Initial evaluation of a multidisciplinary pediatric aerodigestive program in a Brazilian hospital: challenges and mitigation strategies
CONCLUSIONS: Dysphagia was the most frequent issue encountered in this initial group of aerodigestive patients. Pediatricians caring for these children must be involved in aerodigestive team discussions and hospital policies must be revised to facilitate access to exams and procedures needed for this population.PMID:37414098 | DOI:10.1016/j.jped.2023.05.012 (Source: Jornal de Pediatria)
Source: Jornal de Pediatria - July 6, 2023 Category: Pediatrics Authors: D ébora Bressan Pazinatto Maria Angela Bellomo Brand ão Fl ávia Lima Peixoto Costa Rebecca Maunsell Source Type: research
Neurodevelopmental outcomes in individuals with VACTERL association. A population-based cohort study
ConclusionsA higher risk of ADHD, ASD and ID was found among individuals with VACTERL association compared to controls. These results are of importance to caregivers and to professionals participating in follow ups of these patients in providing early diagnosis and support, aiming to optimize the quality of life of these patients. (Source: PLoS One)
Source: PLoS One - June 29, 2023 Category: Biomedical Science Authors: Ann-Marie Kassa Source Type: research
Transitioning through adversity: Maternal experiences and post-traumatic growth in the context of infants diagnosed with esophageal atresia - A comprehensive qualitative study
This study aimed to elucidate the experiences and growth trajectories of mothers who have infants with esophageal atresia, which would contribute to our understanding of their unique nursing care requirements and support the development of personalized nursing care strategies and interventions for these critically ill infants. (Source: Journal of Pediatric Nursing)
Source: Journal of Pediatric Nursing - June 26, 2023 Category: Nursing Authors: Shumei Gong, Chunyan Tang, Xiaolin Wang, Jing Yan, Qun Yu, Liping Jiang Source Type: research
Clinical features of a tracheoesophageal fistula associated with complete tracheal rings
ConclusionsOur results may help pediatric surgeons in the management of TEF with CTR. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - June 24, 2023 Category: Surgery Source Type: research
Combined esophageal and duodenal atresia: A review of the literature from 1950 to 2020
Arch Pediatr. 2023 Jun 14:S0929-693X(23)00083-0. doi: 10.1016/j.arcped.2023.05.004. Online ahead of print.ABSTRACTThe combination of duodenal atresia (DA) and esophageal atresia (EA) is very rare. With improvements in prenatal sonography and the use of fetal magnetic resonance imaging (MRI), these malformations can be diagnosed in a more accurate and timely manner; polyhydramnios remains the most common sign despite having a low specificity. The high rate of associated anomalies (in 85% of cases) can also impact neonatal management and increase the morbidity rate; thus, it is of paramount importance to look for every possi...
Source: Archives de Pediatrie - June 16, 2023 Category: Pediatrics Authors: Lauren Doval V éronique Rousseau Sabine Irtan Source Type: research
Hyperspectral Imaging —A Novel Tool to Assess Tissue Perfusion and Oxygenation in Esophageal Anastomoses
We present two cases of with tracheoesophageal fistula (TEF)/EA repair, in whom we applied HSI: the first patient was a newborn with EA type C who underwent open TEF repair. The second one had an EA type A and cervical esophagostomy, in whom we performed gastric transposition. In both patients, HSI confirmed a good tissue perfusion of the later anastomosis. The postoperative course was uneventful and both patients are on full enteral feeds. We conclude that HSI is a safe and noninvasive tool that allows near real-time assessment of tissue perfusion and can contribute to the identification of the optimal anastomotic region ...
Source: European Journal of Pediatric Surgery Reports - June 12, 2023 Category: Surgery Authors: Vaz Pimentel, Duarte Merten, Larissa Gosemann, Jan-Hendrik Gockel, Ines Jansen-Winkeln, Boris Mayer, Steffi Lacher, Martin Tags: Case Report Source Type: research
The International Network on Oesophageal Atresia (INoEA) consensus guidelines on the transition of patients with oesophageal atresia–tracheoesophageal fistula
Nature Reviews Gastroenterology & Hepatology, Published online: 07 June 2023; doi:10.1038/s41575-023-00789-wCurrently, systematic care for adults and adolescents with oesophageal atresia–tracheoesophageal fistula (EA-TEF) as they transition into adulthood is lacking. A multidisciplinary group of experts structured this Consensus Statement offering guidelines for the care of adolescents and adults with EA-TEF during transition. (Source: Nature Reviews Gastroenterology and Hepatology)
Source: Nature Reviews Gastroenterology and Hepatology - June 7, 2023 Category: Gastroenterology Authors: Usha Krishnan Michael W. Dumont Hayley Slater Benjamin D. Gold David Seguy Mikael Bouin Rene Wijnen Luigi Dall ’Oglio Mario Costantini Anastassios C. Koumbourlis Thomas A. Kovesi Michael J. Rutter Marlene Soma Jessica Menzies Audrey Van Malleghem Nathal Source Type: research
EE554 Budget Impact Analysis of Intravenous Acetaminophen in Neonates after Esophageal Atresia and Tracheoesophageal Fistula Repair
The primary outcome of this study was to compare the budget impact of intravenous acetaminophen (IV APAP) in combination with opioids versus opioids alone as a pain management strategy after neonatal esophageal atresia (EA) and tracheoesophageal fistula (TEF) repair. (Source: Value in Health)
Source: Value in Health - June 1, 2023 Category: International Medicine & Public Health Authors: M. Phillipi, A. Song, C.L. Gong, L. Yieh Source Type: research
Abnormal Eye Movements in a Young Girl
A 5-year-old girl was referred for nystagmus with a history of esophageal atresia, small bowel obstruction, mild cognitive impairment, low tone, and increased reflexes. Alternating vertical and torsional nystagmus was noted. What would you do next? (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - June 1, 2023 Category: Opthalmology Source Type: research
Prenatal Diagnosis of Esophageal Atresia – Performance and Consequences
Prenatal diagnosis of congenital malformations is considered favorable. Esophageal atresia (EA) is prenatally detected in 10-40% of patients. The aims of our study were to assess factors influencing the prenatal detection rate and to study the outcome in EA patients with and without prenatal diagnosis. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 31, 2023 Category: Surgery Authors: T. Arntzen, A. Mikkelsen, R. Emblem, X. Lai, G. Haugen Source Type: research
Prophylactic acid-suppression medication to prevent anastomotic strictures after oesophageal atresia surgery: a systematic review and meta-analysis
Anastomotic stricture is a common postoperative complication of oesophageal atresia ± tracheoesophageal fistula (OA/TOF) repair. Acid gastro-oesophageal reflux disease (GORD) is considered to be a factor in stricture formation and acid suppression medication is recommended post-operatively in consensus guidance. We aimed to investigate whether patients who were treated prophylacti cally with acid suppression medication had a reduced incidence of strictures compared to those who did not receive it. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 30, 2023 Category: Surgery Authors: Thomas Wyllie, Eniola Folaranmi, Prabhu Sekaran, W John Watkins, Mallinath Chakraborty Tags: Review Article Source Type: research
Anastomotic leaks and the relationship with anastomotic strictures after esophageal atresia surgery; effects of patient characteristics
CONCLUSION: Non-operative treatment remains effective for AL after esophageal atresia surgery. AL increases the risk of developing AS and significantly increases the number of dilatation sessions needed. Anastomotic complications are less common in patients with lower gestational age.PMID:37243696 (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 27, 2023 Category: Surgery Authors: Mustafa Okumu ş De ğer Devecioğlu Muazzez Çevik Burak Tander Source Type: research
