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.NOVEL ASPECTSGestational age and birth weight were found to be significantly higher in patients with anastomotic leaks than in those without and fewer anastomotic complications were encountered in patients whose gestational age was ≤ 33 weeks.Anastomotic stricture development was significantly higher in patients with anastomotic leaks and th...
Source: Acta Chirurgica Belgica - May 27, 2023 Category: Surgery Authors: Mustafa Okumu ş De ğer Devecioğlu Muazzez Çevik Burak Tander Source Type: research
Are Low Weight or Cardiopathy Contraindications for Thoracoscopic Repair of Esophageal Atresia with Tracheoesophageal Fistula?
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. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - May 19, 2023 Category: Surgery Authors: Cadaval, Carlos Molino, Jos é Andrés Guill én, Gabriela L ópez Fernández, Sergio Hierro, Carmen L ópez Martos Rodr íguez, Marta Khan, Haider Ali Vilardell, Elena Andreu, Eva Ruiz, C ésar W. L ópez, Manuel Tags: Original Article Source Type: research
Neonatal peri-procedural extracorporeal membrane oxygenation in the management of tracheo-esophageal fistula/esophageal atresia and left pulmonary agenesis
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.PMID:37183629 | DOI:10.1177/02676591231176241 (Source: Perfusion)
Source: Perfusion - May 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Heather A Hartman Brianna Spencer Ronald B Hirschl Anila B Elliot Arul S Thirumoorthi Source Type: research
Neonatal peri-procedural extracorporeal membrane oxygenation in the management of tracheo-esophageal fistula/esophageal atresia and left pulmonary agenesis
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.PMID:37183629 | DOI:10.1177/02676591231176241 (Source: Perfusion)
Source: Perfusion - May 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Heather A Hartman Brianna Spencer Ronald B Hirschl Anila B Elliot Arul S Thirumoorthi Source Type: research
Neonatal peri-procedural extracorporeal membrane oxygenation in the management of tracheo-esophageal fistula/esophageal atresia and left pulmonary agenesis
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.PMID:37183629 | DOI:10.1177/02676591231176241 (Source: Perfusion)
Source: Perfusion - May 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Heather A Hartman Brianna Spencer Ronald B Hirschl Anila B Elliot Arul S Thirumoorthi Source Type: research
Neonatal peri-procedural extracorporeal membrane oxygenation in the management of tracheo-esophageal fistula/esophageal atresia and left pulmonary agenesis
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.PMID:37183629 | DOI:10.1177/02676591231176241 (Source: Perfusion)
Source: Perfusion - May 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Heather A Hartman Brianna Spencer Ronald B Hirschl Anila B Elliot Arul S Thirumoorthi Source Type: research
Thoracoscopic versus open repair for oesophageal atresia: A retrospective cohort study of 359 patients at a single center
This study aimed to define the effectiveness of thoracoscopic versus open repair of gross type C oesophageal atresia (EA) based on the experience of a single centre over a decade. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 11, 2023 Category: Surgery Authors: Chonggao Zhou, Jie Dong, Guang Xu, Chanjuan Zou, Renpeng Xia, Yong Xiao, Ming Li, Bo Li, Bixiang Li Source Type: research
The Role of Bolus Residue and Its Relation with Respiratory Problems in Children with Esophageal Atresia
AbstractBolus residue is significant risk factor for postswallow aspiration. A retrospective study was performed to evaluate the role of bolus residue and its relation with respiratory problems in children with esophageal atresia. Children were evaluated for demographic features, type of esophageal atresia, associated anomalies, and respiratory problems. The videofluoroscopic swallowing evaluation (VFSE) was performed, and scored by using the penetration aspiration scale (PAS), bolus residual score (BRS) and normalized residual ratio scale (NRRS). Children with and without respiratory problems were also compared in terms o...
Source: Dysphagia - May 3, 2023 Category: Speech-Language Pathology Source Type: research
Tracheoesophageal fistula with bilateral facial cleft: A rare occurrence
We report a case of esophageal atresia (EA) and TEF with macrosomia. EA was repaired, and the patient was discharged on full feeds. He is awaiting cleft repair. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - May 2, 2023 Category: Surgery Authors: Nitin James Peters Shaswati Behera Ramyasree Bade Shivani Dogra Shailesh Solanki Ram Samujh Source Type: research
Mixed-methods feasibility study to inform a randomised controlled trial of proton pump inhibitors to reduce strictures following neonatal surgery for oesophageal atresia
Conclusions
Our findings indicate that parents and most clinicians view the proposed Treating Oesophageal Atresia with prophylactic proton pump inhibitors to prevent STricture (TOAST) trial to be feasible and acceptable so long as infants can be given PPI if clinicians deem it clinically necessary. This insight into parent and clinician views and concerns will inform pilot phase trial monitoring, staff training and the development of the trial protocol. (Source: BMJ Open)
Source: BMJ Open - April 20, 2023 Category: General Medicine Authors: Mitchell, T. K., Hall, N. J., Yardley, I., Cole, C., Hardy, P., King, A., Murray, D., Nuthall, E., Roehr, C., Stanbury, K., Williams, R., Pearce, J., Woolfall, K. Tags: Open access, Paediatrics Source Type: research
Delayed primary repair in 100 infants with isolated long-gap esophageal atresia: A nationwide analysis of children ’s hospitals
This study aimed to evaluate the contemporary surgical management of long-gap esophageal atresia, a rare and challenging problem managed by pediatric general surgeons. (Source: Surgery)
Source: Surgery - April 10, 2023 Category: Surgery Authors: Annalise B. Penikis, Pooja S. Salvi, Shelby R. Sferra, Abigail J. Engwall-Gill, Daniel S. Rhee, Daniel G. Solomon, Shaun M. Kunisaki Source Type: research
Risk factors for postoperative anastomotic leakage after repair of esophageal atresia: a retrospective nationwide database study
ConclusionStaged procedures and long operative times are associated with postoperative anastomotic leakage, suggesting that leakage is more likely after complex esophageal atresia repair and that such patients require refined treatment strategies. (Source: Surgery Today)
Source: Surgery Today - April 5, 2023 Category: Surgery Source Type: research
Clinical outcome, quality of life, and mental health in long-gap esophageal atresia: comparison of gastric sleeve pull-up and delayed primary anastomosis
ConclusionDelayed primary anastomosis or gastric sleeve pull-up appear to be similar in patients with long-gap esophageal atresia in many key aspects like leakage rate, strictures, re-fistula, tracheomalacia, recurrent infections, thrive or reflux. Moreover, HrQoL was comparable in patients with (a) gastric sleeve pull-up and (b) delayed primary anastomosis. Future studies should focus on the long-term results of either preservation or replacement of the esophagus in children. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 4, 2023 Category: Surgery Source Type: research
