collection
https://read.qxmd.com/read/18558163/staged-esophageal-lengthening-with-internal-and-subsequent-external-traction-sutures-leads-to-primary-repair-of-an-ultralong-gap-esophageal-atresia-with-upper-pouch-tracheoesophagel-fistula
#21
JOURNAL ARTICLE
Holger Till, Oliver J Muensterer, Udo Rolle, John Foker
Primary repair of very long gap esophageal atresia (EA) with almost complete absence of thoracic esophagus has usually been thought impossible. Thus, esophageal replacement with colon or gastric interposition seemed inevitable. In contrast, J. Foker described a technique of lengthening the pouches with traction sutures and making primary repair possible. To contribute clinical experience to this discussion, we report about esophageal elongation in a child with long gap EA and an upper pouch tracheoesophageal fistula (TEF)...
June 2008: Journal of Pediatric Surgery
https://read.qxmd.com/read/8147624/primary-repair-of-ultra-long-gap-esophageal-atresia-results-without-a-lengthening-procedure
#22
JOURNAL ARTICLE
E M Boyle, E D Irwin, J E Foker
Ultra-long-gap esophageal atresia, defined as a gap length of 3.5 cm or greater, has proved difficult to repair. When primary repair has been attempted, even with bougienage, circular myotomy, or intraabdominal esophageal mobilization to lessen anastomotic tension, leaks, anastomotic disruptions, and recurrent tracheoesophageal fistulas are frequent. Consequently, interposition grafts are commonly used. For long-term function the intact native esophagus should be preferable to an interposition graft or the consequences of circular myotomy...
March 1994: Annals of Thoracic Surgery
https://read.qxmd.com/read/20182751/the-benefit-of-stay-sutures-during-thoracoscopic-esophagoesophagostomy-in-patients-with-esophageal-atresia-a-technical-report
#23
JOURNAL ARTICLE
Akihiro Shimotakahara, Ryo Sueyoshi, Geoffrey J Lane, Tadaharu Okazaki, Kinya Nishimura, Eiichi Inada, Atsuyuki Yamataka
We report on technical modifications we developed for thoracoscopic esophagoesophagostomy in patients with esophageal atresia. They are: (1) placing stay sutures along the edges of the atretic esophagi and exteriorizing them through the thoracic wall to expose the luminal surfaces of the esophagi nicely and relieve tension on the anastomosis; (2) leaving 1/5 of the length of the distal and proximal ends of the atretic esophagi intact before placing the stay sutures, to avoid retraction of the mucosa into the lumen; (3) making the diameter of the proximal esophagus 1...
April 2010: Pediatric Surgery International
https://read.qxmd.com/read/26852298/congenital-h-type-tracheoesophageal-fistula-a-national-multicenter-study
#24
JOURNAL ARTICLE
Ahmed H Al-Salem, Mohammed Al Mohaidly, Hussah M H Al-Buainain, Saud Al-Jadaan, Enaem Raboei
BACKGROUND: Congenital H-type tracheoesophageal fistula (TEF) is very rare and represents <5 % of all congenital tracheoesophageal malformations. This is a national, multicenter review of our experience with isolated H-type TEF outlining clinical presentation, methods of diagnosis, associated anomalies, treatment and outcome PATIENTS AND METHODS: The medical records of all patients with the diagnosis of congenital H-type TEF treated at four pediatric surgery units in Saudi Arabia were retrospectively reviewed for: age at diagnosis, sex, presenting symptoms, associated anomalies, method of diagnosis, treatment and outcome...
May 2016: Pediatric Surgery International
https://read.qxmd.com/read/25669641/thoracoscopic-traction-technique-in-long-gap-esophageal-atresia-entering-a-new-era
#25
JOURNAL ARTICLE
David C van der Zee, Gabriele Gallo, Stefaan H A Tytgat
OBJECTIVE: To describe the evolution from delayed management of long gap esophageal atresia to thoracoscopic treatment directly after birth without the placement of a gastrostomy. BACKGROUND: Long gap esophageal atresia remains a challenge for pediatric surgeons. Over the years, several techniques have been described to deal with the problem of the distance between the proximal and distal esophagus. More recently, a traction technique has been advocated. With the advent of minimal invasive surgery, the thoracoscopic elongation technique has been developed...
November 2015: Surgical Endoscopy
https://read.qxmd.com/read/26774491/jejunal-interposition-after-failed-esophageal-atresia-repair
#26
JOURNAL ARTICLE
Sigrid Bairdain, John E Foker, Charles Jason Smithers, Thomas E Hamilton, Brian I Labow, Christopher W Baird, Amir H Taghinia, Neil Feins, Michael Manfredi, Russell W Jennings
BACKGROUND: The early outcomes of using jejunal interpositions to establish esophageal continuity in patients who have had a failed repair of esophageal atresia (EA) were determined. STUDY DESIGN: This was a retrospective review of all patients treated at our institution with a jejunal interposition after a failed EA repair from 2010 to 2015. Demographics, anatomy encountered, operative techniques, requirement for microvascular support, and length of stay were analyzed...
June 2016: Journal of the American College of Surgeons
https://read.qxmd.com/read/26720426/prevalence-of-barrett-esophagus-in-adolescents-and-young-adults-with-esophageal-atresia
#27
MULTICENTER STUDY
Anne Schneider, Frédéric Gottrand, Marc Bellaiche, François Becmeur, Alain Lachaux, Laure Bridoux-Henno, Jean-Luc Michel, Christophe Faure, Paul Philippe, Yvan Vandenplas, Claire Dupont, Anne Breton, Jean Gaudin, Thierry Lamireau, Laurence Muyshont, Guillaume Podevin, Sheila Viola, Valérie Bertrand, Dominique Caldari, Stéphanie Colinet, Catherine Wanty, Erik Sauleau, Emmanuelle Leteurtre, Laurent Michaud
OBJECTIVE: To study the prevalence of Barrett esophagus (BE) (gastric and/or intestinal metaplasia) in adolescents treated for esophageal atresia (EA). SUMMARY OF BACKGROUND DATA: EA patients are at high risk of BE. METHODS: This multicenter prospective study included EA patients aged 15 to 19 years. All eligible patients were proposed an upper endoscopy with multistaged esophageal biopsies under general anesthesia. Histological suspicion of metaplasia was confirmed centrally...
December 2016: Annals of Surgery
https://read.qxmd.com/read/26692337/long-term-outcomes-of-patients-with-tracheoesophageal-fistula-esophageal-atresia-survey-results-from-tracheoesophageal-fistula-esophageal-atresia-online-communities
#28
JOURNAL ARTICLE
Charles Wynn Acher, Daniel J Ostlie, Charles M Leys, Shannon Struckmeyer, Matthew Parker, Peter F Nichol
Introduction  Outcome studies of tracheoesophageal fistula (TEF) and/or esophageal atresia (EA) are limited to retrospective chart reviews. This study surveyed TEF/EA patients/parents engaged in social media communities to determine long-term outcomes. Materials and Methods  A 50-point survey was designed to study presentation, interventions, and ongoing symptoms after repair in patients with TEF/EA. It was validated using a test population and made available on TEF/EA online communities. Results  In this study, 445 subjects completed the survey during a 2-month period...
December 2016: European Journal of Pediatric Surgery
https://read.qxmd.com/read/17561765/h-type-congenital-tracheoesophageal-fistula-university-of-iowa-experience-1985-to-2005
#29
JOURNAL ARTICLE
James T Brookes, Mark C Smith, Richard J H Smith, Nancy M Bauman, Jose M Manaligod, Anthony D Sandler
OBJECTIVES: We review the diagnostic workup, associated disorders, surgical technique, and postoperative course of patients who underwent repair of H-type tracheoesophageal fistulas. METHODS: We performed a retrospective chart review of patients who received a diagnosis of tracheoesophageal fistula at the University of Iowa. RESULTS: Seven patients with an H-type tracheoesophageal fistula and a single patient with a missed proximal fistula associated with esophageal atresia were identified...
May 2007: Annals of Otology, Rhinology, and Laryngology
https://read.qxmd.com/read/23679024/thoracoscopic-repair-of-esophageal-atresia-and-tracheoesophageal-fistula-in-neonates-first-decade-s-experience
#30
JOURNAL ARTICLE
S S Rothenberg
The first thoracoscopic esophageal atresia with tracheoesophageal fistula (EATEF) repair was performed in March of 2000. This report evaluates the results and evolution of the technique in a single surgeons' experience after the first decade of thoracoscopic EATEF repair. From March 2000 to September 2012, 52 consecutive patients with type 3 EATEF, and an additional nine patients with pure esophageal atresia (EA) were repaired by or under the direct supervision of a single surgeon. Patient weight ranged from 1...
May 2013: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/15770584/a-flexible-approach-to-achieve-a-true-primary-repair-for-all-infants-with-esophageal-atresia
#31
JOURNAL ARTICLE
John E Foker, Tara C Kendall, Kirsti Catton, Khalid M Khan
Our purpose is to present our results using a flexible surgical approach to achieve a true primary repair for all infants with esophageal atresia (EA). The proposed methods are designed to reach this goal, even when most of the intrathoracic esophagus is missing. What has made this goal attainable is the ability to rapidly induce esophageal growth. We reviewed the results of 63 consecutive patients who presented between 1984 and 2004 with an esophageal gap of greater than 2.5 cm, a distance where increasingly difficult repairs begin...
February 2005: Seminars in Pediatric Surgery
https://read.qxmd.com/read/22682384/surgical-advances-in-the-fetus-and-neonate-esophageal-atresia
#32
REVIEW
Shaun M Kunisaki, John E Foker
This article focuses on selected topics in the diagnosis and management of patients with esophageal atresia (EA) with or without tracheoesophageal fistula. The current status of prenatal diagnosis and recent advances in surgical techniques, including thoracoscopic repair for short-gap EA and tension-induced esophageal growth for long-gap EA, are reviewed. Although no consensus exists among pediatric surgeons regarding the role of these procedures in the treatment of EA, one can reasonably expect that, as they evolve, their application will become more widespread in this challenging patient population...
June 2012: Clinics in Perinatology
https://read.qxmd.com/read/24439583/surgical-approaches-to-aortopexy-for-severe-tracheomalacia
#33
JOURNAL ARTICLE
Russell W Jennings, Thomas E Hamilton, C Jason Smithers, Monawat Ngerncham, Neil Feins, John E Foker
PURPOSE: The purpose of this study was to determine the outcomes among three different surgical approaches for performing an aortopexy to treat severe tracheomalacia (STM). METHODS: A retrospective review was performed for all patients who underwent an aortopexy by pediatric surgeons at a single institution during 1997-2012. Data collected included details of the operative approaches and clinical results. The data were analyzed using Chi-square and Fisher exact test...
January 2014: Journal of Pediatric Surgery
https://read.qxmd.com/read/26519042/outcome-of-esophageal-atresia-tracheoesophageal-fistula-in-extremely-low-birth-weight-neonates-1000%C3%A2-grams
#34
JOURNAL ARTICLE
Augusto Zani, Justyna Wolinska, Giovanni Cobellis, Priscilla P L Chiu, Agostino Pierro
PURPOSE: To review the outcomes of extremely low birth weight (ELBW, <1000 g) infants with esophageal atresia/tracheoesophageal fistula (EA/TEF). METHODS: Health records of ELBW EA/TEF infants treated at our institution from 2000 to 2014 were reviewed (REB1000046653). Demographics, operative approach and postoperative complications were analyzed. Data are reported as median (range). RESULTS: Of 268 EA/TEF infants, 8 (3 %, five females) were ELBW (930 g, 540-995)...
January 2016: Pediatric Surgery International
https://read.qxmd.com/read/26520653/preservation-of-native-esophagus-in-infants-with-pure-esophageal-atresia-has-good-long-term-outcomes-despite-significant-postoperative-morbidity
#35
JOURNAL ARTICLE
Augusto Zani, Giovanni Cobellis, Justyna Wolinska, Priscilla P L Chiu, Agostino Pierro
PURPOSE: To evaluate long-term outcomes of pure esophageal atresia (EA) repair with preservation of native esophagus. METHODS: Infants with pure EA treated at our institution (2000-2010) and with minimum 5-year follow-up were reviewed (REB:1000046653). Data analysed included demographics, management and outcomes and are reported as mean ± SD/median (range). RESULTS: Of 185 infants with EA, 12 (7 %) had pure EA (gestational age: 36 ± 2...
February 2016: Pediatric Surgery International
https://read.qxmd.com/read/12808620/adverse-association-of-oesophageal-atresia-and-cleft-lip-and-palate
#36
JOURNAL ARTICLE
L Spitz, X Yang, A Pierro, E M Kiely, D Drake
No abstract text is available yet for this article.
June 2003: British Journal of Surgery
https://read.qxmd.com/read/26139499/chemocauterization-with-trichloroacetic-acid-in-congenital-and-recurrent-tracheoesophageal-fistula-a-minimally-invasive-treatment
#37
JOURNAL ARTICLE
Yann Lelonge, François Varlet, Patricio Varela, Francisco Saitúa, Laurent Fourcade, Rocio Gutierrez, Sophie Vermesch, Jean-Michel Prades, Manuel Lopez
OBJECTIVE: Recurrent tracheoesophageal fistula (RTEF) is a serious complication after primary repair of esophageal atresia and tracheoesophageal fistula (EA/TEF). Treatment of RTEF involved an open surgery by thoracotomy. Technically it is a challenge with a high morbidity and mortality. Congenital tracheoesophageal fistula (CTEF) traditionally involved an open surgery by thoracotomy or cervicotomy. Many endoscopic techniques have been developed since the past decades: thoracoscopic or bronchoscopic approach for the treatment of RTEF and CTEF; nevertheless, optimal treatment is not still determined because of few numbers of patients, short-term follow-up, and different procedures...
April 2016: Surgical Endoscopy
https://read.qxmd.com/read/25496976/results-from-the-french-national-esophageal-atresia-register-one-year-outcome
#38
MULTICENTER STUDY
Anne Schneider, Sébastien Blanc, Arnaud Bonnard, Naziha Khen-Dunlop, Frédéric Auber, Anne Breton, Guillaume Podevin, Rony Sfeir, Virginie Fouquet, Catherine Jacquier, Jean-Louis Lemelle, Frédéric Lavrand, François Becmeur, Thierry Petit, Marie-Laurence Poli-Merol, Frédéric Elbaz, Thierry Merrot, Jean-Luc Michel, Allal Hossein, Manuel Lopez, Edouard Habonimana, Cécile Pelatan, Pascal De Lagausie, Philippe Buisson, Philine de Vries, Jean Gaudin, Hubert Lardy, Corine Borderon, Joséphine Borgnon, Olivier Jaby, Dominique Weil, Didier Aubert, Stephan Geiss, Jean Breaud, Anis Echaieb, Jane Languepin, Christophe Laplace, Myriam Pouzac, François Lefebvre, Frédéric Gottrand, Laurent Michaud
BACKGROUND: The aim of the present national prospective population-based study was to assess the early morbidity of esophageal atresia (EA). METHODS: All 38 multidisciplinary French centers that care for patients with EA returned a specific questionnaire about the 1-year outcome for each patient. This information was centralized, checked, and entered into a database. RESULTS: From the total population of 307 EA patients born in 2008 and 2009, data about the 1-year outcome were obtained from 301 (98%) patients, of whom 4% were lost to follow-up and 5% died...
December 11, 2014: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/25144352/tertiary-surgery-for-complicated-repair-of-esophageal-atresia
#39
JOURNAL ARTICLE
Ruben Ortiz, Alba Sánchez Galán, Leopoldo Martinez, Eva Dominguez, Francisco Hernández, Manuel Lopez Santamaria, Juan Antonio Tovar
AIM: The ideal repair of esophageal atresia (EA) is primary anastomosis with closure of the fistula if present. Long gap or local circumstances prompt other procedures that occasionally lead to disastrous complications. The aim of this study was to analyze the management of these complications in a tertiary referral center. PATIENTS AND METHODS: A retrospective review of patients treated for EA between 1993 and 2013 was conducted. Both the patients were primarily treated by us, and referrals from elsewhere after two or more failed operations were included...
February 2015: European Journal of Pediatric Surgery
https://read.qxmd.com/read/26485521/experience-with-thoracoscopic-repair-of-long-gap-esophageal-atresia-in-neonates
#40
MULTICENTER STUDY
Steven S Rothenberg, Alan W Flake
INTRODUCTION: This report evaluates the results of a two-surgeon experience with thoracoscopic repair in patients with long gap esophageal atresia (EA). MATERIALS AND METHODS: From March 2000 to February 2015, 14 consecutive patients with pure EA were repaired thoracoscopically. The gap length was then evaluated by contrast gastrostomy tube study. Patients were operated on between 4 to 8 weeks of age. Patient weights ranged from 2.6 to 3.8 kg. The longest gap was 7½ vertebral bodies...
November 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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