The burden of esophageal dilatations following repair of esophageal atresia.

Journal of Pediatric Surgery
Jose CamposSebastian K King

Abstract

To describe the burden of esophageal dilatations in patients following esophageal atresia (EA) repair. A retrospective review was performed at The Royal Children's Hospital, Melbourne, of all neonates undergoing operative repair for EA over a 17-year period (1999-2015). Stricture was defined by radiological and/or intra-operative findings of narrowing at the esophageal anastomosis. Data recorded included EA type, perinatal details, operative approach, esophageal anastomosis outcome, dilatation requirement, and survival. Key endpoints were anastomotic leakage and tension, esophageal dilatation technique, dilatation frequency, fundoplication, and complications. During the study period, 287 newborn EA patients were admitted, of which 258 underwent operative repair and survived to primary discharge. Excluding 11 patients with isolated tracheoesophageal fistula, 247 patients were included in the final analysis. Intra-operative anastomotic tension was documented in 41/247 (16.6%), anastomotic leak occurred in 48/247 (19.4%), and fundoplication was performed in 37/247 (15.0%). Dilatations were performed in 149/247 (60.3%). Techniques included bougie-alone (92/149, 61.7%), combination of bougie and balloon (51/149, 34.2%), and balloon-...Continue Reading

Citations

Jun 12, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Adam LamJohn Alverdy
Jul 11, 2020·European Journal of Pediatrics·Yi-Hsuan LuHung-Chieh Chou
Jul 31, 2021·The Journal of Pediatrics·Sharman P Tan TannySebastian K King
Aug 13, 2021·Frontiers in Cell and Developmental Biology·Diana Pereira, Inês Sequeira
Aug 7, 2021·Current Opinion in Pediatrics·Giulia AngelinoLuigi Dall'Oglio

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