Prise en charge péri-opératoire de l’atrésie de l’œsophage: petits pas non négligeables à Madagascar

Randriamizao, Harifetra Mamy Richard; Rakotondrainibe, Aurélia; Rahanitriniaina, Nadia Marie Philibertine; Rajaonera, Andriambelo Tovohery; Andriamanarivo, Mamy Lalatiana

doi:10.11604/pamj.2017.27.9.10817

Cited by 3 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This mortality is comparable in Sub-Saharan Africa to Fall et al [25] in Senegal (72%), Bandre et al [6] in Burkina Faso where the mortality was 76%. Randriamizao et al [26] in Madagascar had also found similar mortality to ours (76.5%). It was, however, higher than that of Osei-Nketiah et al [27] in Ghana (59.7%) and significantly higher than that reported by Tönz et al [20] in Switzerland (14%) and by Gottrand et al [28] in France, where it rarely exceeds 5-10% in recent years.…”

Section: Surgical Procedures and Outcomesupporting

confidence: 90%

“…The lack of postoperative neonatal respiratory support explained the rather high level of extubation on the table in our setting. This was similar to the practice reported in Madagascar by Randriamizao et al [26] where extubation in the operating room, as soon as the patient woke up after the anaesthesia, was performed because of the lack of postoperative neonatal respiratory support. Oxygen weaning was completed when the 21% oxygen saturation was greater than 92%, without respiratory distress [26].…”

Section: Surgical Procedures and Outcomesupporting

confidence: 83%

“…This was similar to the practice reported in Madagascar by Randriamizao et al [26] where extubation in the operating room, as soon as the patient woke up after the anaesthesia, was performed because of the lack of postoperative neonatal respiratory support. Oxygen weaning was completed when the 21% oxygen saturation was greater than 92%, without respiratory distress [26]. These children, extubated on a table or not, had experienced sepsis, respiratory distress and metabolic disorders as postoperative complications.…”

Section: Surgical Procedures and Outcomesupporting

confidence: 83%

See 2 more Smart Citations

Ten Years of Management of Esophageal Atresia in Benin: State of the Art, Experiences and Needs for Families of Children with Stoma

Gogan

Houegban

Metchihoungbe

et al. 2023

Int. J. Pediatr. Child Health

View full text Add to dashboard Cite

Background/Purpose: Esophageal atresia (EA) is a congenital defect in the thoracic esophagus associated or not with a tracheoesophageal fistula (TEF). It is associated with high mortality in low-income countries such as Burkina Faso, Madagascar and Ghana. The purpose of this study was to present the recent management of newborns with EA/TEF in Benin and to identify the needs of families whose children have survived. Method: Over a period of 10 years, 54 newborns with EA/TEF operated on in the 2 largest university hospitals in Benin were included. Two groups were identified. Group A (n=33) included newborns in whom a primary repair had been performed. Group B (n=21) involved newborns who underwent staged repair. Staged repair involved cervical oesophagostomy + gastrostomy (n= 7) or upper oesophageal pouch suction + gastrostomy (n=2) or cervical esophagostomy + stoma of the lower esophageal pouch (n=12). Ten parents from group B were interviewed for the needs survey. The significance level was defined as p < 0.05. Results: There were 31 male newborns. The median for gestational age was 37 gestational weeks (range: 35 - 38). Polyhydramnios was observed in 4 cases. The mean birth weight was 2365 g. (range: 1000 g - 3500 g). The mean age at diagnosis was 3.48 days (range: 24 hours - 19 days). Surgery was performed at day 5 on average with extremes from day 2 to day 17. The surgery lasted an average of 2h12 min and the overall mortality rate was 74.07%. Mortality rate in group A was 100% and 33.33% in group B. There was a strong statistically significant difference in survival between the two groups. (p=19.10-8). Sepsis was the most common cause of death. Stress, fear and anxiety of losing the child were the difficulties frequently encountered at bedtime and every day. Four parents had to stop their activities to be available to take care of their child. All the parents had expressed the need for psychological support. Conclusion: Pending an improvement of the technical platform, staged repair remains an essential option for the survival of patients. The creation of a framework for discussion with families authorizing social actions and quality medical support is desired.

show abstract

Section: Surgical Procedures and Outcomesupporting

confidence: 90%

Section: Surgical Procedures and Outcomesupporting

confidence: 83%

Section: Surgical Procedures and Outcomesupporting

confidence: 83%

See 1 more Smart Citation

Ten Years of Management of Esophageal Atresia in Benin: State of the Art, Experiences and Needs for Families of Children with Stoma

Gogan

Houegban

Metchihoungbe

et al. 2023

Int. J. Pediatr. Child Health

View full text Add to dashboard Cite

show abstract

Profil épidémiologique, clinique et thérapeutique des atrésies de l´œsophage au Centre Hospitalier Universitaire Mère-Enfant Fondation Jeanne Ebori de Libreville de 2019 à 2020

Obame¹,

Aude²,

Bobby³

et al. 2023

Pan Afr Med J

View full text Add to dashboard Cite

Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa

Fola¹,

Jemea²,

Bayiha³

et al. 2023

African Journal of Paediatric Surgery

View full text Add to dashboard Cite

Background: Oesophageal atresia (EA) is the most common congenital anomaly of the oesophagus. Despite improvement of survival observed over the previous two decades in developed countries, the mortality remains very high and the management greatly challenging in resource-poor settings such as Cameroon. We report our experience of management of EA in this environment, with a successful outcome. Materials and Methods: We prospectively assessed patients diagnosed with EA and operated in January 2019, at the University Hospital Centre of Yaounde. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures and outcomes. The study has received approval from the Institutional Ethics Committees. Results: In total, six patients (three males and three females, sex ratio, 0.5; mean age at diagnosis, 3.6 days; range, 1–7 days) were assessed. A past history of polyhydramnios was found in one patient (16.7%). All patients were classified Waterston Group A at diagnosis, with Ladd-Swenson type III atresia. Early primary repair was performed in four patients (66.7%) and delayed primary repair in two patients (33.3%). Operative repair mainly involved resection of the fistula, suture of trachea and oesophagus end-to-end anastomosis, followed by interposition of vascularised pleural flap. Patients were followed up 24 months. With one late death, the survival rate was 83.3%. Conclusion: Improvement has been achieved in the outcomes of neonatal surgery in Africa in the past two decades, but EA-related mortality remains relatively too high. Using simple techniques and available, reproducible equipment can improve survival in resource-poor settings.

show abstract

Prise en charge péri-opératoire de l’atrésie de l’œsophage: petits pas non négligeables à Madagascar

Cited by 3 publications

References 13 publications

Ten Years of Management of Esophageal Atresia in Benin: State of the Art, Experiences and Needs for Families of Children with Stoma

Ten Years of Management of Esophageal Atresia in Benin: State of the Art, Experiences and Needs for Families of Children with Stoma

Profil épidémiologique, clinique et thérapeutique des atrésies de l´œsophage au Centre Hospitalier Universitaire Mère-Enfant Fondation Jeanne Ebori de Libreville de 2019 à 2020

Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa

Contact Info

Product

Resources

About