Risk Factors for Stricture Formation After Esophageal Atresia Repair

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Tate NiceRobert Russell

Abstract

Esophageal stricture remains a common morbidity of esophageal atresia (EA) repair. The purpose of this study was to examine the association of multiple pre- and postoperative variables with stricture formation after EA repair. A retrospective review of all patients who underwent EA repair was performed from June 1999 to January 2014, excluding patients who died prior to discharge. Data were collected on patient demographics, disease specifics, treatment, and outcomes. A clinically significant esophageal stricture was defined as those requiring more than three esophageal dilations. Univariate analysis and multivariate analysis was performed to determine associations with stricture formation. The study included 121 infants. On univariate analysis, tracheoesophageal fistula (TEF) Gross classification (P = .046), method of repair (P = .0099), surgery staging (P = .0211), and development of leak (P = .0479) had a statistically significant association with stricture formation. Most (81%) underwent open repair with a stricture rate of 16.3%, while 20 patients underwent thoracoscopic repair with a 40% stricture rate. Multivariate analysis showed that patients undergoing a staged repair had increased risk of stricture formation over pri...Continue Reading

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Citations

May 28, 2019·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Indalecio Cano NovilloAndrés Gómez Fraile
Jul 17, 2018·Archives of Disease in Childhood·Floor W T VergouweUNKNOWN DCEA Study Group
Feb 12, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xu CuiChaoming Zhou
Jul 11, 2020·European Journal of Pediatrics·Yi-Hsuan LuHung-Chieh Chou
Dec 6, 2020·Journal of Pediatric Surgery·Semiu E FolaranmiPaul D Losty
Jan 5, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ana S Marinho, Amulya K Saxena
Jul 8, 2021·Journal of Pediatric Surgery·Camille E van HoornJ Marco Schnater
Oct 26, 2021·Journal of Pediatric Gastroenterology and Nutrition·Osama BaghdadiMichael Manfredi

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