TEF. Conclusions This innovative technique facilitated successful estimation of the TEF location without bronchoscopy, demonstrating its efficacy in resource-limited settings. more...
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- 2024
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29. Parents caring and sham-feeding their child born with Esophageal atresia at home while waiting for reconstructive surgery.
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Tollne, AnnaMaria, Öst, Elin, Nilsson, Tuva, Almström, Markus, and Svensson, Jan F.
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PLASTIC surgery , *UNIVERSITY hospitals , *PEDIATRIC surgery , *HOME (The concept) , *FEEDING tubes ,ESOPHAGEAL atresia - Abstract
Purpose: For children with Esophageal atresia who have to wait for reconstructive surgery, long hospital stay, delayed introduction of oral feeds and hampered oro-motor function has traditionally been draw-backs for this treatment as the patients have minimal training of oro-motor function while waiting for surgery. In this paper, we present the concept of sham-feed at home awaiting reconstructive surgery with the aim to obliviate these problems. The aim was to describe the characteristics of patients with Esophageal atresia waiting for reconstructive surgery sham-feeding at home by their parents and further describe adverse events that arose. Methods: The study is a retrospective descriptive single center study on all children with a delayed reconstruction of Esophageal atresia who was sham-fed by their parents at home before reconstructive surgery between January 2010 and January 2023 at the Karolinska University Hospital, Stockholm. Results: Nine patients where home waiting for reconstructive surgery for a median of 72 days. No adverse events were reported related to the sham-feed procedure at home. The children had reconstructive surgery at a median 120 days of age. Five of the children ate full meals orally day 8–27 after surgery. Two children ate fully before 1 year after surgery. Two children had surgery less than 1 year ago and were not eating fully orally at the time of data collection. Conclusion: Sham-feeding at home by the parents was safe and feasible with the benefits of a prolonged time out of hospital awaiting reconstructive surgery. [ABSTRACT FROM AUTHOR] more...
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- 2024
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30. Development and validation of a realistic type III esophageal atresia simulator for the training of pediatric surgeons.
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Arredondo Montero, Javier, Pérez Riveros, Blanca Paola, Bueso Asfura, Oscar Emilio, Martín-Calvo, Nerea, Pueyo, Francisco Javier, and López de Aguileta Castaño, Nicolás
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PEDIATRIC surgeons , *TRACHEAL fistula , *TRAINING of surgeons , *PEDIATRIC surgery ,ESOPHAGEAL atresia - Abstract
Background: The technical complexity and limited casuistry of neonatal surgical pathology limit the possibilities of developing the necessary technical competencies by specialists in training. Esophageal atresia constitutes the paradigm of this problem. The use of synthetic 3D models for training is a promising line of research, although the literature is limited. Methods: We conceptualized, designed, and produced an anatomically realistic model for the open correction of type III oesophageal atresia. We validated it with two groups of participants (experts and non-experts) through face, construct, and content-validity questionnaires. Results: The model was validated by nine experts and nine non-experts. The mean procedure time for the experts and non-experts groups was 34.0 and 38.4 min, respectively. Two non-experts did not complete the procedure at the designed time (45 min). Regarding the face validity questionnaire, the mean rating of the model was 3.2 out of 4. Regarding the construct validity, we found statistically significant differences between groups for the equidistance between sutures, 100% correct in the expert group vs. 42.9% correct in the non-expert group (p = 0.02), and for the item "Confirms that tracheoesophageal fistula closure is watertight before continuing the procedure", correctly assessed by 66.7% of the experts vs. by 11.1% of non-experts (p = 0.05). Concerning content validity, the mean score was 3.3 out of 4 for the experts and 3.4 out of 4 for the non-experts. Conclusions: The present model is a cost-effective, simple-to-produce, and validated option for training open correction of type III esophageal atresia. However, future studies with larger sample sizes and blinded validators are needed before drawing definitive conclusions. [ABSTRACT FROM AUTHOR] more...
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- 2024
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31. Value of Biochemical Amniotic Fluid Analysis and Fetal Magnetic Resonance Imaging in the Prenatal Diagnosis of Congenital Microgastria.
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Lepee, Aurelie, Massardier, Jerome, Atallah, Anthony, Massoud, Mona, Pettazzoni, Magali, Huissoud, Cyril, Dubois, Remi, Guibaud, Laurent, and Cabet, Sara
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- *
FETAL MRI , *FETAL ultrasonic imaging , *PRENATAL diagnosis , *CONGENITAL heart disease ,ESOPHAGEAL atresia - Abstract
Introduction: Congenital microgastria (CM) is a rare condition due to early interruption of stomach development between the 4th and 8th week of gestation, leading to a small midline tubular stomach. Prenatal diagnosis of CM is a challenge with important implications. This study explores the value of biochemical amniotic fluid (AF) analysis and fetal magnetic resonance imaging (MRI) for the prenatal diagnosis of CM in case of nonvisible stomach on fetal ultrasound. Case Presentation: Four cases of CM were retrospectively investigated in terms of fetal ultrasound, MRI findings, and biochemical AF analyses. The patients were referred to the Prenatal Diagnosis Unit of the Hôpital Femme Mère Enfant (Lyon, France) at a mean age of 21 weeks of gestation for absent or small fetal stomach on ultrasound with a suspected diagnosis of esophageal atresia (EA). Ultrasound examination confirmed that the stomach was absent in two of the four fetuses and small in the other two. This feature was associated with a congenital heart defect in two cases and a terminal transverse limb defect in one case. Standard genetic workup (array-CGH) results were normal. Biochemical AF analysis, including the EA index, was not suggestive of EA. Fetal MRI showed a small midline tubular stomach, associated with a dilated esophagus, highly suggestive of CM. Conclusion: If the fetal stomach is absent on ultrasound, CM should be considered if the AF volume is normal, especially during the third trimester, and if the EA index is not suggestive of gastrointestinal obstruction. In these cases, the diagnosis can be confirmed by fetal MRI, through observation of a small midline tubular stomach associated with a dilated esophagus. [ABSTRACT FROM AUTHOR] more...
- Published
- 2024
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32. Rare Postoperative Complication of Esophageal Atresia after Open Thoracotomy Repair in Newborn—Lung Torsion: A Case Report.
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Gryboś, Szymon, Karaffová, Viera, and Klapačová, Katarina
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TREATMENT delay (Medicine) , *REPERFUSION injury , *SURGICAL complications , *TORSION , *BLOOD vessels ,ESOPHAGEAL atresia - Abstract
In this case report, we described a rare complication—lung torsion after esophageal atresia repair in a newborn. Torsion of the lung is a critical condition in which either the entire lung or a lung lobe twists, leading to occlusion of blood vessels and airways. The patient's clinical condition was poor after the primary operation. An emergency thoracotomy showed 180° torsion of the right upper lobe (RUL) and right middle lobe (RML). After detorsion, perioperatively, the lung was gradually reperfused and had a normal appearance. After surgery, the patient was unstable, which culminated in a fatal end (bradycardia, reperfusion injury). Immediate intervention can preserve the affected lung or lung lobe. However, pulmonary torsion typically has a poor prognosis due to misdiagnosis and delayed treatment. Additionally, diagnosis in the neonatal period is even more challenging because the clinical symptoms are nonspecific. In any case, the question is whether detorsion is the right solution or whether a segmentectomy is necessary. [ABSTRACT FROM AUTHOR] more...
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- 2024
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33. Clinical Signs as a Guide for Esophagram After Esophageal Atresia/Tracheoesophageal Fistula Repair.
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Joshi, Devashish, Stellon, Michael, Park, Keon Young, Hellner, Jessica, and Le, Hau D.
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TRACHEAL fistula , *CHEST X rays , *SYMPTOMS , *HUMAN abnormalities ,ESOPHAGEAL atresia - Abstract
Esophageal atresia/tracheoesophageal fistula (EA/TEF) is a congenital malformation that occurs in about 1 in 2500-4000 live births. After surgical repair, despite the lack of evidence supporting the routine use of postoperative esophagram, most surgeons report obtaining an esophagram prior to enteral feeding. We hypothesized that abnormal indicators in vital signs, drain characteristics, and chest radiograph (CXR) could be used to screen for anastomotic leak, thus reducing the need for a routine esophagram. A single institution, retrospective chart review of all patients born with EA with or without TEF between 2009 and 2022 was performed. Vital signs, postoperative CXR, chest drain characteristics, and esophagram results were analyzed for patients who underwent repair. Forty-five patients who underwent EA/TEF repair were included in the study, and 40 patients had routine esophagram. Out of the twenty-two patients who had at least one abnormal indicator, 14 (64%) had an anastomotic leak. Seventeen patients (43%) had the absence of abnormalities of all three indicators, and none of these patients had an anastomotic leak (100% negative predictive value). Moreover, changes in drain characteristics and vital signs together presented high sensitivity (87.5%), specificity (90%), and negative predictive value (94%). In the absence of abnormalities in vital signs, CXR, and drain characteristics in patients undergoing EA/TEF repair, routine esophagram can be safely avoided prior to enteral feeding. Abnormalities in drain characteristics and vital signs together were highly sensitive and specific for anastomotic leak, thus potentially eliminating the need for routine CXR and thereby minimizing radiation exposure and cost. • Esophagram can be avoided post esophageal atresia repair if clear criteria are met. • The criteria involve vital signs, chest drain output, and chest radiograph. • Chest drain output is the most reliable independent predictor of anastomotic leak. • Abnormal drain character and vitals together were predictive of anastomotic leak. [ABSTRACT FROM AUTHOR] more...
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- 2024
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34. Birth weight and thoracoscopic approach for patients with esophageal atresia and tracheoesophageal fistula—a retrospective cohort study.
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Borselle, Dominika, Gerus, Sylwester, Bukowska, Monika, and Patkowski, Dariusz
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MORTALITY , *PATIENT safety , *QUALITATIVE research , *RECEIVER operating characteristic curves , *RESEARCH funding , *KRUSKAL-Wallis Test , *FISHER exact test , *RETROSPECTIVE studies , *QUANTITATIVE research , *CHI-squared test , *SURGICAL complications , *ODDS ratio , *THORACOSCOPY , *MEDICAL records , *ACQUISITION of data , *FUNDOPLICATION , *GASTROSTOMY , *BIRTH weight , *COMPARATIVE studies , *CONFIDENCE intervals , *TRACHEAL fistula ,ESOPHAGEAL atresia - Abstract
Background: This study aimed to analyze the results, feasibility and safety of the thoracoscopic approach for patients with esophageal atresia with tracheoesophageal fistula (EA/TEF) depending on the patient's birth weight. Methods: The study involved only type C and D EA/TEF. Among the analyzed parameters were the patients' characteristics, surgical treatment and post-operative complications: early mortality, anastomosis leakage, anastomosis strictures, chylothorax, TEF recurrence, and the need for fundoplication or gastrostomy. Results: 145 consecutive newborns underwent thoracoscopic EA with TEF repair. They were divided into three groups—A (N = 12 with a birth weight < 1500 g), B (N = 23 with a birth weight ≥ 1500 g but < 2000 g), and C—control group (N = 110 with a birth weight ≥ 2000 g). Primary one-stage anastomosis was performed in 11/12 (91.7%) patients—group A, 19/23 (82.6%)—group B and 110 (100%)—group C. Early mortality was 3/12 (25%)—group A, 2/23 (8.7%)—group B, and 2/110 (1.8%)—group C and was not directly related to the surgical repair. There were no significant differences in operative time and the following complications: anastomotic leakage, recurrent TEF, esophageal strictures, and chylothorax. There were no conversions to an open surgery. Fundoplication was required in 0%—group A, 4/21 (19.0%)—group B, and 2/108 (1.9%)—group C survivors. Gastrostomy was performed in 1/9 (11.1%)—group A, 3/21 (14.3%)—group B and 0%—group C. Conclusion: In an experienced surgeon's hands, even in the smallest newborns, the thoracoscopic approach may be safe, feasible, and worthy of consideration. Birth weight seems to be not a direct contraindication to the thoracoscopic approach. [ABSTRACT FROM AUTHOR] more...
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- 2024
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35. Parent experiences of the esophageal atresia journey during the early post-natal period: results from a support group perspective.
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de Vos, Corné, de Vos, Werner, Widemann-Grolig, Anke, van Wyk, Lizelle, Sidler, Daniel, and Goussard, Pierre
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SUPPORT groups , *CHRONICALLY ill patient care , *TRACHEAL fistula , *PATIENTS' families , *FAMILY-centered care , *EMOTIONAL experience - Abstract
Surgically repaired esophageal atresia (EA) is associated with chronic esophageal and respiratory morbidity that require ongoing management. The care of chronically ill children can exert considerable stress on parents, thereby potentially affecting their mental well-being. In response to this, disease-specific support groups have emerged with the aim to bring together individuals facing similar challenges, facilitating the exchange of experiences within a nurturing environment, and providing essential emotional support. In the context of this international collaborative study, we investigated the role played by EA-specific support groups in promoting the emotional well-being of EA families. An anonymous online survey was distributed through a network comprising 12 international EA support groups affiliated with the Federation of Esophageal Atresia and Tracheoesophageal Fistula (EAT) during May and August of 2022. In the study, 96 parents from 23 different countries completed the survey. Fifty-six percent indicated a lack of interaction with other EA families during the initial diagnosis, with 91% expressing the belief that such contact would have been beneficial. Participants exhibited a unanimous recognition of the critical role played by disease-specific support groups in navigating the emotional journey associated with EA. Conclusion: The findings of this global survey align with existing literature, reaffirming the beneficial impact of disease-specific support groups tailored for EA patients and their families on their emotional well-being. These groups provide a valuable platform for the exchange of personal experiences and narratives, delivering advantages to both those who share their stories and those who receive this valuable information. What is Known: • Parents are exposed to several stressors during the neonatal period. • Emotional well-being of EA families is important. What is New: • EA support groups play a valuable role in the emotional well-being of EA families. • Family-centered care of neonates should also include older siblings of neonates in NICU. [ABSTRACT FROM AUTHOR] more...
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- 2024
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36. Thoracic Musculoskeletal Deformities Following Surgical Treatment of Esophageal Atresia - Thoracoscopic Versus Open Approach: A Retrospective Two Centers Cohort Study.
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Borselle, Dominika, Grochowski, Konrad, Gerus, Sylwester, Międzybrodzki, Krzysztof, Kołtowski, Krzysztof, Jasińska, Aleksandra, Kamiński, Andrzej, and Patkowski, Dariusz
- Abstract
Thoracic musculoskeletal deformities are significant complications following open correction of esophageal atresia (EA) during long-term follow-up. We aimed to compare the frequency and severity of thoracic musculoskeletal deformities after open and thoracoscopic repair of EA. We hypothesized that fewer deformities would occur following the less invasive thoracoscopic approach. This retrospective study analyzed patients treated at two pediatric surgery departments in Poland between 2005 and 2021. The patient groups differed in surgical approach, operative techniques, indications for multi-staged surgery, and postoperative complications. The study encompassed all types of EA/TEF. The first group comprised 68 patients who underwent thoracoscopic esophageal atresia repair (Wroclaw), while the second group involved 44 patients who underwent open repair (Warsaw). Clinical data were retrospectively reviewed, with results considered significant at p < 0.05. The median age at examination was 6 years in the thoracoscopy group and 5.5 years in the thoracotomy group. In the thoracoscopy group, 53 out of 68 patients (77.9%) and in the thoracotomy group – 35 out of 44 patients (79.5%) were treated in one stage. The incidence of thoracic musculoskeletal deformities was significantly lower in the thoracoscopy group (1.5%) compared to the thoracotomy group (34.1%, p < 0.001). Scoliosis occurred significantly more often after thoracotomy (13.6% vs 1.5%, p = 0.016). There was no rib fusion (0% vs 37.1%, p < 0.001) and no scoliosis of =>20 ° (0% vs 6.8%, p = 0.058) after thoracoscopy. The coincidence of rib fusion and scoliosis was significant (9.1%, p = 0.022) for the open approach. In the thoracotomy group, multi-staged surgery and more frequent reoperations due to major complications were significantly associated with an increased occurrence of deformities. None of the patients after thoracoscopic multi-stage or complicated EA/TEF repair developed scoliosis. The frequency and severity of thoracic musculoskeletal deformities were significantly lower after the thoracoscopic approach. Thoracoscopy may be a more advantageous and preferred surgical approach for the EA/TEF treatment, although further randomized, controlled studies are necessary. Post-thoracotomy scoliosis may progress to a severity requiring surgery. What is currently known about this topic? • Patients after open repair of EA/TEF are at considerable risk of thoracic musculoskeletal deformities • The incidence of scoliosis following open EA/TEF surgery ranges from 3% to 67% • Thoracic musculoskeletal abnormalities may contribute to reduced physical activity and tend to progress over time What new information is contained in this article? • Thoracoscopy may be associated with significantly reduced incidence of thoracic musculoskeletal deformities development, including scoliosis and rib fusion • Thoracoscopy as minimally invasive access may be worthwhile approach especially with the requirement for multi-stage repair in the newborn period [ABSTRACT FROM AUTHOR] more...
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- 2024
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37. Validation of a PHIS Esophageal Atresia and Tracheoesophageal Fistula Cohort in ICD‐10.
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Lawlor, Claire M., Kamran, Ali, Bennett, John, Behzadpour, Hengameh, Pattisapu, Prasanth, Zendejas, Benjamin, and Choi, Sukgi S.
- Abstract
Objective: Validation of a contemporary International Classification of Diseases, 10th Revision, Clinical Modification (ICD‐10‐CM) congenital esophageal atresia/tracheoesophageal atresia (EA/TEF) cohort in the Pediatric Health Information System (PHIS) database. Study Design: Database study, validation. Setting: Tertiary care center. Methods: Search methods used to validate an ICD‐9‐CM EA/TEF cohort in PHIS were modified for ICD‐10‐CM. A retrospectively and prospectively maintained clinical database at a single high‐volume EA/TEF center was used for comparison. Patients treated between October 1, 2015 and July 31, 2022 were included. Searches progressively narrowed the cohort by ICD‐10‐CM diagnosis codes, expansion to include incorrectly coded as 'iatrogenic, age less than 30 days, and use of at least 1 ICD‐10‐CM procedure code. Results of PHIS data and institution data were compared for accuracy. Results: The most refined search of PHIS and the EA/TEF clinical database yielded 93 and 84 patients, respectively. The sensitivity was 99% and positive predictive value was 94%. A PHIS search using these methods and encompassing 49 children's hospitals yielded an EA/TEF cohort of 2479 patients. Conclusion: We present a validated search method in the PHIS database to identify a high‐fidelity cohort of EA/TEF patients for multi‐institutional study. We have demonstrated that a carefully maintained clinical database may be used to validate cohorts in PHIS. This cohort allows for improved practice variability and outcomes study of EA/TEF patients. Similar methods may be employed to generate other rare disease cohorts in PHIS. Level of Evidence: Level 4. [ABSTRACT FROM AUTHOR] more...
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- 2024
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38. ATRESIA DE ESÔFAGO EM RECÉM-NASCIDO: RELATO DE CASO.
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da Luz, Giovana Zonkowski, Mocellin, Giovanna, and Machado Brites, Thais Ariela
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ESOPHAGEAL atresia ,ASPIRATION pneumonia ,NASOENTERAL tubes ,PRENATAL care ,MOTHERS - Abstract
Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) more...
- Published
- 2024
- Full Text
- View/download PDF
39. Attenuation of esophageal anastomotic stricture through remote ischemic conditioning in a rat model.
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Youn, Joong Kee, Lee, Hye-Rim, Ko, Dayoung, and Kim, Hyun-Young
- Subjects
- *
LABORATORY rats , *ISCHEMIC conditioning , *GENETIC transcription , *CELLULAR signal transduction ,ESOPHAGEAL atresia - Abstract
Anastomotic stricture is a typical complication of esophageal atresia surgery. Remote ischemic conditioning (RIC) has demonstrated multiorgan benefits, however, its efficacy in the esophagus remains unclear. This study aimed to investigate whether applying RIC after esophageal resection and anastomosis in rats could attenuate esophageal stricture and improve inflammation. Sixty-five male Sprague–Dawley rats were categorized into the following groups: controls with no surgery, resection and anastomosis only, resection and anastomosis with RIC once, and resection and anastomosis with RIC twice. RIC included three cycles of hind-limb ischemia followed by reperfusion. Inflammatory markers associated with the interleukin 6/Janus kinase/ signal transducer and activator of transcription 3 (IL-6/JAK/STAT3) and tumor necrosis factor-alpha/nuclear factor-κB (TNF-α/NF-kB) signaling pathways were evaluated with RNA and protein works. The RIC groups showed significantly lower stricture rates, lower inflammatory markers levels than the resection and anastomosis-only group. The RIC groups had significantly lower IL-6 and TNFa levels than the resection and anastomosis-only group, confirming the inhibitory role of remote ischemic conditioning in the IL-6/JAK/STAT3 and TNF-α/NF-kB signaling pathways. RIC after esophageal resection and anastomosis can reduce the inflammatory response, improving strictures at the esophageal anastomosis site, to be a novel noninvasive intervention for reducing esophageal anastomotic strictures. [ABSTRACT FROM AUTHOR] more...
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- 2024
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40. Indications for extensively hydrolyzed cow's milk protein in the neonatal period.
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Rigourd, Virginie, Heneau, Alice, Virlouvet, Anne-Laure, Basset, Aurelie, Herry, Estelle, Jaquemet, Bénedicte, Bellaiche, Marc, Lapillonne, Alexandre, and Tounian, Patrick
- Subjects
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NEONATAL necrotizing enterocolitis , *MILK proteins , *HYDROLYSIS , *DIAPHRAGMATIC hernia , *BREASTFEEDING ,ESOPHAGEAL atresia - Abstract
A large proportion of prescriptions for extensively hydrolyzed cow's milk protein (CMP) in newborns are not based on any scientific data justifying the indication. Many of these prescriptions are old habits or are based on incomplete data. The aim of this article is to analyze these practices and propose recommendations. The following points are covered: (a) indications for extensively hydrolyzed formula based on studies demonstrating their benefits in these situations—newborns with a proven allergy to CMP and occasional prescription of supplements to breastfeeding; (b) possible indications not based on a high level of evidence—re-initiation of feeding due to necrotizing enterocolitis, short bowel syndrome, re-initiation of feeding of newborns following intestinal surgery, and laparoschisis if neither the mother's own milk nor milk from a lactarium is available; (c) unjustified indications—newborns at risk of atopy, prematurity, severe neurological pathologies, newborns who are hemodynamically unstable and/or have congenital cardiopathy, neonatal hypoxic–ischemic encephalopathy treated with hypothermia, and newborns with esophageal atresia or diaphragmatic hernia. By following this classification, the prescriber will be guided to use the milk best suited to the pathology, bearing in mind that each situation must be adapted individually and the tolerance and effectiveness of the food reassessed from a nutritional and functional point of view. [ABSTRACT FROM AUTHOR] more...
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- 2024
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41. Esophageal Atresia and Gastric Ectopic Pancreas: Is There a Real Association?
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Barila Lompe, Patricia, Gine, Carlos, Laín, Ana, Garcia-Martinez, Laura, Diaz Hervas, Maria, and López, Manuel
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CELIAC disease , *CHILD patients , *PANCREAS , *EOSINOPHILIC esophagitis , *ASYMPTOMATIC patients , *GENETIC disorders ,ESOPHAGEAL atresia - Abstract
Objective Heterotopic pancreas (HP) is a condition in which there is well-differentiated pancreatic tissue that lacks any anatomic or vascular contact with the pancreatic gland. It normally arises from the stomach but can be found in other locations. Although it is usually asymptomatic, obstructive symptoms, bleeding, or malignant degeneration can occur. The incidence is very low, but it is significantly more common in patients with esophageal atresia (EA). The aim of this study is to evaluate the incidence of HP in patients with and without EA and to compare the results in both groups. Material and Methods We conducted a 2-year prospective study in pediatric patients who benefited from an upper gastrointestinal endoscopy. Patients were divided into two groups: group "A" comprised patients with EA and group "B" those without EA. The variables analyzed were the clinical presentation, presence of HP, location, associated malformations, genetic disorders, and management. Results A total of 192 consecutive patients were included in the study: 51 (26.6%) in group A and 141 (73.4%) in group B. Indications for endoscopy in group B were eosinophilic esophagitis in 37 (19.2%) patients, celiac disease in 23 (11.95%) patients, and other disorders in 81 (42.2%) patients. Gastric HP was found in seven patients, all of them in group A. All lesions were hosted in the prepyloric antrum. The prevalence of HP in groups A and B was 13.7 and 0%, respectively (p < 0.05). Female gender was predominant in patients with AE and HP, this result being statistically significant (p = 0.044). No other associated malformation or genetic syndrome studied showed association with HP. Only one patient debuted with upper gastrointestinal (GI) bleeding and required excision, while six patients were asymptomatic. The mean follow-up was 54 months (range: 45–78 months). Conclusion The incidence of gastric HP is more common in patients with EA, with the female gender being a risk factor for their association. Active search and follow-up is recommended as it may become symptomatic anytime and need resection. [ABSTRACT FROM AUTHOR] more...
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- 2024
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42. Are Low Weight or Cardiopathy Contraindications for Thoracoscopic Repair of Esophageal Atresia with Tracheoesophageal Fistula?
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Cadaval, Carlos, Molino, José Andrés, Guillén, Gabriela, López Fernández, Sergio, Hierro, Carmen López, Martos Rodríguez, Marta, Khan, Haider Ali, Vilardell, Elena, Andreu, Eva, Ruiz, César W., and López, Manuel more...
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TRACHEAL fistula , *LOW birth weight , *CONGENITAL heart disease , *CHEST endoscopic surgery , *THORACOTOMY ,ESOPHAGEAL atresia - Abstract
Background Thoracoscopic repair of esophageal atresia (EA) with tracheoesophageal fistula (TEF) is becoming an increasingly widespread technique; there is still controversy about its indication in certain patients. Our objective is to analyze if potential risk factors such as major congenital heart disease (CHD) or low birth weight (LBW) are a limitation to this approach. Methods Retrospective study (2017–2021) of patients with EA and distal TEF who underwent thoracoscopic repair were included. Patients with LBW less than 2,000 g or major CHD were compared with the rest. Results Twenty-five patients underwent thoracoscopic surgery. Nine patients (36%) had major CHD. Five of them (20%) were LBW less than 2,000 g, and only 8% (2/25) presented both risk factors. There were no differences in terms of operative time, conversion rate, tolerance evaluated with gasometric parameters (pO2 , pCO2 , pH) or complications (anastomotic leak and stricture, both early or during follow-up) in patients with major CHD and LBW (1,473 ± 319 vs. 2,664 ± 402 g). One conversion to thoracotomy was performed in a neonate weighing 1,050 g due to anesthetic intolerance. There was no recurrence of TEF. One patient died at the age of 9 months, due to major uncorrectable heart disease. Conclusion Thoracoscopic repair of EA/TEF is feasible technique in patients with CHD or LBW, with similar results to other patients. The complexity of this technique warrants individualizing the indication in each case. Level of Evidence IV. [ABSTRACT FROM AUTHOR] more...
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- 2024
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43. Posterior Tracheopexy for Tracheomalacia: A Study of Clinical and Radiological Consequences on Esophagus.
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Torre, Michele, Reali, Serena, Rizzo, Francesca, Guerriero, Vittorio, Palo, Federico, Arrigo, Serena, Sacco, Oliviero, and Mattioli, Girolamo
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ESOPHAGUS , *ESOPHAGEAL perforation , *PATIENTS' rights , *OPERATIVE surgery ,ESOPHAGEAL atresia - Abstract
Introduction Posterior tracheopexy (PT) directly addresses the posterior trachealis membrane intrusion in severe tracheomalacia. During PT, the esophagus is mobilized and membranous trachea is sutured to the prevertebral fascia. Although dysphagia has been reported as a possible complication of PT, in the literature there are no data investigating postoperative esophageal anatomy and digestive symptoms. Our aim was to study clinical and radiological consequences of PT on esophagus. Methods Patients with symptomatic tracheobronchomalacia scheduled for PT between May 2019 and November 2022 underwent pre- and postoperative esophagogram. For each patient, we analyzed radiological images and measured esophageal deviation providing new radiological parameters. Results All 12 patients underwent thoracoscopic PT (n = 3) or robot-assisted thoracoscopic PT (n = 9). For all patients, the postoperative esophagogram showed a right dislocation of the thoracic esophagus (median postoperative deviation = 27.5 mm). We report an esophageal perforation at postoperative day 7 in a patient affected by esophageal atresia, who underwent several surgical procedures before. A stent was placed and esophagus healed. Another patient with severe right dislocation referred transient dysphagia to solids, which resolved gradually in the first postoperative year. All the other patients did not present any esophageal symptoms. Conclusion For the first time, we demonstrate the right dislocation of the esophagus after PT and we propose an objective method to measure it. In most patients, PT is a procedure not affecting esophageal function, but dysphagia can occur if dislocation is important. Esophagus mobilization during PT should be cautious, especially in patients who underwent previous thoracic procedures. [ABSTRACT FROM AUTHOR] more...
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- 2024
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44. Our experience in repairs using the native esophagus such as the Foker and Gazi methods in the management of patients with long-gap esophageal atresia.
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Kaya, Cem, Kapisiz, Alparslan, Eryilmaz, Sibel, Turkyilmaz, Zafer, Karabulut, Ramazan, Turker, Leyla, Hirfanoglu, Ibrahim Murat, Ergenekon, Ebru, Turkyilmaz, Canan, and Sonmez, Kaan
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ESOPHAGEAL atresia ,MEDICAL records ,ESOPHAGUS ,SURGICAL anastomosis ,TEFF - Abstract
This study aimed to share our experience with infants with repaired long-gap esophageal atresia (LGEA) using the native esophagus and Foker and Gazi methods. We retrospectively analyzed the medical records of 10 patients with LGEA (six with pure esophageal atresia [EA], and four with distal trachea-esophageal fistula [TEF] + EA). The mean length between the esophageal pouches was 5.9 cm (4-9 cm). Five Foker methods, three Gazi methods, and two delayed primary repairs after a daily bougie were performed an average of 19.3 days after the first surgery and 26.4 days after the final esophageal anastomosis. For the Foker technique, it was 36.1 days. Their first oral intake was 10.2 days, and their transition to full enteral food was 26.2 days. An esophageal leak was detected in six patients. Fundoplication and dilatations were performed for three and four patients, respectively. For good results, LGEA patients should be operated on at least under the supervision of an experienced surgeon in specialized centers, and the team should be familiar with the techniques for using the native esophagus. [ABSTRACT FROM AUTHOR] more...
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- 2024
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45. A 5-Year Retrospective Study of Gastrointestinal Atresia in a Tertiary Care Hospital in Mogadishu, Somalia.
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Mohamed, Shukri Said, Küçük, Adem, Sheikh, Omar Adam, SARAÇ, Ahmet, Adam, Mesut Kayse, Ibrahim, Ismail Gedi, Osman, Marian Muse, Ali, Naima Abukar, and Mohamud, Abdirahman Ahmed
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ESOPHAGEAL atresia ,HUMAN abnormalities ,RECTAL prolapse ,BOWEL obstructions ,POSTOPERATIVE care - Abstract
The study's goal was to evaluate patient demographics, related abnormalities, atresia location, operational management, postoperative care, and results of patients with gastrointestinal atresia and compare them with other research. Methods: A 5-year retrospective study in cases with gastrointestinal atresia at a tertiary hospital in Mogadishu, Somalia, was carried out by the pediatric surgery department from January 2017 to January 2022. Results: A165 cases were operated due to gastrointestinal atresia in five-year period., 105 were male (63.6%) and 60 were female (36.4%), giving the male to female ratio of 1.75:1. According to the age group of the study population, the majority of cases (48.5%) were aged less than 1 month. The esophageal atresia, duodenal atresia, high jejunal atresia, jejunoileal atresia, and colon atresia, anorectal malformations were 9.7%, 9.1%, 0.6%, 7.3%, 73.3%, respectively; the anorectal malformations has resulted in the majority of cases (73.3%). 20 % of cases had no follow-up, while 80% arrived as planned. 52.1% got well and had no complications and some developed different complications like peristomal skin irritation (14%), rectal and urethral fistula (4.8%), rectal prolapse (1.8%), rectal stenosis (2.4%), rectal adhesions (1.2%), esophageal stricture (1.2%), wound infection (3.6%), anastomosis dehiscence (0.6%), abdominal distension (0.6%), recto-perineal fistula (1.2%), urethral damage and urinary retention (0.6%). Mortality for this study was 24.8% (41 patients). Conclusion: Children with gastrointestinal atresia present late in the course of their illness, with substantial morbidity and death due to poor economic conditions, poor nutrition, surgical problems, and likely related anomalies, rather than surgical morbidity alone. [ABSTRACT FROM AUTHOR] more...
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- 2024
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46. Enhanced estimation strategy for determining the location of tracheoesophageal fistula in a preterm, low-birth-weight infant with congenital esophageal atresia type C and duodenal atresia: a case report.
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Yamazaki, Seirin, Miyazaki, Yusuke, Taniguchi, Yoshie, and Uezono, Shoichi
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POSITIVE pressure ventilation ,TRACHEAL fistula ,RESOURCE-limited settings ,ENDOTRACHEAL tubes ,PREMATURE infants ,ESOPHAGEAL atresia - Abstract
Background: In esophageal atresia type C, identifying the tracheoesophageal fistula (TEF) location is crucial for airway management. However, a thin bronchoscope may not always be available. Case presentation: We report on a low-birth-weight neonate with esophageal atresia type C who required immediate gastrostomy after birth. With no suitable thin bronchoscope available, alternative methods were utilized to estimate the TEF location post-gastrostomy. Submerging the gastrostomy tube tip in water and applying positive pressure ventilation via a tracheal tube allowed for observation of air bubbles emerging from the gastrostomy tube. As the tracheal tube was advanced, the cessation of bubbles indicated that the TEF was sealed by the tracheal tube. The location of the tracheal tube tip, confirmed by chest radiographs, was consistent with the TEF location identified during corrective surgery for TEF. Conclusions: This innovative technique facilitated successful estimation of the TEF location without bronchoscopy, demonstrating its efficacy in resource-limited settings. [ABSTRACT FROM AUTHOR] more...
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- 2024
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47. A protocol for neoWONDER: Neonatal whole population data linkage to improve long-term health and wellbeing of preterm and sick babies.
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van Blankenstein, Emily, Aveline, Alice, and Battersby, Cheryl
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PREMATURE infants , *MEDICAL care use , *HOSPITAL statistics , *WELL-being , *MENTAL health services , *EDUCATIONAL outcomes ,ESOPHAGEAL atresia - Abstract
Introduction: Early-life medical and surgical interventions in babies born preterm and/or with surgical conditions influence later life health and educational outcomes. Obtaining long-term outcomes post-discharge to evaluate the impact of interventions is complex, expensive, and burdensome to families. Linkage of routinely collected data offers a feasible and cost-effective solution. The NeoWONDER research programme aims to describe the short and long-term health and educational outcomes for babies born preterm and/or with surgical conditions and evaluate the impact of neonatal care and interventions on later health and educational outcomes. Methods and analysis: We will include babies who received care in neonatal units in England and Wales, born between 2007–2020 with a gestational age below 32 weeks (approximately 100,000), and/or born between 2012–2020 (all gestations) with any of six surgical conditions: necrotising enterocolitis, Hirschsprung's disease, gastroschisis, oesophageal atresia, congenital diaphragmatic hernia, and posterior urethral valves (approximately 8,000). A detailed list of surgical condition codes is shown in S3 File. We will obtain long-term health and education outcomes through linkage of the National Neonatal Research Database, which contains routine data for all babies admitted to NHS neonatal units, to other existing health and educational datasets. For England, these are: Hospital Episode Statistics, the Office for National Statistics, Mental Health Services Dataset, Paediatric Intensive Care Audit Network, National Pupil Database; and for Wales, the Secure Anonymised Information Linkage databank. Analysis will be undertaken on de-identified linked datasets. Outcomes of interest for health include mortality, hospital admissions, diagnoses indicative of neurodisability and/or chronic illness, health care utilisation; and for education are attainment (using national curriculum assessments), school absence and special educational needs status. [ABSTRACT FROM AUTHOR] more...
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- 2024
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48. Pharmacokinetic Evaluation of Oral Viscous Budesonide in Paediatric Patients with Eosinophilic Oesophagitis in Repaired Oesophageal Atresia.
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Simeoli, Raffaele, Lava, Sebastiano A. G., Di Deo, Alessandro, Roversi, Marco, Cairoli, Sara, Tambucci, Renato, Rea, Francesca, Malamisura, Monica, Angelino, Giulia, Biondi, Isabella, Simonetti, Alessandra, De Angelis, Paola, Dionisi Vici, Carlo, Rossi, Paolo, Pontrelli, Giuseppe, Della Pasqua, Oscar, and Goffredo, Bianca Maria more...
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EOSINOPHILIC esophagitis , *CHILD patients , *PHARMACOKINETICS , *HYDROCORTISONE ,ESOPHAGEAL atresia - Abstract
Eosinophilic oesophagitis is a long-term complication of oesophageal atresia (EA), an uncommon condition that affects approximately 1 in 3500 infants. An exploratory, open-label phase 2 clinical trial was conducted in paediatric eosinophilic oesophagitis after oesophageal atresia (EoE-EA) to assess the safety, pharmacokinetics, and efficacy of oral viscous budesonide (OVB). In total, eight patients were enrolled in the study and assigned to a twice-daily dosing regimen of either 0.8 or 1 mg OVB, depending on age and height, administered for 12 weeks. OVB was safe and effective in the treatment of EoE-EA. The current investigation focuses on the pharmacokinetics of budesonide and the impact of an oral viscous formulation on its absorption and bioavailability. Using a non-linear mixed effects approach, two distinct absorption profiles were identified, despite marked interindividual variability in drug concentrations. Budesonide exposure was higher than previously reported in children following oral inhalation. Even though no significant effect has been observed on serum cortisol levels, future studies should consider exploring different doses, schedules, and/or treatment durations, as there may be an opportunity to reduce the risk of cortisol suppression. [ABSTRACT FROM AUTHOR] more...
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- 2024
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49. Disease-specific quality of life as part of the long-term follow-up for children born with esophageal atresia in an academic unit in South Africa—a pilot study.
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Vos, C de, Dellenmark-Blom, M, Sikwete, F M, Sidler, D, Wyk, L van, and Goussard, P
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QUALITY of life , *PILOT projects , *BODY image , *NEONATAL mortality , *WELL-being , *PARENT-child communication ,ESOPHAGEAL atresia - Abstract
As neonatal mortality rates have decreased in esophageal atresia (EA), there is a growing focus on quality of life (QoL) in these children. No study from Africa has reported on this topic. This pilot study aimed to describe disease-specific QoL in EA children and its applicability as part of long-term follow-up in an academic facility in South Africa. Disease-specific QoL in children born with EA was assessed utilizing the EA-QoL questionnaire for children aged 2–17 years during a patient-encounter. The parent-report for children aged 2–7 years compromised 17 items categorized into three domains: eating, physical health and treatment, and social isolation/stress. The 24-item EA-QL questionnaire for children aged 8–18 (child- and parent-report) explored four domains: eating, body perception, social relationships, and health and well-being. A total of 13 questionnaires for children aged 2–7 years were completed by five parents. A negative perceived impact on their child's eating was reported by 46–92% of parents, and less impact in the other two domains. A total of 27 questionnaires were completed by eight children aged 8–17 years and 10 parents. Similar percentages children and parents reported a negative impact in the eating, social relationships, and body perception domains. More than half reported a negative impact on the child's health and well-being. This study supports the concept that assessment of disease-specific QoL should play a vital role in the comprehensive follow-up approach for children born with EA. We identified that parents of younger children were more likely to report eating disorders, whereas parents of older children were more likely to report health difficulties with different perceptions when it came to the child's scar. [ABSTRACT FROM AUTHOR] more...
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- 2024
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50. Neonatal peri-procedural extracorporeal membrane oxygenation in the management of tracheo-esophageal fistula/esophageal atresia and left pulmonary agenesis.
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Hartman, Heather A, Spencer, Brianna, Hirschl, Ronald B, Elliot, Anila B, and Thirumoorthi, Arul S
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LUNG abnormalities , *CESAREAN section , *EXTRACORPOREAL membrane oxygenation , *THORACOTOMY , *RARE diseases , *MAGNETIC resonance imaging , *DISCHARGE planning , *LARYNGOSCOPY , *MULTIPLE human abnormalities , *TRACHEAL fistula , *DEGLUTITION disorders , *PARALYSIS ,ESOPHAGEAL atresia ,VOCAL cord diseases - Abstract
Congenital tracheo-esophageal fistula/esophageal atresia (TEF/EA) with concomitant pulmonary agenesis is exceedingly rare and has a high mortality rate. While there are several reported cases of successful repair, all but one patient had right-sided pulmonary agenesis. In the case of left-sided pulmonary agenesis, the patient had incomplete agenesis and underwent repair through a left thoracotomy. We present the first successful repair of TEF/EA with complete left-sided pulmonary agenesis. This patient also underwent elective pre-operative veno-venous extracorporeal membrane oxygenation (ECMO) and subsequent repair of the TEF/EA. We discuss the management, anesthesia risks, and role of periprocedural ECMO in pediatric patients who are high anesthetic risk. [ABSTRACT FROM AUTHOR] more...
- Published
- 2024
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