Experience in treating congenital esophageal atresiain China

Zhang, Zhibo; Huang, Ying; Su, Peng; Wang, Dajia; Wang, Lianying

doi:10.1016/j.jpedsurg.2010.05.017

Cited by 16 publications

(17 citation statements)

References 22 publications

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“…In the study by David and O'Callaghan [16], 53.9% of patients were male and 46.1% were female. In the study from northeast of China [15], of the 48 infants 33 were boys and male/female ratio was 2.2, which is significantly different from previous studies. In the study from northeast of China [15], of the 48 infants 33 were boys and male/female ratio was 2.2, which is significantly different from previous studies.…”

Section: Discussioncontrasting

confidence: 83%

“…The most common minor anomalies were limb defect and skeletal anomalies [27]. Cardiac anomalies, imperforate anus, limb anomalies, and chromosomal anomalies were the most common anomalies in the study by Zhang et al [15]. Overall rate of anomalies in our study was similar to other studies [28]; however, there was difference between studies regarding the rate of each anomaly.…”

Section: Discussionsupporting

confidence: 78%

“…O'Neill et al [13] reported 93% surveillance among 53 neonates with esophageal atresia and tracheoesophageal fistula. In the study from China, 12.5% mortality rate was observed in 48 neonates with esophageal atresia [15]. Most of the studies showed increased survival rate following surgical repair of atresia [11,12,14].…”

Section: Discussionmentioning

confidence: 99%

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Esophageal atresia

Askarpour¹,

Hafezi²,

Javaherizadeh³

et al. 2014

Annals of Pediatric Surgery

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Section: Discussioncontrasting

confidence: 83%

Section: Discussionsupporting

confidence: 78%

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Esophageal atresia

Askarpour¹,

Hafezi²,

Javaherizadeh³

et al. 2014

Annals of Pediatric Surgery

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“…Recurrence is more likely to occur in patients with anastomotic leakage [3, 5, 6, 8]. Esophageal perforation during the dilatation of an anastomotic stricture is another risk factor for the recurrence of TEF [5, 6, 8].…”

Section: Introductionmentioning

confidence: 99%

The use of a sternothyroid muscle flap to prevent the re-recurrence of a recurrent tracheoesophageal fistula found 10 years after the primary repair

et al. 2016

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Recurrent tracheoesophageal fistula (TEF) is still difficult to diagnose and repair. In almost all cases, recurrence appears relatively soon after the primary surgery. We herein describe a case of recurrent TEF that appeared 10 years after the primary repair. At 2 years of age, the patient suffered from mental retardation due to encephalitis and developed a hiatus hernia with gastro-esophageal reflux. He underwent the repair of a hiatus hernia and fundoplication at 3 years of age. However, the hiatus hernia recurred 6 months after the operation. The patient suffered from recurrent pneumonia for 6 years after the appearance of the recurrent hiatus hernia. At 9 years of age, he was hospitalized frequently due to recurrent severe pneumonia. After admission at 9 years of age, an endoscopic study under general anesthesia was performed and revealed subglottic stenosis and a dilated esophagus with a recurrent hiatus hernia. Tracheotomy or laryngotracheal separation was first planned in order to improve his upper airway and facilitate the safer repair of the recurrent hiatus hernia. After laryngotracheal separation, the patient still suffered from severe pneumonia. In addition, a small volume of nutritional supplement was aspirated from the tracheostomy. Thus, recurrent TEF was suspected. Tests using dye under both esophagoscopy and bronchoscopy confirmed recurrent TEF. The fistula recurred in the cervical area because of the elevation of the esophagus due to the recurrent hiatus hernia. The fistula was surgically closed, with a sternothyroid muscle flap to prevent re-recurrence. At 4 months after this operation, the recurrent hiatus hernia was repaired. Thereafter, the patient’s respiratory symptoms showed a dramatic improvement. The patient is now doing well and free from further recurrences of TEF and hiatus hernia at 2 years after the final operation.

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“…Esophageal atresia is complex congenital anomaly of respiratory tract occuring with a frequency of 1/3500 live births and often associated with anomalies of other systems and chromosomal Olgu Sunumu / Case Report abnormalities 2 . Neonates with EA/TEF are typically symptomatic immediately after birth, presenting with drooling, choking, cyanosis, respiratory distress, and feeding difficulties 3 .…”

mentioning

confidence: 99%

Düşük Doğum Ağırlıklı Yenidoğan da Özofageal Atrezi ve Distal Trakeoözofageal Fistülün Primer Onarımı

Hanta¹,

Metin²,

Çekinmez³

et al. 2015

Cukurova Medical Journal

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Esophageal atresia is complex congenital anomaly of respiratory tract occuring often associated with anomalies of other systems and chromosomal abnormalities. This congenital anomaly is a surgical emergency. The management mode of Esophageal atresia/ Tracheoesophageal Fistula in the premature, low birth weight neonate remains controversial. Traditionally, treatment has been based on a staged approach. The primary repair of Esophageal atresia and fistula closure is achievable in Low Birth Weight infants and offer a good treatment in the absence of additional severe malformations. Treatment of these neonates should not be limited to tertiary pediatric surgical centers, contrarily it is also achievable in secondary heath care centers. Near cooperation with neonatal intensivist and the pediatric surgeon is essential for good survival.

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Experience in treating congenital esophageal atresiain China

Cited by 16 publications

References 22 publications

Esophageal atresia

Esophageal atresia

The use of a sternothyroid muscle flap to prevent the re-recurrence of a recurrent tracheoesophageal fistula found 10 years after the primary repair

Düşük Doğum Ağırlıklı Yenidoğan da Özofageal Atrezi ve Distal Trakeoözofageal Fistülün Primer Onarımı

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