Infants with esophageal atresia weighing under 3 pounds

Rickham, P. P.

doi:10.1016/0022-3468(81)90011-7

Cited by 32 publications

(16 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No infant with a birth weight ! 1,700 g survived [2] . Between 1952 and 1981, two small series of VLBW infants with EA were reported by Rickham [2] and another group from England.…”

Section: Discussionmentioning

confidence: 99%

“…1,700 g survived [2] . Between 1952 and 1981, two small series of VLBW infants with EA were reported by Rickham [2] and another group from England. Survival rate in these studies was almost 25% in children weighing 1,000-1,500 g [15] .…”

Section: Discussionmentioning

confidence: 99%

“…1,400 g and EA were reported, mostly with distal fistulas ( table 2 ). The average survival rate varied between 35 and 41% in infants 1 1,700 g in the 1950s [2] . No infant with a birth weight !…”

Section: Discussionmentioning

confidence: 99%

“…The cleft disorder had not been found preoperatively. A Rickham [2] no information given 910-1,360 primary repair 6 1 Filston et al [10] 26-30 730-1,000 no surgical procedure 3 3 Spitz et al [3,11] no information given 1,000-1,090 primary repair 2 0 Pohlson et al [12] 28 970 staged repair 1 1 Ein et al [9] no information given >800 staged repair 11 5 Schaarschmidt et al [13] 36 445 delayed primary repair 1 0 Driver and Bruce [4] 31 740 primary repair 1 0 Choudhury et al [8] >27 >846 staged repair 21 6 Chahine and Ricketts [14] 28-33 710-1,200 staged repair 5 0 preoperative tracheobronchoscopy might have helped to determine the cleft. In these conditions, an individual evaluation of the patient must be performed.…”

Section: Discussionmentioning

confidence: 99%

“…Initially, all children had a normal passage of the esophagus as observed in barium swallowing. One child suffering from in these children [2,3] . When no additional malformations are present, the risk of a multistage approach seems to be higher than that of a single approach [4] .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Primary Repair of Esophageal Atresia in Extremely Low Birth Weight Infants: A Single-Center Experience and Review of the Literature

Seitz¹,

Warmann²,

Schaefer³

et al. 2006

Neonatology

View full text Add to dashboard Cite

Background: Advances in neonatal intensive care have led to an increased survival of very low birth weight (VLBW, <1,500 g) and extremely low birth weight infants (ELBW, <1,000 g). Several abnormalities may occur in these children, e.g. esophageal atresia (EA), imperforate anus or abdominal wall defects. Correction of EA is often performed as a staged procedure in this group of patients. Objectives: To evaluate the feasibility of a primary correction of EA in 4 ELBW and VLBW infants. Methods: Between 2002 and 2004, 4 infants below 1,200 g were operated on in our institution with a diagnosis of EA with lower tracheoesophageal fistula. Birth weight ranged from 780 to 1,120 g (median: 920 g), gestational age from 28 to 30 weeks. Treatment included closure of the tracheoesophageal fistula and primary anastomosis of the esophagus in a one-step procedure. Results: Primary correction of EA and fistula repair was feasible in all children. Initially, all children had a normal passage of the esophagus as observed in barium swallowing. One child suffering from a leakage of the anastomosis was managed conservatively. Another infant suffered from spontaneous small bowel perforation 6 days after surgery, which was treated by laparotomy. One child developed stenosis of the esophagus and required a single dilatation 14 months after initial treatment. In the 4th child, a type II cleft syndrome was subsequently diagnosed, requiring secondary cleft repair together with semifundoplication. This child eventually died from cytomegalovirus pneumonia. Conclusions: Primary repair of EA and closure of a tracheoesophageal fistula is technically feasible and offers a good treatment option for ELBW and VLBW infants. Staged repair can be avoided. Infants with cleft syndrome are still a diagnostic and therapeutic challenge.

show abstract

“…No infant with a birth weight ! 1,700 g survived [2] . Between 1952 and 1981, two small series of VLBW infants with EA were reported by Rickham [2] and another group from England.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Primary Repair of Esophageal Atresia in Extremely Low Birth Weight Infants: A Single-Center Experience and Review of the Literature

Seitz¹,

Warmann²,

Schaefer³

et al. 2006

Neonatology

View full text Add to dashboard Cite

show abstract

Prevalence of Birth Defects Among Low-Birth-Weight Infants

Mili

Edmonds²,

Khoury³

et al. 1991

Am J Dis Child

View full text Add to dashboard Cite

Analysis of Morbidity and Mortality in 227 Cases of Esophageal Atresia and/or Tracheoesophageal Fistula Over Two Decades

et al. 1995

View full text Add to dashboard Cite

Early diagnosis, improved surgical technique, neonatal anesthesia, sophisticated ventilatory support, advanced intensive care management, early treatment of associated anomalies, responsiveness of anastomotic strictures to dilatation, and aggressive treatment of gastroesophageal reflux have influenced survival positively. Improved survival rates were noted irrespective of the traditional Waterston criteria, which now seem outdated. With few exceptions, most infants with esophageal atresia and/or tracheoesophageal fistula should survive in the current era.

show abstract

Infants with esophageal atresia weighing under 3 pounds

Cited by 32 publications

References 3 publications

Primary Repair of Esophageal Atresia in Extremely Low Birth Weight Infants: A Single-Center Experience and Review of the Literature

Primary Repair of Esophageal Atresia in Extremely Low Birth Weight Infants: A Single-Center Experience and Review of the Literature

Prevalence of Birth Defects Among Low-Birth-Weight Infants

Analysis of Morbidity and Mortality in 227 Cases of Esophageal Atresia and/or Tracheoesophageal Fistula Over Two Decades

Contact Info

Product

Resources

About