collection
https://read.qxmd.com/read/38517524/balloon-dilatation-for-congenital-esophageal-stenosis-associated-with-esophageal-atresia
#1
JOURNAL ARTICLE
Koichi Deguchi, Masafumi Kamiyama, Kazunori Masahata, Motonari Nomura, Miho Watanabe, Takehisa Ueno, Yuko Tazuke, Hiroomi Okuyama
PURPOSE: Congenital esophageal stenosis (CES) associated with esophageal atresia (EA) is rare, and no standard treatment has been established. We reviewed cases of EA-associated CES to assess the clinical characteristics and treatment outcomes, especially the feasibility of endoscopic dilatation. METHODS: We retrospectively examined patients with EA-associated CES. We also compared treatment outcomes of EA-associated CES with those of EA patients without CES who developed postoperative anastomotic stricture...
March 22, 2024: Pediatric Surgery International
https://read.qxmd.com/read/38154482/thoracoscopic-stage-internal-traction-repair-reduces-time-to-achieve-oesophageal-continuity-in-long-gap-oesophageal-atresia
#2
JOURNAL ARTICLE
Dominika Borselle, Joseph Davidson, Stavros Loukogeorgakis, Paolo De Coppi, Dariusz Patkowski
AIM OF THE STUDY: Management of long gap oesophageal atresia (LGOA) is controversial. This study aims at comparing the management of LGOA between two high-volume centers. METHODS: We included patients with LGOA (type A and B) between 2008 and 2022. Demographics, surgical methods and outcomes were collected and compared. RESULTS: The study population involved 28 patients-Centre A and 24 patients-Centre B. A surgical approach was thoracoscopic in the Centre A, only for one patient was open for final procedure...
December 28, 2023: European Journal of Pediatric Surgery
https://read.qxmd.com/read/37815659/diagnosis-and-management-of-congenital-type-d-esophageal-atresia
#3
REVIEW
Cuizhu Feng, Long Li, Yanxia Zhang, Yong Zhao, Jinshi Huang
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...
October 10, 2023: Pediatric Surgery International
https://read.qxmd.com/read/28499713/long-term-outcomes-of-oesophageal-atresia-without-or-with-proximal-tracheooesophageal-fistula-gross-types-a-and-b
#4
JOURNAL ARTICLE
Antti I Koivusalo, Saara J Sistonen, Harry G Lindahl, Risto J Rintala, Mikko P Pakarinen
PURPOSE: Because of an extended gap between esophageal pouches a variety of methods are employed to treat oesophageal atresia (OA) without (type A) or with (type B) proximal tracheooesophageal fistula. This retrospective observational study describes their single centre long-term outcomes from 1947 to 2014. METHODS: Of 693 patients treated for OA 68 (9.7%) had type A (n=58, 8.3%) or B (n=10, 1.4%). Hospital records were reviewed. Main outcome measures were survival and oral intake...
October 2017: Journal of Pediatric Surgery
https://read.qxmd.com/read/27896423/long-term-outcomes-following%C3%A2-h-type-tracheoesophageal-fistula%C3%A2-repair-in-infants
#5
JOURNAL ARTICLE
Augusto Zani, Luai Jamal, Giovanni Cobellis, Justyna M Wolinska, Samuel Fung, Evan J Propst, Priscilla P L Chiu, Agostino Pierro
PURPOSE: To evaluate outcomes following repair of H-type tracheoesophageal fistula (TEF). METHODS: Retrospective chart review of infants with H-type TEF treated at our institution between 2000 and 2014. Patient demographics, surgical management, and postoperative function were evaluated. RESULTS: Of the 268 patients with esophageal atresia/TEF treated at our center, 16 (6%) had an H-type TEF (10 males). Thirteen (81%) had associated anomalies...
February 2017: Pediatric Surgery International
https://read.qxmd.com/read/27844168/dilations-of-anastomotic-strictures-over-time-after-repair-of-esophageal-atresia
#6
JOURNAL ARTICLE
Pernilla Stenström, Magnus Anderberg, Anna Börjesson, Einar Arnbjörnsson
AIM OF THE STUDY: Anastomotic strictures commonly occur in patients undergoing surgery for esophageal atresia (EA). The primary aim of this study was to determine the age distribution of dilation procedures for anastomotic strictures over the patient's childhood after reconstruction of EA. The secondary aim was to evaluate the effect of postoperative proton pump inhibitors (PPIs) on the frequency of dilations. METHODS: This observational study was conducted at a single tertiary center of pediatric surgery...
February 2017: Pediatric Surgery International
https://read.qxmd.com/read/27792528/two-stage-thoracoscopic-repair-of-long-gap-esophageal-atresia-using-internal-traction-is-safe-and-feasible
#7
JOURNAL ARTICLE
Takahisa Tainaka, Hiroo Uchida, Akihide Tanano, Chiyoe Shirota, Akinari Hinoki, Naruhiko Murase, Kazuki Yokota, Kazuo Oshima, Ryo Shirotsuki, Kosuke Chiba, Hizuru Amano, Hiroshi Kawashima, Yujiro Tanaka
BACKGROUND: The treatment of long-gap esophageal atresia remains an issue for pediatric surgeons. Many techniques for treating long-gap esophageal atresia have been proposed, but the optimal method has not been established. The thoracoscopic esophageal elongation technique has recently been developed. We previously reported a case in which two-stage thoracoscopic repair was performed using internal esophageal traction without esophageal tearing, and we retrospectively reviewed the outcomes of this procedure in this study...
January 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/27769086/risk-factors-for-anastomotic-strictures-after-esophageal-atresia-repair-prophylactic-proton-pump-inhibitors-do-not-reduce-the-incidence-of-strictures
#8
JOURNAL ARTICLE
Felipe Donoso, Helene Engstrand Lilja
Background  Since 2005, infants with esophageal atresia (EA) in our unit are given prophylactic proton pump inhibitors (PPI) after repair until 1 year of age. The aims of this study were to identify risk factors for anastomotic strictures (AS) and to assess the efficacy of postoperative PPI prophylaxis in reducing the incidence of AS compared with symptomatic PPI. Methods  Patients who underwent EA repair from 1994 to 2013 in our unit were included in this retrospective observational study approved by the local ethics review board...
February 2017: European Journal of Pediatric Surgery
https://read.qxmd.com/read/27607100/swallowing-dysfunction-and-quality-of-life-in-adults-with-surgically-corrected-esophageal-atresia-tracheoesophageal-fistula-as-infants-forty-years-of-follow-up
#9
JOURNAL ARTICLE
Waleed Gibreel, Benjamin Zendejas, Ryan M Antiel, Geoffrey Fasen, Christopher R Moir, Abdalla E Zarroug
OBJECTIVES: The aim of the study was to evaluate and study the full spectrum of swallowing dysfunction and long-term disease-specific outcomes in adults with surgically corrected esophageal atresia/tracheaesophageal fistula (EA/TEF). BACKGROUND: Long-term outcomes for adults who underwent EA/TEF repair because infants are lacking. METHODS: We developed a disease-specific swallowing dysfunction questionnaire (SDQ) to assess swallowing dysfunction and quality of life (QOL) of adult patients with surgically corrected EA/TEF...
August 2017: Annals of Surgery
https://read.qxmd.com/read/17516075/long-term-results-of-delayed-primary-anastomosis-for-pure-oesophageal-atresia-a-27-year-follow-up
#10
JOURNAL ARTICLE
Thambipillai Sri Paran, Diane Decaluwe, Martin Corbally, Prem Puri
The management of a newborn with pure oesophageal atresia continues to be challenging. We started treating babies with pure oesophageal atresia by delayed primary anastomosis in 1977. The purpose of this study was to review the long-term outcome in infants with pure oesophageal atresia (EA) treated by delayed primary anastomosis with special emphasis on gastroesophageal reflux (GOR) related morbidity. The medical charts of all patients treated by delayed primary anastomosis between 1977 and 2004 were retrospectively reviewed...
July 2007: Pediatric Surgery International
https://read.qxmd.com/read/22903252/secondary-anastomosis-after-preoperative-botulinum-type-a-toxin-injection-in-a-case-with-long-gap-oesophageal-atresia
#11
JOURNAL ARTICLE
Mark Ellebæk, Niels Qvist, Lars Rasmussen
No abstract text is available yet for this article.
August 2013: European Journal of Pediatric Surgery
https://read.qxmd.com/read/27530889/validation-of-an-inanimate-low-cost-model-for-training-minimal-invasive-surgery-mis-of-esophageal-atresia-with-tracheoesophageal-fistula-ae-tef-repair
#12
JOURNAL ARTICLE
Maximiliano Alejo Maricic, María Marcela Bailez, Susana P Rodriguez
UNLABELLED: We present the results of the validation of an inanimate model created for training thoracoscopic treatment of esophageal atresia with lower tracheoesophageal fistula (EA/TEF). MATERIALS AND METHODS: We used different domestic materials such as a piece of wood (support), corrugated plastic tubes (PVC) of different sizes to simulate ribs, intercostal spaces, trachea and spine and tubular latex balloons to simulate the esophagus and lungs to make the basic model...
September 2016: Journal of Pediatric Surgery
https://read.qxmd.com/read/27372236/cervical-repair-of-congenital-tracheoesophageal-fistula-complications-lurking
#13
COMPARATIVE STUDY
Andrea Conforti, Chiara Iacusso, Laura Valfrè, Marilena Trozzi, Sergio Bottero, Pietro Bagolan
AIM: Esophageal atresia (EA) and tracheoesophageal fistula (TEF) consist of a spectrum of rare congenital abnormalities. Although EA surgical treatment is well established, the outcome of EA with proximal fistula (type B and D EA) or isolated H-type fistula (type E EA) is poorly explored. These forms of EA shared a common surgical step: the need of a cervical approach to close the fistula. Therefore, the aim of present study is to evaluate postoperative outcomes of patients treated for Gross type B-D and E EA, on regards of their cervical surgery...
October 2016: Journal of Pediatric Surgery
https://read.qxmd.com/read/27214095/prolonged-use-of-proton-pump-inhibitors-as-stricture-prophylaxis-in-infants-with-reconstructed-esophageal-atresia
#14
JOURNAL ARTICLE
Pernilla Stenström, Magnus Anderberg, Anna Börjesson, Einar Arnbjornsson
Introduction  Proton pump inhibitors (PPIs) are used as prophylaxis, guarding against anastomotic stricture (AS) in the aftermath of reconstructed esophageal atresia (EA). The incidence of stricture formation was studied in this setting, comparing outcomes of 3- and 12-month PPI prophylactic regimens. Patients and Methods  Patient characteristics (gestational age, birth weight, prevalence of chromosomal aberrations, and other malformations), as well as rates of survival, AS formation, and required balloon dilation, were recorded in the following therapeutic subsets: (1) all infants undergoing primary surgical anastomosis for EA in years 2010-2014 and given postoperative PPI prophylaxis for 12 months and (2) all infants similarly treated for EA in years 2001-2009 but given postoperative PPI prophylaxis for 3 months only...
April 2017: European Journal of Pediatric Surgery
https://read.qxmd.com/read/27262479/quality-improvement-program-reduces-venous-thromboembolism-in-infants-and-children-with-long-gap-esophageal-atresia-lgea
#15
JOURNAL ARTICLE
Daniel P Kelly, Sigrid Bairdain, David Zurakowski, Brenda Dodson, Kathy M Harney, Russell W Jennings, Cameron C Trenor
PURPOSE: Patients with long-gap esophageal atresia (LGEA) treated with the Foker process are at increased risk of venous thromboembolism (VTE). An institutional quality improvement program to decrease VTE risk factor exposure and utilize prophylactic anticoagulation was implemented. We aim to evaluate the efficacy and safety of a VTE risk-reduction program in patients with LGEA. METHODS: Implementation and evaluation of a VTE risk-reduction program in patients with LGEA from 2012 to 2015 was performed...
July 2016: Pediatric Surgery International
https://read.qxmd.com/read/27090660/oesophageal-atresia-is-correctable-and-survivable-in-infants-less-than-1-kg
#16
JOURNAL ARTICLE
Edward J Hannon, Jennifer Billington, Edward M Kiely, Agostino Pierro, Lewis Spitz, Kate Cross, Joseph I Curry, Paolo De Coppi
INTRODUCTION: Management of oesophageal atresia (OA) and trachea-oesophageal fistula (TOF) in babies of low birth weight is challenging especially when associated with other anomalies. Birth weight of <1500 g has previously formed part of a classification system designed to predict outcome, alongside the cardiac status of the patient. Improvements in neonatal care have led to increasing numbers of premature low birth weight infants surviving. The aim of this study was to look at the experience of our institution in the extremely low birth weight (ELBW) patients...
June 2016: Pediatric Surgery International
https://read.qxmd.com/read/27032608/fluoroscopic-balloon-dilatation-for-anastomotic-strictures-in-patients-with-esophageal-atresia-a-fifteen-year-single-centre-uk-experience
#17
JOURNAL ARTICLE
Arimatias Raitio, Rosie Cresner, Richard Smith, Matthew O Jones, Paul D Losty
AIM OF THE STUDY: To assess the safety and effectiveness of fluoroscopic balloon dilatation (FBD) in children with esophageal anastomotic stricture after surgical repair of esophageal atresia. METHODS: All patients undergoing surgery for esophageal atresia and requiring dilatation(s) during a consecutive 15-year period [April 2000-September 2014] were analyzed. Dilatations were performed as day case procedures under general anesthesia using a radial force generating balloon device (Boston Scientific Corporation) by surgeons...
September 2016: Journal of Pediatric Surgery
https://read.qxmd.com/read/26976775/strain-induced-esophageal-growth-in-a-novel-rodent-model
#18
JOURNAL ARTICLE
Nora M Fullington, Kristina M Potanos, Ryan P Cauley, Patricia Purcell, David Zurakowski, Steven J Fishman, Khashayar Vakili, Heung Bae Kim
PURPOSE: Longitudinal esophageal strain has been shown to increase esophageal length but the contribution of tissue hyperplasia to this growth is unknown. We used a novel model of esophageal stretch to determine the cellular response to the strain stimulus. METHODS: Male Sprague-Dawley rats underwent transection of the distal esophagus. The distal stump was ligated and stretched over a silicone tube. The proximal esophageal stump was anastomosed to the stomach to restore continuity...
August 2016: Journal of Pediatric Surgery
https://read.qxmd.com/read/24366604/imaging-of-long-gap-esophageal-atresia-and-the-foker-process-expected-findings-and-complications
#19
REVIEW
Mark C Liszewski, Sigrid Bairdain, Carlo Buonomo, Russell W Jennings, George A Taylor
Long gap esophageal atresia (EA) is characterized by esophageal segments that are too far apart for primary anastomosis. Surgical repair utilizing interposition grafts or gastric transposition are often employed. The Foker staged lengthening procedure is an alternative surgical method that utilizes continuous traction on the esophagus to induce esophageal growth and allow for primary esophageal anastomosis. This pictorial review presents the step-by-step radiographic evaluation of the Foker procedure and illustrates the radiographic findings in the most commonly encountered complications in our cohort of 38 patients managed with this procedure from January 2000 to June 2012...
April 2014: Pediatric Radiology
https://read.qxmd.com/read/23378143/the-foker-technique-ft-and-kimura-advancement-ka-for-the-treatment-of-children-with-long-gap-esophageal-atresia-lgea-lessons-learned-at-two-european-centers
#20
MULTICENTER STUDY
Mariusz Sroka, Robin Wachowiak, Marcin Losin, Agnieszka Szlagatys-Sidorkiewicz, Piotr Landowski, Piotr Czauderna, John Foker, Holger Till
INTRODUCTION: We present the experiences from two European centers performing the Foker technique (FT) of esophageal lengthening by axial traction and the Kimura advancement (KA) method of lengthening the upper pouch by extrathoracic resiting a spit fistula (SF) in children with long-gap esophageal atresia (LGEA, gap length > 5 cm). MATERIALS AND METHODS: A total of 15 children were treated (8 pure EA, 6 lower tracheoesophageal fistula [TEF], and 1 upper TEF)...
February 2013: European Journal of Pediatric Surgery
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