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Long Gap oesoohageal atresia

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71 papers 0 to 25 followers
By Cristobal Adolfo Abello Munarriz Pediatric surgeon
https://www.readbyqxmd.com/read/27461430/evaluation-of-the-intraoperative-risk-factors-for-esophageal-anastomotic-complications-after-primary-repair-of-esophageal-atresia-with-tracheoesophageal-fistula
#1
Yuichi Okata, Kosaku Maeda, Yuko Bitoh, Yasuhiko Mishima, Akihiko Tamaki, Keiichi Morita, Kosuke Endo, Chieko Hisamatsu, Hiroaki Fukuzawa, Akiko Yokoi
PURPOSE: The aim of this study is to identify the risk factors for esophageal anastomotic stricture (EAS) and/or anastomotic leakage (EAL) after primary repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) in infants. METHODS: A retrospective chart review of 52 patients with congenital EA/TEF between January 2000 and December 2015 was conducted. Univariate and multivariate analyses were performed to identify the risk factors for anastomotic complications...
September 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27530889/validation-of-an-inanimate-low-cost-model-for-training-minimal-invasive-surgery-mis-of-esophageal-atresia-with-tracheoesophageal-fistula-ae-tef-repair
#2
Maximiliano Alejo Maricic, María Marcela Bailez, Susana P Rodriguez
UNLABELLED: We present the results of the validation of an inanimate model created for training thoracoscopic treatment of esophageal atresia with lower tracheoesophageal fistula (EA/TEF). MATERIALS AND METHODS: We used different domestic materials such as a piece of wood (support), corrugated plastic tubes (PVC) of different sizes to simulate ribs, intercostal spaces, trachea and spine and tubular latex balloons to simulate the esophagus and lungs to make the basic model...
September 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27607100/swallowing-dysfunction-and-quality-of-life-in-adults-with-surgically-corrected-esophageal-atresia-tracheoesophageal-fistula-as-infants-forty-years-of-follow-up
#3
Waleed Gibreel, Benjamin Zendejas, Ryan M Antiel, Geoffrey Fasen, Christopher R Moir, Abdalla E Zarroug
OBJECTIVES: The aim of the study was to evaluate and study the full spectrum of swallowing dysfunction and long-term disease-specific outcomes in adults with surgically corrected esophageal atresia/tracheaesophageal fistula (EA/TEF). BACKGROUND: Long-term outcomes for adults who underwent EA/TEF repair because infants are lacking. METHODS: We developed a disease-specific swallowing dysfunction questionnaire (SDQ) to assess swallowing dysfunction and quality of life (QOL) of adult patients with surgically corrected EA/TEF...
September 6, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27769086/risk-factors-for-anastomotic-strictures-after-esophageal-atresia-repair-prophylactic-proton-pump-inhibitors-do-not-reduce-the-incidence-of-strictures
#4
Felipe Donoso, Helene Engstrand Lilja
Background Since 2005, infants with esophageal atresia (EA) in our unit are given prophylactic proton pump inhibitors (PPI) after repair until 1 year of age. The aims of this study were to identify risk factors for anastomotic strictures (AS) and to assess the efficacy of postoperative PPI prophylaxis in reducing the incidence of AS compared with symptomatic PPI. Methods Patients who underwent EA repair from 1994 to 2013 in our unit were included in this retrospective observational study approved by the local ethics review board...
October 21, 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27792528/two-stage-thoracoscopic-repair-of-long-gap-esophageal-atresia-using-internal-traction-is-safe-and-feasible
#5
Takahisa Tainaka, Hiroo Uchida, Akihide Tanano, Chiyoe Shirota, Akinari Hinoki, Naruhiko Murase, Kazuki Yokota, Kazuo Oshima, Ryo Shirotsuki, Kosuke Chiba, Hizuru Amano, Hiroshi Kawashima, Yujiro Tanaka
BACKGROUND: The treatment of long-gap esophageal atresia remains an issue for pediatric surgeons. Many techniques for treating long-gap esophageal atresia have been proposed, but the optimal method has not been established. The thoracoscopic esophageal elongation technique has recently been developed. We previously reported a case in which two-stage thoracoscopic repair was performed using internal esophageal traction without esophageal tearing, and we retrospectively reviewed the outcomes of this procedure in this study...
October 28, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/12560626/-spontaneous-recanalisation-of-the-esophagus
#6
Pranas Gurskas, Aidas Ivanauskas
Main problem in treating newborns with congenital esophageal atresia is a long gap between esophageal segments. There are many publications that describe various techniques of esophageal anastomosis. In our report we observed spontaneous racanalisation of the esophagus. This study reports 3 similar clinical pictures of patients, received and treated in our clinics for III-b type oesophageal atresia (esophageal atresia with distal tracheoesophageal fistula). All newborns were operated, two patients underwent palliative procedures, leaving a diastasis between esophageal pouches, and lining a vicryl string between oesophageal ends; and in one case attempt of primary oesophageal anastomosis turned in to leakage of anastomosis and mediastinitis...
2002: Medicina
https://www.readbyqxmd.com/read/19180007/-a-rare-case-of-esophageal-atresia-type-i
#7
F Canavese, L Valfrè, S Vinardi, M G Cortese, S Costantino, R Macchieraldo, E Bianco
An extremely rare case of type A esophageal atresia is reported. The baby girl patient born spontaneously after a 38-week pregnancy, was diagnosed prenatally with suspected type A esophageal atresia. Diagnosis was confirmed at birth by chest and abdominal X-ray. As per protocol, a naso-esophageal tube was positioned in aspiration and a Stamm gastrostomy made for nutritional purposes. Evaluation of the distance between blind pouches at one month of life showed they were overlapping. At intervention the pouches were found to be united by a fibrous bridge about 1...
February 2009: Minerva Pediatrica
https://www.readbyqxmd.com/read/17806017/long-oesophageal-gaps-a-new-surgical-technique-an-experimental-study-on-lambs
#8
A T Hadidi
AIM: The management of long gap oesophageal atresia remains a major challenge for the paediatric surgeon. In this experimental study on neonatal lambs, a Silastic tube was used to bridge a gap in the oesophagus. The Silastic tube was not fixed to the oesophageal edges but half a centimetre from the edge of the oesophagus. The oesophageal edges were left free to grow over the Silastic tube and bridge the gap. The aim of the study was to see whether the oesophageal edges would grow over the Silastic tube and form a continuous oesophagus...
August 2007: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/3962515/bridging-a-gap-in-oesophageal-atresia-using-rehbein-s-technique-dilatation-of-a-thread-canal
#9
W Sigge, H Würtenberger, A Franz, M Albrecht
During the last 12 years, operations were performed on 144 infants with oesophageal atresia. In 18 of them who were suffering from an atresia with long gap between segments, perlon threads were laid surgically. Continuity of the oesophagus was attempted using Rehbein's technique. The newborn had type II and IIIb atresia according to Vogts' classification. 11 of these 18 infants survived the third week of life. The fibroepithelial canal that had developed along the perlon thread, was dilated in steps in 6. The clinical course and results are reported...
February 1986: Surgery in Infancy and Childhood
https://www.readbyqxmd.com/read/3984518/gastric-tube-oesophagoplasty-for-oesophageal-atresia-a-follow-up-study-part-ii-radiologic-endoscopic-and-histologic-controls
#10
A Pineschi, M Pini, G Torre, N Levi
In 1982 a programme of multi-disciplinary follow-up on 12 patients that underwent a gastric tube oesophagoplasty for long-gap oesophageal atresia was started. Radiological examination, performed on all gastric tubes but one (died a few days after surgery), assessed the morphology and dynamics of gastric tube, either distally or proximally based, and stomach 2 to 8 years after surgery. Endoscopic backward exploration was performed on 7 cases, to allow a closer analysis of stomach, gastric tube mucosa and upper oesophageal stump, demonstrating that the gastric transplant is viable and almost undamaged...
February 1985: Surgery in Infancy and Childhood
https://www.readbyqxmd.com/read/6023085/successful-primary-anastomosis-in-oesophageal-atresia-after-reduction-of-a-long-gap-between-the-blind-ends-by-bouginage-of-the-upper-pouch
#11
D G Young
No abstract text is available yet for this article.
May 1967: British Journal of Surgery
https://www.readbyqxmd.com/read/8933139/aorto-colonic-fistula-as-a-late-complication-of-colon-interposition-for-oesophageal-atresia
#12
B Debras, O Kanane, B Enon, M Robert
A 22-year-old man developed severe haematemesis 21 years after colon interposition for long-gap oesophageal atresia. A fistula, from an anastomotic ulcer to the descending thoracic aorta, was discovered and treated successfully by surgical resection. This previously unreported complication highlights the need for the prevention of peptic complications following oesophageal replacement in children.
October 1996: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/11315286/the-effect-of-neck-flexion-on-oesophageal-tension-in-the-pig-and-its-relevance-to-repaired-oesophageal-atresia
#13
P Lyall, Q Bao-Quan, S Beasley
The indications for postoperative ventilation and paralysis with neck flexion after repair of oesophageal atresia (OA) have been controversial, mainly because of a paucity of information on oesophageal compliance and the influence of posture on anastomotic tension. This study using a pig model demonstrates that 78.8% of oesophageal lengthening occurs between full flexion and the neutral position, contributing to an increase in oesophageal length of about 9%. Compliance of the oesophagus is a linear function of the natural log of the tension applied...
March 2001: Pediatric Surgery International
https://www.readbyqxmd.com/read/2725405/developments-in-the-management-of-oesophageal-atresia-and-tracheo-oesophageal-fistulas
#14
S W Beasley, F A Shann, N A Myers, A W Auldist
Since 1948, when the first patient with oesophageal atresia and a tracheo-oesophageal fistula was treated successfully at the Royal Children's Hospital, Melbourne, 569 infants with one or both conditions have been managed at that institution. The mortality rate in those in whom surgical repair of the oesophageal atresia and distal tracheo-oesophageal fistula was attempted has declined from 55% in the first 10 years to less than 1% in the last 10 years of the series. Earlier diagnosis and improvements in resuscitation, transport, neonatal intensive care, anaesthesia, the treatment of associated anomalies and surgical technique all are likely to have contributed to the decline in the mortality and morbidity rates...
May 1, 1989: Medical Journal of Australia
https://www.readbyqxmd.com/read/12424581/evaluation-of-oesophageal-atresia-without-fistula-by-three-dimensional-computed-tomography
#15
Chih-Cheng Luo, Jer-Nan Lin, Chao-Ran Wang
UNLABELLED: During the last decade, an increasing number of paediatric surgeons have chosen to perform a delayed oesophageal anastomosis for oesophageal atresia (OA) without tracheo-oesophageal fistula (TOF). The gap between the two oesophageal pouches is an important determinant in the surgical management of these patients. We describe a new method using spiral computed tomography (CT) to evaluate the gap between the proximal and distal oesophageal pouches. In our last four cases of OA without TOF, Stamm gastrostomy was performed soon after birth...
November 2002: European Journal of Pediatrics
https://www.readbyqxmd.com/read/3266400/-a-new-device-for-long-gap-esophageal-atresia
#16
F Schier, G H Willital
A new mechanical device is presented which approximates the two oesophageal pouches in long gap oesophageal atresia and possibly creates an anastomosis. The principle is similar to magnetic bougienage, only that purely mechanical force is employed instead. This offers several advantages: the instrument is considerably less bulky, technically simple, inexpensive, light and therefore easy to transport. Only normal electrical current is necessary. The tensile forces applied are easier to control. The child does not have to be placed inside a tube and is not restrained in its movements...
October 1988: Surgery in Infancy and Childhood
https://www.readbyqxmd.com/read/9176545/oesophageal-plastic-repair-for-symptomatic-ballooning-following-circular-oesophageal-myotomy-and-correction-of-oesophageal-atresia
#17
M Zer, E Freud, S Grozovski
Two patients with refractory anastomotic stenosis and symptomatic ballooning of the upper oesophageal pouch following repair of long gap oesophageal atresia are described. In both cases a circular myotomy had been used to elongate the proximal oesophageal segment at the time of primary repair. Both patients were successfully treated by Y-V plasty of the oesophageal stenosis and tailoring of the dilated segment.
May 1997: Thorax
https://www.readbyqxmd.com/read/17270551/the-cumulative-incidence-of-significant-gastrooesophageal-reflux-in-patients-with-oesophageal-atresia-with-a-distal-fistula-a-systematic-clinical-ph-metric-and-endoscopic-follow-up-study
#18
Antti Koivusalo, Mikko P Pakarinen, Risto J Rintala
BACKGROUND AND AIM: Gastrooesophageal reflux (GER) is common in patients with oesophageal atresia (OA). Complicated GER often manifests itself early after the primary repair (PR) and frequently requires antireflux surgery (ARS). How many patients will be later affected is unknown. We conducted an objective long-term follow-up for the cumulative incidence of OA-associated GER based on pH-metry and histology. MATERIALS AND METHODS: Sixty-one consecutive patients with their native oesophagus, who underwent PR for OA with a distal fistula from 1989 to 2004, were included...
February 2007: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/17011260/esophageal-atresia-lessons-i-have-learned-in-a-40-year-experience
#19
REVIEW
Lewis Spitz
A brief resume of the highlights in the history of oesophageal atresia is presented. This is followed by research into the etiology, ontogeny and embryology, and microbiological studies. A revised classification of risk factors with consequent survival statistics is presented. Lessons learned in the management of the condition over a 40-year period are reported with particular emphasis on the management of the preterm infant with associated severe respiratory distress, right-side aortic arch, upper pouch fistula, 'long-gap' atresia, and the use of gastrostomy and intercostals drains...
October 2006: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/2201246/modification-of-livaditis-myotomy-for-long-gap-oesophageal-atresia
#20
L Lindell-Iwan
A modification of Livaditis' myotomy to bridge a long gap oesophageal atresia is presented. The wide hypertrophic oral segment is lengthened with several horizontal incisions through the muscle layer. These incisions are made in a network of several rows without perforating the mucosa. The thick, broad oral segment becomes longer and narrower and fits better for anastomosis with the smaller distal segment. Pocket formations and diverticula can thus be avoided.
1990: Annales Chirurgiae et Gynaecologiae
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