Prospective evaluation of postoperative morbidity in patients with esophageal atresia

Tibboel, Dick; Pattenier, Johanna; Krugten, R.J. van; Meradji, M.; Hazebroek, F. W. J.; Molenaar, Jan C.

doi:10.1007/bf00179251

Cited by 18 publications

(4 citation statements)

References 14 publications

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“…years after repair of EA, a high prevalence (30% -60%) of gastroesophageal reflux disease (GERD) has been found [2,3]. If untreated, GERD may result in esophagitis, anastomotic stricture, and, in the long run, metaplastic changes of the esophageal epithelium.…”

mentioning

confidence: 98%

Esophagitis and Barrett esophagus after correction of esophageal atresia

Deurloo

Ekkelkamp

Taminiau

et al. 2005

Journal of Pediatric Surgery

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mentioning

confidence: 98%

Esophagitis and Barrett esophagus after correction of esophageal atresia

Deurloo

Ekkelkamp

Taminiau

et al. 2005

Journal of Pediatric Surgery

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“…Managing GER medically in EA-TEF patients is important not only for symptom relief, but also to reduce stricture formation, the potential for malignancy and the need for surgical intervention [21,34,40,44,57]. However, there exists wide variation in the medical management of postoperative GER in EA-TEF; pediatric surgeons must base their clinical decision-making on the available, heterogeneous literature.…”

Section: Discussionmentioning

confidence: 97%

Quality of reporting of the literature on gastrointestinal reflux after repair of esophageal atresia–tracheoesophageal fistula

Shawyer¹,

Pemberton²,

Kanters³

et al. 2015

Journal of Pediatric Surgery

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“…Im Gegensatz zu neueren Literaturangaben fand sich ein gastro-äsophagealer Reflux allerdings extrem selten. Da bei all diesen Patienten einzeitig mit der Atresiekorrektur routinemäßig eine Gastrostomie angelegt wurde, haben wir das seltene Vorkommen eines gastro- [10], Leendertse-Verloop et al [6], Pieretti et al [9]). Sicher kann ein gastro-ösophagealer Reflux nicht zuletzt auch im Hinblick auf die Motalitätsstörung des operierten Ösophagus die Ausbildung einer Stenose im Anastomosenbereich begünstigen.…”

Section: Introductionunclassified

Zur Frage der Routine-Gastrostomie bei Ösophagusatresien

Brandesky¹

1989

Eur J Pediatr Surg

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Contrary to Kiely and Spitz we have been using gastrostomy in almost all cases of oesophageal atresia treated with primary anastomosis. Gastro-oesophageal reflux has never been a major problem and during 25 years of personal paediatric surgical experience we have never performed any type of antireflux surgery. To confirm this we have followed up 71 out of 77 survivors who underwent primary anastomosis and gastrostomy in 3 Departments of Paediatric Surgery. The patients were examined 13 months to 17 years, in average 7 years postoperatively. 50 children were free from symptoms, the remainder complained of increased susceptibility to broncho-pulmonary infections. These children were younger than 4 years. X-ray controls could be performed in 50 patients. The vast majority showed motility disorders of the oesophagus, well known as Yo-Yo-phenomenon with swaying of the dye and delayed clearing of the oesophagus. Distinct gastro-oesophageal reflux was detected in 3 of the 50 cases, but there were no signs of oesophagitis or stricture and the patients were free of symptoms. There were no late strictures and no late mortality. We consider proper conservative management especially with oblique positioning as used in hiatal hernias most important in the treatment of the oesophageal motility disorder as well as gastro-oesophageal reflux in the early postoperative period and advocate routine gastrostomy and insertion of an endless thread for routine bougienage.

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Prospective evaluation of postoperative morbidity in patients with esophageal atresia

Cited by 18 publications

References 14 publications

Esophagitis and Barrett esophagus after correction of esophageal atresia

Esophagitis and Barrett esophagus after correction of esophageal atresia

Quality of reporting of the literature on gastrointestinal reflux after repair of esophageal atresia–tracheoesophageal fistula

Zur Frage der Routine-Gastrostomie bei Ösophagusatresien

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