A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management
Paediatr Anaesth. 2023 Nov 15. doi: 10.1111/pan.14794. Online ahead of print.ABSTRACTLaryngeal atresia is a rare congenital anomaly that is usually diagnosed by antenatal ultrasound, however, if undiagnosed presents with desaturation after birth. A term neonate presented with airway obstruction after birth with multiple failed attempts at intubation and was rescued by proseal laryngeal mask airway (LMA). An esophagoscopy using an Ambuscope utilizing a modified connector assembly revealed an opening on the anterior wall of the esophagus with no esophageal atresia, leading to a diagnosis of H-type tracheo-esophageal fistula ...
Source: Paediatric Anaesthesia - November 15, 2023 Category: Anesthesiology Authors: Lipika Soni Ganga Prasad Manpreet Kaur Source Type: research
A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management
Paediatr Anaesth. 2023 Nov 15. doi: 10.1111/pan.14794. Online ahead of print.ABSTRACTLaryngeal atresia is a rare congenital anomaly that is usually diagnosed by antenatal ultrasound, however, if undiagnosed presents with desaturation after birth. A term neonate presented with airway obstruction after birth with multiple failed attempts at intubation and was rescued by proseal laryngeal mask airway (LMA). An esophagoscopy using an Ambuscope utilizing a modified connector assembly revealed an opening on the anterior wall of the esophagus with no esophageal atresia, leading to a diagnosis of H-type tracheo-esophageal fistula ...
Source: Paediatric Anaesthesia - November 15, 2023 Category: Anesthesiology Authors: Lipika Soni Ganga Prasad Manpreet Kaur Source Type: research
Azygos vein preservation revisited: impact on early outcomes after repair of esophageal atresia/tracheoesophageal fistula in newborns
This study aimed to evaluate the benefits of preserving the Azygos vein during surgery for esophageal atresia with tracheoesophageal fistula and to highlight its advantages in reducing anastomotic leak, stricture, and other postoperative outcomes. This prospective comparative series was conducted between April 2020 an d April 2023. The study included all newborns with EA–TEF eligible for primary repair. Patients were randomized to either Group A or B. Group A underwent Azygos vein preservation, whereas the remaining patients (Group B) underwent Azygos vein disconnection. Sixty-four patients were included in thi s study. ...
Source: Updates in Surgery - November 9, 2023 Category: Surgery 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 - November 1, 2023 Category: Surgery Source Type: research
Endoscopic chemocauterization with trichloroacetic acid for congenital or recurrent tracheoesophageal fistula in children with esophageal atresia: Experience from a tertiary center
Recurrent tracheoesophageal fistula (rTEF) is a well-known complication after surgery of EA, occurring in roughly 3-10% of the patients. Recent studies have highlighted safety and efficacy of endoscopic management of recurrent TEF. The aim of this study was to evaluate the efficacy of chemocauterization with trichloroacetic acid (TCA) in rTEF and congenital tracheoesophageal fistula (cTEF). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 27, 2023 Category: Surgery Authors: Anders Holmquist, Malin Wendt, Georgios Papatziamos, Jan Svensson, Tomas Wester, Carmen Mesas Burgos, Caroline Gahm Source Type: research
Lung function and respiratory complications in children and young people born with oesophageal atresia and/or tracheoesophageal fistula: a 20 year experience
Conclusion: We present a 20 year experience of OA-TOF and associated respiratory problems in these patients. Respiratory symptoms are common in these children and a small number have significantly reduced lung function. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 27, 2023 Category: Respiratory Medicine Authors: Rose, K., Lawrence, P., Ducey, J., Murphy, F., Thursfield, R. Tags: Paediatric bronchology Source Type: research
Use of Staged vs. primary Repair in Thoracoscopic esophageal Atresia Repair
Morbidity after thoracoscopic primary repair of esophageal atresia (EA) is still high in many centers. We retrospectively assessed the outcomes of a center-specific standardized approach in a group of newborns with EA that had been classified into one of two surgical management groups. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 26, 2023 Category: Surgery Authors: Przemyslaw Galazka, Dominika Skinder, Jan Styczynski Source Type: research
Bronchoscopic Localization of Tracheoesophageal Fistula in Newborns With Esophageal Atresia: Intubate Above or Below the Fistula?
This study examines the distribution of tracheoesophageal fistula locations in neonates with type C EA/TEF as determined by intraoperativ e bronchoscopy. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 24, 2023 Category: Surgery Authors: Donna C. Koo, P. Nina Scalise, Shawn N. Izadi, Ali Kamran, Somala Mohammed, Benjamin Zendejas, Farokh R. Demehri Source Type: research
Intraoperative Regional Cerebral Oxygenation During Pediatric Thoracoscopic Surgery: A Systematic Review
Conclusion: In this review, pathological cerebral desaturation was noticed in 13.1% of the pediatric thoracoscopic procedures. However, due to limited methodological quality of the included studies, further randomized multicentric studies comparing rcSO2 in open versus thoracoscopic surgeries are needed to derive definitive conclusions.PMID:37862569 | DOI:10.1089/lap.2023.0228 (Source: Adv Data)
Source: Adv Data - October 20, 2023 Category: Epidemiology Authors: Gaurav Prasad Apoorv Singh Deepika Kainth Puneet Khanna Sachit Anand Source Type: research
Optimal surgical method and Timing for Low-birth-weight esophageal Atresia Babies: Multi-institutional Observational Study
Previous research has shown that low birth weight is one of the risk factors for esophageal atresia. However, there remains a paucity of evidence on the timing and the treatment method. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 19, 2023 Category: Surgery Authors: Toru Shimizu, Shigeru Takamizawa, Toshihiro Yanai, Jiro Tsugawa, Motofumi Torikai, Kotaro Uemura, Go Ohba, Yuki Takeuchi, Shinichiro Yokoyama, Shinichiro Ueda Source Type: research
What proportion of children with complex oesophageal atresia require oesophageal lengthening procedures?
Babies with oesophageal atresia (OA) who cannot achieve a primary anastomosis (complex OA) may be treated by attempted oesophageal lengthening. We contrast reported outcomes of lengthening with our experience of managing complex OA. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 17, 2023 Category: Surgery Authors: Laura Phillips, Bruce Jaffray Source Type: research
Antiasthmatic prescriptions in children with and without congenital anomalies: a population-based study
Conclusion
This study documents the additional burden of respiratory symptoms and breathing difficulties for children with congenital anomalies, particularly those born preterm, compared with children without congenital anomalies in the first 10 years of life. These findings are beneficial to clinicians and healthcare providers as they identify children with greater morbidity associated with respiratory symptoms, as indicated by antiasthmatic prescriptions. (Source: BMJ Open)
Source: BMJ Open - October 13, 2023 Category: General Medicine Authors: Divin, N., Given, J. E., Tan, J., Astolfi, G., Ballardini, E., Barrachina-Bonet, L., Cavero-Carbonell, C., Coi, A., Garne, E., Gissler, M., Heino, A., Jordan, S., Pierini, A., Scanlon, I., Urhoj, S. K., Morris, J. K., Loane, M. Tags: Open access, Paediatrics Source Type: research
Endoscopic management of esophageal mucosal bridges in children with esophageal atresia
ConclusionEMB endoscopic management by electrocoagulation is safe and often leads to symptom improvement. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - October 13, 2023 Category: Surgery Source Type: research
Application value of high-frequency ultrasound combined with ultrasonography in the diagnosis of neonatal esophageal atresia
Conclusion: High frequency ultrasound and super fresh water injection angiography have good application value in the diagnosis of neonatal EA. There is no significant difference between the distance between the distal and proximal blind ends of the esophagus before and during the operation of type III EA and that during the operation of super fresh water injection angiography. However, in consideration of the risk of radiation and poisoning caused by esophagography, it is recommended that high-frequency ultrasound be selected first for diagnosis and if necessary, esophagography be supplemented for joint diagnosis.Keywords:...
Source: African Health Sciences - October 11, 2023 Category: African Health Authors: Yurong Ge, Baoyue Xu, Jing Shi, Weiwei Tang Source Type: research
Diagnosis and management of congenital type D esophageal atresia
This study was performed to describe the current clinical practice and outcomes of type D esophageal atresia. We retrospectively analyzed 10 patients who were diagnosed with type D esophageal atresia and underwent esophageal atresia and tracheoesophageal fistula repair in the Capital Institute of Pediatrics and Beijing Children ’s Hospital from January 2017 to May 2022. Ten patients include three newborns and seven non-newborns. Seven (70%) cases were misdiagnosed as type C esophageal atresia before the first operation. Three neonatal children underwent thoracoscopic distal tracheoesophageal fistula ligation and esophage...
Source: Pediatric Surgery International - October 10, 2023 Category: Surgery Source Type: research
