Management and outcome of neonates with a prenatal diagnosis of esophageal atresia type <scp>A</scp>: A population‐based study

Garabédian, Charles; Bonnard, Arnaud; Rousseau, Véronique; Sfeir, Rony; Cracmo,; Drumez, Élodie; Michaud, Laurent; Gottrand, Frédéric; Houfflin‐Debarge, V.

doi:10.1002/pd.5273

Cited by 13 publications

(2 citation statements)

References 28 publications

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“…While prenatal diagnosis did not alter neonatal treatment and the 1-year outcome, it did facilitate prenatal parental counseling and prevented postnatal transfers. 10,11 European Journal of Pediatric Surgery © 2024. Thieme.…”

Section: Prenatal Diagnosismentioning

confidence: 99%

The French Experience with a Population-Based Esophageal Atresia Registry (RENATO)

Sfeir,

Aumar,

Sharma

et al. 2023

Eur J Pediatr Surg

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In this paper, is presented a national register for esophageal atresia (EA) started in January 2008. We report our experience about the conception of this database and its coordiantion. Data management and data quality are also detailed. In 2023, more then 2500 patients with esophageal atresia are included. Prevalence of EA in France was calculated at 1.8/10000 living birth. Main clinical results are listed with scientifc publications issued directly from the register.

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Section: Prenatal Diagnosismentioning

confidence: 99%

The French Experience with a Population-Based Esophageal Atresia Registry (RENATO)

Sfeir,

Aumar,

Sharma

et al. 2023

Eur J Pediatr Surg

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“…The laparoscopic procedure has become the standard approach in many clinics. [47]. In approximately 50% of cases, small intestinal atresia is confirmed by prenatal ultrasound, whereby there is a higher detection rate in jejunal atresia than in deeper ileal atresia [48].…”

Section: Infantile Hypertrophic Pyloric Stenosismentioning

confidence: 99%

Review. Gastrointestinal Surgery in Neonates: Practice, Facts, and Trends

Tröbs¹

2019

OJPed

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The author presents an overview of the current trends in acute neonatal gastrointestinal surgery. Necrotizing enterocolitis and focal intestinal perforation are disorders of different etiology, appearance, and prognosis. In neonates with focal perforation, a good prognosis can be expected. Primary anastomosis is a valid option for primary surgery. Meconium ileus is based on obstruction of the terminal ileum. Medical treatment is the primary therapeutic option, although surgery may be required. In contrast, meconium plug syndrome is based on stool plugging in the left colon, and surgery is not appropriate. Hirschsprung's disease is confirmed on the basis of representative biopsy of the rectum just above the dentate line. There is a trend toward a single-step pull-through operation without protective stoma. Open hernia repair in small neonates can be performed via a mini-incision and without opening the external inguinal ring. Laparoscopic hernia repair has some advantages, especially in girls. In infants with pyloric stenosis, laparoscopic pyloromyotomy is a first line option for treatment. There is a general trend toward single-stage procedures and laparoscopic reconstructive surgery for gastrointestinal malformations. With the exception of tracheoesophageal fistula and low bowel obstruction, the vast majority of upper gastrointestinal malformations can be identified using prenatal ultrasound examination. One-stage repair with excellent results is even possible in neonates below 1000 g. Surgery of duodenal or small bowel atresia can be performed following the postnatal adaptation period. For some forms of anorectal malformation, the need for a protective stoma has been questioned in the last decade. Posterior sagittal anorectoplasty remains the standard procedure for the majority of cases. Midgut or segmental volvulus affects different groups of infants. If a neonate is suspected of having any type of volvulus, urgent surgery is required. Intestinal duplication carries a high risk for complications, and surgery should be performed on an elective basis.

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Transport of the Surgical Neonate

Rolle

Puri

2023

Pediatric Surgery

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Management and outcome of neonates with a prenatal diagnosis of esophageal atresia type A: A population‐based study

Abstract: Prenatal diagnosis is high in EA type A, which enables to offer an antenatal parental counseling and which avoids postnatal transfers. Prognosis of EA types A does not appear to be influenced by the prenatal diagnosis.

Cited by 13 publications

References 28 publications

The French Experience with a Population-Based Esophageal Atresia Registry (RENATO)

The French Experience with a Population-Based Esophageal Atresia Registry (RENATO)

Review. Gastrointestinal Surgery in Neonates: Practice, Facts, and Trends

Transport of the Surgical Neonate

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