Modified Prognostic Criteria for Oesophageal Atresia and Tracheo-Oesophageal Fistula

Sinha, Chandni; Haider, Naveed; Marri, R.; Rajimwale, Ashok; Fisher, Ross; Nour, S

doi:10.1055/s-2007-965394

Cited by 17 publications

(7 citation statements)

References 7 publications

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“…Nevertheless, in comparison with some of the other common procedures considered in this study, OA/TOF repair remains comparatively more difficult. Nonetheless complications seem comparable to the open alternative with an anastomotic leak rate of \10% and a postoperative mortality rate of 3% [9,[19][20][21]. An important putative advantage for MIS in the management of this condition is the avoidance of chest wall deformity.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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The aim of this study was to assess the feasibility of complex minimally invasive surgery in neonates (and infants <5 kg). A systematic search of databases was performed. Inguinal herniotomy and pyloromyotomy were specifically excluded. Various operations were assessed for operative times, conversion rates, complications and centres performing the procedures. From 479 abstracts, 50 papers were identified describing 1,215 patients. Common operations performed were fundoplication (n = 473), operations for ovarian pathology (n = 151) and oesophageal atresia repair (n = 123). Other not-so-common operations included Kasai procedure (n = 61), Ladd's procedure (n = 55), bowel atresia surgery (n = 45) and congenital diaphragmatic hernia repair (n = 41). Mean operation times varied from 43 min for fundoplication to 209 min for Kasai procedure, with other operation times falling in between the two extremes. Likewise, conversion rates varied from 0.2% for fundoplication to 15% for congenital diaphragmatic hernia, with other conversion rates falling in between. Complications ranged from 0 to 67%. About 70-94% of the cases were performed in six pioneering centres. Fundoplication and operations for ovarian pathology have low complication and conversion rates and appear to be well suited to the average-trained paediatric laparoscopic surgeon. More complex procedures are feasible and safe, but technically demanding and need further expertise.

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Section: Discussionmentioning

confidence: 99%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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“…In the treatment of congenital esophageal atresia, the effect of low-birth-weight on survival rate is still one of the important factors [8][9][10]. At present, Waterston's (1962) classi cation and Spitz's (1994) classi cation are well known [11]. Spitz's study identi ed severe congenital heart malformations as a major prognostic factor, and his rating differed from Waterston's by a birth weight of 1,500 grams.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Factors on Low-Birth-Weight Infants of Atresia and/or Tracheoesophageal Fistula: a Cohort Study

Xu¹,

Ni²,

Li³

et al. 2020

Preprint

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Background: Low-birth-weight is the main factor affecting the survival rate of esophageal atresia (EA)/ tracheoesophageal fistula (TEF). The study aims to summarize the factors influencing the prognosis of EA/TEF, which is expected to be helpful for clinical diagnosis and treatment. Methods: A retrospective data analysis was performed in our hospital underwent TEF/EA repair between January 2012 and January 2015. The incidence of preoperative, intraoperative critical events and postoperative complications and overall survival (OS) were compared between two groups of infants: 81 patients with EA/TEF, 24 low-birth-weight patients (<2500 g) with EA/TEF and 57 patients (>2500 g). The morbidity was compared between patients with stress hyperglycemia and euglycemia postoperatively. Results: The overall incidence of preoperative, intraoperative critical events and postoperative complications in low-birth-weight patients was significantly higher (P=0.002, P=0.001, P=0.001), but OS was lower (75.9% vs 92.3%, p=0.027). OS of patients with stress hyperglycemia postoperatively was lower than that of euglycemia (81.0% vs 93.6%, p=0.03).Conclusions: Low-birth-weight still was the main factor that impacted on the prognosis of EA/TEF. The lower the birth weight was, the higher the mortality was. Postoperative stress hyperglycemia was one of the important factors that influenced survival rate.

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“…Management of Esophageal atresia (EA) and tracheoesophageal fistula (TEF) have come a long way which, was once considered as a disease incompatible with life in previous century, now claims near 100% survival in good weight babies without any cardiac defects in the last eight decades [1] . The EA-TEF incidence is about 1 in 2500-4000 live births [2] .…”

Section: Introductionmentioning

confidence: 99%

“…Now there are many literatures about the survivors of EA-TEF reaching the adulthood [9,10] . In last 6 decades the survival for non-syndromic children have been in rise from 36% to 95% [11,1] . But the survival in the developing countries is still low.…”

Section: Introductionmentioning

confidence: 99%

A retrospective comparative study to determine the factors leading to poor outcome in operated cases of esophageal atresia and trachea-esophageal fistula: An audit

B¹,

Nayak²,

M³

2021

Int. J. Surg. Sci.

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To determine the different factors leading to poor outcome in operated case of esophageal atresia and trachea-esophageal fistula (EA-TEF). Material and Methods: This is a retrospective non-randomized comparative study. All the patient who presented with EA-TEF to us were included in the study. The patients who were not operated and patient who were discharged against the advice were excluded from the study. Patients were divided in to two groups. Group-A-Those who have survived after the surgery-39 and Group-B those who expired after the surgery-38. Various parameters were considered in relation to pre-operative, intra-operative and postoperative factors. To name few antenatal findings, maternal hemoglobin, gestational age, gap between both the end, duration of procedure, need for mechanical ventilation, early start of NG feed, need for blood products and postoperative complications. Results: Preoperative factor which had significant negative impact on survival were antenatally diagnosed polyhydramnios, maternal anemia, gestational age and associated severe cardiac anomalies. Mean operating time was more in group-B. Whenever surgeons or anaesthesiologists decided to continue postoperative ventilation the outcome was poor-34 needed post-operative ventilation in group-B versus 12 in group A. Need for blood transfusion and need for platelets transfusion did not show significant difference among two groups but the need for plasma transfusion had poor survival. SIRS/sepsis played important determining factor in survival of EA-TEF. Patients who could be fed early, had better survival. Pneumothorax, pneumonia and leak didn't show significant difference in survival. Conclusion: Different factors before, during and after the surgery have impact on outcome of EA-TEF. We should be able to formulate prognostic score which is based our local needs and available resources.

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Modified Prognostic Criteria for Oesophageal Atresia and Tracheo-Oesophageal Fistula

Cited by 17 publications

References 7 publications

Feasibility of complex minimally invasive surgery in neonates

Feasibility of complex minimally invasive surgery in neonates

Prognostic Factors on Low-Birth-Weight Infants of Atresia and/or Tracheoesophageal Fistula: a Cohort Study

A retrospective comparative study to determine the factors leading to poor outcome in operated cases of esophageal atresia and trachea-esophageal fistula: An audit

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