Peri- and neonatal factors influencing mortality and morbidity 2 years after esophageal atresia primary repair: a single center retrospective study
Conclusions: Post-operative ventilation and feeding management strategies may represent an opportunity for quality-of-care improvement to positively impact long-term outcomes after primary esophageal atresia repair.What is Known:• Children operated on for esophageal atresia experience long-term digestive, respiratory, and neurologic morbidity, especially after multiple-stage esophageal repair.• Exclusive oral feeding at discharge is associated with a decreased risk of medical complications in the first years of life, in studies including all types of esophageal atresia repair. Outcomes of children after primary repair...
Source: European Journal of Pediatrics - December 14, 2022 Category: Pediatrics Source Type: research
Factors Influencing Performance in Laparoscopic Suturing and Knot Tying: A Cohort Study
Conclusion In conclusion, several factors influence initial performance and response to the training of laparoscopic suturing and knot tying. Surgeons who want to improve their laparoscopic performance, should concentrate on playing a musical instrument and performing sports rather than playing videos gaming. It appears that training is a key and more practice opportunities should be incorporated into medical school and surgical curricula. Moreover, handedness may affect the outcome but only if the training concepts are not tailored to the dominant hand of the surgeon. Future training and surgical curricula should adapt ...
Source: European Journal of Pediatric Surgery - December 14, 2022 Category: Surgery Authors: Armbrust, Lina Lenz, Moritz Elrod, Julia Kiwit, Antonia Reinshagen, Konrad Boettcher, Johannes Boettcher, Michael Tags: Original Article Source Type: research
Delayed primary anastomosis for repair of long-gap esophageal atresia: technique revisited
AbstractThe operative management of patients born with long-gap esophageal atresia (LGEA) remains a major challenge for most pediatric surgeons, due to the rarity and complex nature of this malformation. In LGEA, the distance between the proximal and distal esophageal end is too wide, making a primary anastomosis often impossible. Still, every effort should be made to preserve the native esophagus as no other conduit can replace its function in transporting food from the oral cavity to the stomach satisfactorily. In 1981, Puri et al. observed that in newborns with LGEA spontaneous growth and hypertrophy of the two segments...
Source: Pediatric Surgery International - December 8, 2022 Category: Surgery Source Type: research
Distal Recurrent Tracheoesophageal Fistula after Repair of Esophageal Atresia —Incidence, Risk Factors, and Outcome
Conclusion RTEF had an incidence of 7% with diverse patterns of manifestation and predicting factors. Closure rate and patient survival were excellent, but RTEF with AS predicted loss of native esophagus. [...] 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 - December 5, 2022 Category: Surgery Authors: Koivusalo, Antti Mutanen, Annika Suominen, Janne Pakarinen, Mikko Tags: Original Article Source Type: research
Innovative Endoscopic Management of a Duodenal Web Using Balloon Dilatation and a Gastrojejunal Tube in an Infant with Complex Esophageal Atresia
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - November 23, 2022 Category: Surgery Authors: Julia Kueppers Oliver Muensterer Source Type: research
Innovative Endoscopic Management of a Duodenal Web Using Balloon Dilatation and a Gastrojejunal Tube in an Infant with Complex Esophageal Atresia
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic and Advanced Surgical Techniques)
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - November 23, 2022 Category: Surgery Authors: Julia Kueppers Oliver Muensterer Source Type: research
The follow up of complex infants in an aerodigestive clinic
Paediatr Respir Rev. 2022 Jul 4:S1526-0542(22)00046-X. doi: 10.1016/j.prrv.2022.06.002. Online ahead of print.ABSTRACTThe current available literature evaluating pediatric multidisciplinary aerodigestive programs for the management of aerodigestive disorders in infants was reviewed. Multidisciplinary aerodigestive programs have emerged to provide coordinated and comprehensive care for the growing population of children with aerodigestive conditions, including complex airway, pulmonary, gastrointestinal, and feeding disorders, which are prevalent among infants discharged from the neonatal intensive care unit (NICU). The tea...
Source: Respiratory Care - November 21, 2022 Category: Respiratory Medicine Authors: Kimberley R Kaspy Gregory Burg Aaron P Garrison Claire K Miller Scott Pentiuk Matthew M Smith Dan Benscoter Source Type: research
The Role of Pediatric Gastroenterologists in the Evaluation of Complex Aerodigestive Disorders
AbstractPurpose of ReviewChildren with aerodigestive disorders frequently have concerns regarding difficulty breathing, swallowing, and growing. In this review, we explored the role of pediatric gastroenterologists in the evaluation of complex aerodigestive disorders and the overall approach to these often-challenging patients.Recent FindingsPediatric gastroenterologists evaluate children with aerodigestive concerns ranging from dysphagia and gastroesophageal reflux to complex congenital abnormalities such as esophageal atresia. Diagnostic tools, such as multichannel intraluminal impedance-pH monitoring, are used for diagn...
Source: Current Gastroenterology Reports - November 19, 2022 Category: Gastroenterology Source Type: research
In a setting of esophageal replacement, total gastric pull-up has fewer complications than partial gastric pull-up
The main indications for an esophageal replacement (ER) are unresolved complex esophageal atresia (EA) and caustic strictures (CS). The use of different organs for replacement has been described. When the stomach is chosen, there are two ways to do a gastric pull-up: a partial (PGP) or a total pull-up (TGP). Few studies have been published comparing the different techniques. The aim of this study was to compare the outcomes of patients who underwent ER by PGP or by TGT. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 18, 2022 Category: Surgery Authors: Mart ín Rubio, Mariano Boglione, Camila González Rührnschopf, Lucía Gutierrez Gammino, Pablo D´ Alessandro, Carlos Fraire, Silvia Takeda, Enrique Paz, Cristian Weyersberg, Marcelo Barrenechea Source Type: research
Technical innovations to reduce complication rates in esophageal atresia with particular reference to long-term outcomes: A single surgeon & #39;s experience of 22 years
Conclusion: An adequate or generous mobilization of the distal esophageal pouch, together with a 2–5 mm slit in the distal esophagus, achieves a tension-free and wide anastomosis. All anastomoses eventually narrow, sometimes just a little, and starting on a higher scale with a small slit, helps. These seemingly minor innovations, when used together, contributed to a substantially lower complication rate sustained over a 22-year period – no leaks and only 20% stricture rate. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - November 14, 2022 Category: Surgery Authors: Ahmed Morsi Devesh Misra Source Type: research
IJERPH, Vol. 19, Pages 14923: The Chinese Mandarin Version of the Esophageal-Atresia-Quality-of-Life Questionnaires for Children and Adolescents: Evaluation of Linguistic and Content Validity
Conclusion: The Chinese Mandarin version of the EA-QOL questionnaires achieved satisfactory linguistic and content validity. This can help increase focus of HRQOL in research and clinical practice of children with EA in China. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - November 13, 2022 Category: Environmental Health Authors: Siqi Li Michaela Dellenmark-Blom Yong Zhao Yichao Gu Shuangshuang Li Shen Yang Julia H. Quitmann Jinshi Huang Tags: Article Source Type: research
Quality of life after type-A esophageal atresia surgery: changes over time and effect of pre-anastomotic elongation
ConclusionChanges in QOL responses according to age were unremarkable. However, discrepancies in MH indicate that subjects felt better than their caregivers thought. PET did not appear to influence QOL. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - November 12, 2022 Category: Surgery Source Type: research
Swallowing-related quality of life in children with oesophageal atresia: a national cohort study
Conclusion: In this national cohort of VLBW and ELBW preterm-born children with OA, swallowing-related quality of life is good, mostly independent of initial surgery. Children with OA and ICH or VACTERL association may require more intense support with feeding.What is Known:• Dysphagia, resembling feeding and swallowing disorders, is common in children and adults with repaired oesophageal atresia. Nevertheless, dysphagia in children with oesophageal atresia decreases with age.• Parents of younger children suffer from increased anxiety and fear regarding eating and swallowing abilities of their children.What is New:•...
Source: European Journal of Pediatrics - November 4, 2022 Category: Pediatrics Source Type: research
