Significance of the clinical course and early upper gastrointestinal studies in predicting complications associated with repair of esophageal atresia

Journal of Pediatric Surgery
N L YancharP Soucy

Abstract

In many centers, use of upper gastrointestinal (UGI) contrast studies in the early postoperative period after esophageal atresia (EA) repair is considered routine. Indications for this are many, including searching for existing problems and predicting future complications. However, most major complications, both early and late, usually are identified clinically before any radiologic studies. The purpose of this study was to investigate factors that may anticipate the development of postoperative complications after EA repair, looking particularly at the predictive value of routine early postoperative UGI studies. A total of 111 consecutive cases of EA were identified retrospectively over a 10-year period from 2 major Canadian pediatric health centers. One hundred one were associated with a distal tracheoesophageal fistula (TEF), of which, 90 had repairs. Ninety-seven percent of these had a UGI study at a median of 9.1 postoperative days (range, 2 to 23) before consideration of oral feeding. Charts were reviewed looking at patient variables, surgical factors, early UGI findings, and postoperative courses. Complications that required intervention were noted, including anastomotic leaks, gastroesophageal reflux (GER), strictures, ...Continue Reading

Citations

Feb 20, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tate NiceRobert Russell
Jan 17, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hiroomi OkuyamaTadashi Iwanaka
Jan 9, 2017·Pediatric Surgery International·George W Holcomb
Jan 7, 2017·American Journal of Surgery·Jamie GoldenChristopher P Gayer
Feb 2, 2019·Pediatric Surgery International·Kiera RobertsSoundappan S V Soundappan
Feb 12, 2009·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Antti KoivusaloRisto J Rintala
Jul 17, 2018·Archives of Disease in Childhood·Floor W T VergouweUNKNOWN DCEA Study Group
Aug 21, 2002·Journal of Pediatric Gastroenterology and Nutrition·L Arturo BatresMaria R Mascarenhas
Apr 26, 2011·Pediatric Surgery International·Alan E SchlesingerAshwin P Pimpalwar
Sep 6, 2017·Italian Journal of Pediatrics·Federica PorcaroRenato Cutrera
Dec 19, 2019·Frontiers in Pediatrics·Usha Krishnan
Mar 10, 2018·Journal of Pediatric Surgery·Mackenzie C LeesMichael van Manen
Jul 16, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Carmen DingemannBenno M Ure
Mar 10, 2007·Otolaryngologic Clinics of North America·Olga Achildi, Harsh Grewal
Apr 27, 2010·Paediatric Respiratory Reviews·Andrew J A Holland, Dominic A Fitzgerald
Nov 7, 2021·Pediatric Surgery International·Sarah BraungartDavid John Wilkinson

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