collection
https://read.qxmd.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
#21
JOURNAL ARTICLE
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://read.qxmd.com/read/17011260/esophageal-atresia-lessons-i-have-learned-in-a-40-year-experience
#22
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://read.qxmd.com/read/2201246/modification-of-livaditis-myotomy-for-long-gap-oesophageal-atresia
#23
JOURNAL ARTICLE
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
https://read.qxmd.com/read/18201490/oesophageal-replacement-in-children
#24
REVIEW
G S Arul, D Parikh
INTRODUCTION: The usual indications for oesophageal replacement in childhood are intractable corrosive strictures and long-gap oesophageal atresia. Generally, paediatric surgeons attempt to preserve the native oesophagus with repeat dilatations. However, when this is not successful, an appropriate conduit must be fashioned to replace the oesophagus. The neo-oesophagus should allow normal oral feeding, not have gastro-oesophageal reflux, and be able to function well for the life-time of the patient...
January 2008: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/17021741/oesophageal-substitution-with-free-and-pedicled-jejunum-short-and-long-term-outcomes
#25
JOURNAL ARTICLE
J A Cauchi, R G Buick, P Gornall, M H Simms, D H Parikh
In children, the indications for oesophageal substitution are principally, long gap oesophageal atresia (OA), severe anastomotic disruption following primary repair of OA and severe caustic or peptic strictures. We present an outcome review of eight cases who underwent oesophageal substitution with jejunum at our institution between 1986 and 2001. The purpose of this study was to evaluate our experience with free/pedicled jejunal grafts and its long-term outcome as an oesophageal substitute. Operative and postoperative outcome with free and pedicled jejunal grafts in four cases of pure OA, two cases of OA and distal tracheo-oesophageal fistula (TOF), one patient with a high retrolaryngeal oesophageal web and one case of severe caustic oesophageal stricture...
January 2007: Pediatric Surgery International
https://read.qxmd.com/read/20405650/-analysis-of-clinical-surgical-course-of-neonates-with-long-gap-esophageal-atresia-during-their-spontaneous-growth
#26
JOURNAL ARTICLE
C Cannizzaro, M Boglione, S Rodríguez, A Reussman, M Martínez Ferro
INTRODUCTION: Esophageal atresia (EA) is one of the most prevalent surgical conditions in the newborn. Sometimes early oesophageal anastomosis can't be done due to the esophageal gap. Long gap (LG) definition is not precise. Although consensus exist about conservation of owns esophagus is the best therapeutic option, literature is not clear about how long and under what circunstances is advisable to wait for the spontaneous esophageal pouches to growth (P. Puri approach). Furthermore at present we don't even know the real repercussion that this waiting can implicate...
October 2009: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://read.qxmd.com/read/7577857/long-term-functional-results-and-quality-of-life-after-colon-interposition-for-long-gap-oesophageal-atresia
#27
JOURNAL ARTICLE
B M Ure, E Slany, E P Eypasch, M Gharib, A M Holschneider, H Troidl
Out of a series of 146 patients with oesophageal atresia 9 (6.2%) underwent colon interposition from 1963 to 1971. All eight surviving patients were seen at follow-up after a mean of 22 years. Three patients were free of specific symptoms according to the criteria of DeMeester, two had moderate and three severe distress. The mean time for consuming a standardized test meal was 15 minutes, compared to 8 minutes in healthy controls. Patients required 1-9 minutes to transport liquid barium through the transplant, compared to < 10 seconds in control subjects...
August 1995: European Journal of Pediatric Surgery
https://read.qxmd.com/read/11858426/long-gap-oesophageal-atresia-a-nursing-perspective
#28
REVIEW
A D Hawley
Oesophageal atresia (OA) is a congenital anomaly in which the oesophagus ends in a blind upper pouch. Specialised family-centred nursing care is required for the neonate/infant with 'long-gap' OA. Goals of preoperative nursing care focus on prevention of aspiration, optimising nutrition and thus growth of the baby and supporting parents. Primary repair is delayed to enable further growth of the infant and additional oesophageal growth. Additional nursing and medical research needs to be undertaken in a number of areas relating to the management of infants with long-gap OA...
2001: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://read.qxmd.com/read/22903252/secondary-anastomosis-after-preoperative-botulinum-type-a-toxin-injection-in-a-case-with-long-gap-oesophageal-atresia
#29
JOURNAL ARTICLE
Mark Ellebæk, Niels Qvist, Lars Rasmussen
No abstract text is available yet for this article.
August 2013: European Journal of Pediatric Surgery
https://read.qxmd.com/read/17516075/long-term-results-of-delayed-primary-anastomosis-for-pure-oesophageal-atresia-a-27-year-follow-up
#30
JOURNAL ARTICLE
Thambipillai Sri Paran, Diane Decaluwe, Martin Corbally, Prem Puri
The management of a newborn with pure oesophageal atresia continues to be challenging. We started treating babies with pure oesophageal atresia by delayed primary anastomosis in 1977. The purpose of this study was to review the long-term outcome in infants with pure oesophageal atresia (EA) treated by delayed primary anastomosis with special emphasis on gastroesophageal reflux (GOR) related morbidity. The medical charts of all patients treated by delayed primary anastomosis between 1977 and 2004 were retrospectively reviewed...
July 2007: Pediatric Surgery International
https://read.qxmd.com/read/12592618/quality-of-life-after-gastric-transposition-for-oesophageal-atresia
#31
JOURNAL ARTICLE
Lorraine Ludman, Lewis Spitz
BACKGROUND/PURPOSE: A small proportion of infants born with oesophageal atresia in which the gap between the 2 ends of the oesophagus is too great for an end-to-end anastomosis will require oesophageal replacement. Since 1981 the author's procedure of choice for oesophageal replacement has been gastric transposition. The long-term functional outcome appears to be satisfactory, but the quality of life of these patients has not been investigated formally. This report assesses the health-related quality of life (QOL) of 2 groups of patients born with oesophageal atresia who have undergone gastric transposition...
January 2003: Journal of Pediatric Surgery
https://read.qxmd.com/read/23414855/modern-outcomes-of-oesophageal-atresia-single-centre-experience-over-the-last-twenty-years
#32
JOURNAL ARTICLE
Antti I Koivusalo, Mikko P Pakarinen, Risto J Rintala
AIM OF THE STUDY: The aim of this study was assessment of the contemporary outcomes of oesophageal atresia (OA) in a national paediatric surgical centre. PATIENTS AND METHODS: A review of the hospital records of all patients who underwent repair of oesophageal atresia (OA) in our institute between 1991 and 2011 was performed. RESULTS: The study included 130 consecutive infants with OA: types A (n=4, 3%), B (n=2, 2%), C (n=110, 85%), D (n=5, 4%), and E (n=9, 7%)...
February 2013: Journal of Pediatric Surgery
https://read.qxmd.com/read/12664416/foker-s-technique-in-oesophageal-atresia-with-double-fistula-a-case-report
#33
JOURNAL ARTICLE
G Gaglione, A Tramontano, A Capobianco, S Mazzei
The authors' starting point is a new surgical approach described by Foker and performed by them on a newborn with long-gap oesophageal atresia. We discuss the possibility of obtaining rapid growth of the atretic oesophagus and performing a primary anastomosis in the case of long-gap oesophageal atresia. With this procedure, primary oesophageal repair could be performed without myotomies, without flaps and with the gastrooesophageal junction below the diaphragm. The need for gastrostomy would be also eliminated if the patient underwent the operation as a neonate...
February 2003: European Journal of Pediatric Surgery
https://read.qxmd.com/read/26348684/endoscopic-surveillance-after-repair-of-oesophageal-atresia-longitudinal-study-in-209-patients
#34
JOURNAL ARTICLE
Antti I Koivusalo, Mikko P Pakarinen, Harry G Lindahl, Risto J Rintala
AIM: After repair of oesophageal atresia (OA), the need for endoscopic follow-up (EFU) remains unclear. To end this, we assessed the trends of oesophageal mucosal changes in successive follow-up biopsies. METHODS: EFU records of 264 patients including histological grades of oesophagitis (from 0 to III), gastric (GM) or intestinal (IM) metaplasia and dysplasia (mild to severe) at 1, 3, 5 10, 15, and >15 years after repair of OA were reviewed. RESULTS: Included were 209 patients with 616 biopsies...
April 2016: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/27217220/surgical-management-of-oesophageal-atresia
#35
REVIEW
Warwick J Teague, Jonathan Karpelowsky
There have been major advances in the surgery for oesophageal atresia (OA) and tracheo-oesophageal fistula(TOF) with survival now exceeding 90%. The standard open approach to OA and distal TOF has been well described and essentially unchanged for the last 60 years. Improved survival in recent decades is most attributable to advances in neonatal anaesthesia and perioperative care. Recent surgical advances include the use of thoracoscopic surgery for the repair of OA/TOF and in some centres isolated OA, thereby minimising the long term musculo-skeletal morbidity associated with open surgery...
June 2016: Paediatric Respiratory Reviews
https://read.qxmd.com/read/25448787/oesophageal-atresia-and-tracheo-oesophageal-fistula
#36
REVIEW
Nicola Smith
Oesophageal atresia with tracheo-oesophageal fistula is a relatively common congenital anomaly occurring in around 1:2500 births. The aetiology and embryology of the condition remain unclear, whilst associations with other significant anomalies are common. Studies in rodent models are contributing to our understanding of the condition. Advances in surgical care and neonatal management have improved survival considerably to around 90%. Long-gap and isolated oesophageal atresia present significant management challenges...
December 2014: Early Human Development
https://read.qxmd.com/read/24647291/experience-with-livaditis-circular-myotomy-in-management-of-long-gap-tef
#37
JOURNAL ARTICLE
Amit Singh, Minu Bajpai, Nitin Sharma, Shashanka Shekhar Panda
BACKGROUND: Management of long gap oesophageal atresia with tracheoesophageal fistula (OA TEF) is challenging. Various intra-operative and pre-operative manures have been described to tackle this challenge. We reviewed our experiences with livaditis circular myotomy. The aim of this study was to evaluate long-term outcomes in cases of long gap OA TEF managed primarily with livaditis circular myotomy. MATERIALS AND METHODS: This is a cross-sectional study including cases of long gap oesophagus managed by livaditis circular myotomy between January 1998 and October 2012...
January 2014: African Journal of Paediatric Surgery: AJPS
https://read.qxmd.com/read/8025098/long-gap-oesophageal-atresia-a-combined-endoscopic-and-radiologic-evaluation
#38
JOURNAL ARTICLE
P E Caffarena, G Mattioli, G Bisio, G Martucciello, G Ivani, V Jasonni
The final aim of the treatment of oesophageal atresia is to restore continuity without the interposition of intestinal segments. The authors present the results of a new diagnostic method combining endoscopy and radiology to evaluate the development of pouches in oesophageal atresia. This new method has been successfully adopted in four patients aged between 4 and 8 months, three with type I and one with type III complicated atresia. Direct end-to-end anastomosis was performed in all patients. We think this method can be easily applied and is a suitable diagnostic examination in all cases in which surgical strategy aims at restoring oesophageal continuity by means of direct anastomosis...
April 1994: European Journal of Pediatric Surgery
https://read.qxmd.com/read/24057783/long-gap-oesophageal-atresia
#39
JOURNAL ARTICLE
L Spitz, E M Kiely, D P Drake, A Pierro
The various options for the management of long-gap oesophageal atresia are discussed. Of 89 infants treated, 27 had isolated atresia, 6 distal atresia with proximal fistula, and 56 atresia with distal fistula. The preferred approach for the former two groups was oesophageal replacement via gastric transposition. Recently, delayed primary anastomosis has been attempted after 6-12 weeks. For wide-gap atresia with distal fistula, primary anastomosis under marked or extreme tension with elective paralysis and mechanical ventilation for 5 days postoperatively achieved highly successful results in 39 infants...
August 1996: Pediatric Surgery International
https://read.qxmd.com/read/10830054/a-practical-approach-to-the-investigation-and-management-of-long-gap-oesophageal-atresia
#40
JOURNAL ARTICLE
S W Beasley
Oesophageal atresia in which there is a long gap between the ends of the oesophagus remains one of the most difficult problems confronting the pediatric surgeon. While it is generally accepted that the best results are obtained if oesophageal continuity is established, this may be difficult to achieve. Various manoeuvres have been advocated to mobilise and lengthen the oesophagus, and if these measures fail, cervical oesophagostomy and oesophageal replacement may become necessary. This paper outlines the situations in which long gap oesophageal atresia might be expected, how infants should be investigated to determine the most appropriate type and time of procedure, and provides a basis for surgical decision-making during the operative procedure itself...
November 1996: Indian Journal of Pediatrics
label_collection
label_collection
5056
2
3
2016-09-04 15:17:21
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.