Esophageal atresia, Europe, and the future

Ure, Benno M.

doi:10.1016/j.jpedsurg.2018.10.071

Cited by 7 publications

(2 citation statements)

References 36 publications

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“…There is also a potential lower long-term morbidity resulting from consecutive use of minimally invasive technique, but it requires further follow-up and studies. Due to the low number of cases with LGOA we feel these results reinforce the need to push for centralisation of care, as well as cooperation between institutions to improve the outlook for children born with LGOA [36]. This article is protected by copyright.…”

Section: Discussionmentioning

confidence: 83%

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Thoracoscopic Stage Internal Traction Repair Reduces Time to Achieve Esophageal Continuity in Long Gap Esophageal Atresia

Borselle,

Davidson,

Loukogeorgakis

et al. 2023

Eur J Pediatr Surg

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Aim of the study: Management of long gap oesophageal atresia (LGOA) is controversial. This study aims at comparing the management of LGOA between two high-volume centers. Methods: We included patients with LGOA (type A and B) between 2008 and 2022. Demographics, surgical methods and outcomes were collected and compared. Results: The study population involved 28 patients–Centre A and 24 patients–Centre B. A surgical approach was thoracoscopic in the Centre A, only for one patient was open for final procedure. In the Centre B 3 patients were treated only thoracoscopically, 2 converted to open and 19 as open surgery. In the Centre A primary oesophageal anastomosis concerned 1 case, two-staged oesophageal lengthening using external traction-1 patient and 26 were treated with the multi-staged internal traction technique. In 24 patients a full anastomosis was achieved: in 23 patients the internal traction technique solely was used, and 1 patient required open Collis-Nissen procedure as final management. In the Centre B primary anastomosis was performed in 7 patients, delayed oesophageal anastomosis in 8 patients, oesophageal lengthening using external traction in one case and 9 infants required oesophageal replacement with gastric tube. Analysed postoperative complications included: early mortality-2/28 due to accompanied malformations (Centre A) and 0/24 (Centre B); anastomotic leakage-4/26 (Centre A) treated conservatively-all patients had a contrast study and 0/24 (Centre B)-1 case of pleural effusion, but no routine contrast study); recurrent strictures 13/26 (Centre A) and 7/15 (Centre B); need for fundoplication 5/26 (Centre A) and 2/15(Centre B). Age at oesophageal continuity was as a median 31 days in Centre A and 110 days in Centre B. Median time between initial procedure and the oesophageal anastomosis was 11 days in Centre A and 92 days in Centre B Conclusions: Thoracoscopic internal traction technique reduces time to achieve oesophageal continuity and the need for oesophageal substitution while maintaining a similar early complication rate.

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Section: Discussionmentioning

confidence: 83%

“…Due to the low number of cases with LGOA we feel these results reinforce the need to push for centralization of care, as well as cooperation between institutions to improve the outlook for children born with LGOA. 38…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic Stage Internal Traction Repair Reduces Time to Achieve Esophageal Continuity in Long Gap Esophageal Atresia

Borselle,

Davidson,

Loukogeorgakis

et al. 2023

Eur J Pediatr Surg

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Birth weight and thoracoscopic approach for patients with esophageal atresia and tracheoesophageal fistula—a retrospective cohort study

Borselle,

Gerus,

Bukowska

et al. 2024

Surg Endosc

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Background This study aimed to analyze the results, feasibility and safety of the thoracoscopic approach for patients with esophageal atresia with tracheoesophageal fistula (EA/TEF) depending on the patient’s birth weight. Methods The study involved only type C and D EA/TEF. Among the analyzed parameters were the patients’ characteristics, surgical treatment and post-operative complications: early mortality, anastomosis leakage, anastomosis strictures, chylothorax, TEF recurrence, and the need for fundoplication or gastrostomy. Results 145 consecutive newborns underwent thoracoscopic EA with TEF repair. They were divided into three groups—A (N = 12 with a birth weight < 1500 g), B (N = 23 with a birth weight ≥ 1500 g but < 2000 g), and C—control group (N = 110 with a birth weight ≥ 2000 g). Primary one-stage anastomosis was performed in 11/12 (91.7%) patients—group A, 19/23 (82.6%)—group B and 110 (100%)—group C. Early mortality was 3/12 (25%)—group A, 2/23 (8.7%)—group B, and 2/110 (1.8%)—group C and was not directly related to the surgical repair. There were no significant differences in operative time and the following complications: anastomotic leakage, recurrent TEF, esophageal strictures, and chylothorax. There were no conversions to an open surgery. Fundoplication was required in 0%—group A, 4/21 (19.0%)—group B, and 2/108 (1.9%)—group C survivors. Gastrostomy was performed in 1/9 (11.1%)—group A, 3/21 (14.3%)—group B and 0%—group C. Conclusion In an experienced surgeon’s hands, even in the smallest newborns, the thoracoscopic approach may be safe, feasible, and worthy of consideration. Birth weight seems to be not a direct contraindication to the thoracoscopic approach.

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Publication Trends and Global Collaborations on Esophageal Atresia Research: A Bibliometric Study

Martynov

Suttkus

et al. 2020

Eur J Pediatr Surg

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Introduction Research on esophageal atresia (EA) has been heavily published over the past decades. Herein, we aimed to study the quantity and quality as well as key topics in EA research with regards to global collaborations among countries and authors. Material and Methods Publications on EA from 1945 to 2018 were extracted from the Web of Science core collection database. Productivity (quantity) was assessed by the number of publications. Quality was estimated from the number of citations, citation rate per item and year, h-index, and impact index. Collaborative networks were evaluated using VOSviewer. All measures were analyzed for countries, authors, and journals. The 10 most cited original articles between 1969 and 2018 in 5-year intervals (n = 100) were manually screened to assess the key points of EA research. Results A total of 2,170 publications from 85 countries published in 388 journals were identified yielding 26,755 citations, both significantly increasing over time (p < 0.001). The most productive countries and authors also accounted for high-quality publications and benefited from an active global network. The most productive journals derived from the field of pediatric surgery but accounted only for one-third of EA papers. The best cited journals were unspecific for pediatric surgery. Long-term outcome remained the most important topic in EA research, followed by surgical techniques, epidemiology, associated anomalies, perioperative complications, and postnatal management. In contrast, basic science was underrepresented. Conclusion Over the past seven decades, EA publications increased tremendously. Productiveness and quality benefited from global networking. Long-term outcome remains the key interest of EA research.

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Esophageal atresia, Europe, and the future

Cited by 7 publications

References 36 publications

Thoracoscopic Stage Internal Traction Repair Reduces Time to Achieve Esophageal Continuity in Long Gap Esophageal Atresia

Thoracoscopic Stage Internal Traction Repair Reduces Time to Achieve Esophageal Continuity in Long Gap Esophageal Atresia

Birth weight and thoracoscopic approach for patients with esophageal atresia and tracheoesophageal fistula—a retrospective cohort study

Publication Trends and Global Collaborations on Esophageal Atresia Research: A Bibliometric Study

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