Outcomes of multi-gestational pregnancies affected by esophageal atresia – tracheoesophageal fistula

Forster, Corey M; Zamiara, Paul; Lapidus-Krol, Eveline; Chiang, Monping; Scaini, Vikki; Haliburton, Beth; Moore, Aideen M.; Marcon, Margaret; Chiu, Priscilla

doi:10.1016/j.jpedsurg.2019.04.026

Cited by 3 publications

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The association between twin pregnancy and EA has been previously reported, and mortality is greater in this subgroup. [16,18,21,22] Although there is no proven benefit regarding the mode of delivery, [23] cesarean was more commonly performed in South Brazil (n=149; 73,76%), and we found an association between EA and surgical delivery (p<0,01, Table 2). This finding is supported by previous studies.…”

Section: Esophageal Atresia (Ea)mentioning

confidence: 57%

Epidemiology of congenital diaphragmatic hernia, esophageal atresia, and gastroschisis in South Brazil

et al. 2023

View full text Add to dashboard Cite

Background: Birth defects remain a major contributor to infant mortality and lifelong disabilities. The epidemiology of congenital abnormalities varies around the world and little information is available from Latin America. Methods: This is an epidemiological, descriptive, cross-sectional study with data from the Department of Informatics of the Unified Health System (DATASUS) on Congenital diaphragmatic hernia (CDH), esophageal atresia (EA) and gastroschisis (GS) in South Brazil from 2009 to 2019. Results: The incidence of CDH is 0.93 cases, while EA is 0.47 and GS is 2.87, all per 10,000 live births. There is an association between all the malformations and premature birth, cesarean delivery, low birth weight, and low Apgar scores. Both EA and GS are associated with maternal age, EA with older, and GS with younger mothers. While EA is associated with multiple pregnancies, GS is associated with fewer years of maternal formal education, single parenting, and a lower number of prenatal consultations. CDH is associated with the male sex and black ethnicity. Conclusion: This large population-based study estimates the prevalence and demographic factors associated with CDH, EA, and GS, and extends the limited descriptive epidemiologic information available.

show abstract

Section: Esophageal Atresia (Ea)mentioning

confidence: 57%

Epidemiology of congenital diaphragmatic hernia, esophageal atresia, and gastroschisis in South Brazil

et al. 2023

View full text Add to dashboard Cite

show abstract

“…EA with/without TEF can occur in isolation or can be associated with various anomalies, most commonly VACTERL syndrome. [10][11][12][13] Other anomalies include CHARGE syndrome, complex cardiac lesions, and other chromosomal abnormalities such as Trisomy 13, 18, and 21. Wang et al performed a nationwide (USA) analysis of the clinical outcome of 4168 neonates born with EA with/without a TEF in 2014.…”

Section: Discussionmentioning

confidence: 99%

The 30-day outcome of neonates operated for esophageal atresia

Vos¹,

Wyk²,

Sidler³

et al. 2022

J Neonatal Surg

View full text Add to dashboard Cite

Background: Despite great advances in the overall management of neonates with esophageal atresia (EA), many complications leading to morbidity still occurs. Most complications can be treated conservatively, but effective management is needed to reduce long-term morbidity. Methods: A retrospective cohort study was performed on neonates treated for EA with/without a tracheoesophageal fistula (TEF) between 2001 and 2020. Data were collected from patient records, discharge summaries, and surgical notes. The information recorded included: maternal and neonatal demographics, information regarding the diagnosis, and details surrounding the surgery. Results: During the 19-year study period, 53 neonates with a mean gestational age of 36.7 weeks were included for analysis. Forty-nine percent presented with an associated anomaly (most commonly, complex cardiac lesions). The majority (83%) had a primary repair on a median of day 3 of life. Nineteen neonates had a surgical complication 30 days post-repair: 7 minor (contained leaks and a chylothorax) and 12 major complications including anastomotic strictures, major anastomotic breakdowns, a recurrent TEF, and 5 surgery-related mortalities. Conclusions: This study showed less morbidity and mortality of neonates born with EA, despite a high incidence of associated anomalies, in a resource-restricted hospital. It is important to highlight that even with limited resources, centers in low- or middle-income countries can have good outcomes.

show abstract

Surgical management of acute life-threatening events affecting esophageal atresia and/or tracheoesophageal fistula patients

Fernandes

Lapidus-Krol

Honjo

et al. 2023

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Outcomes of multi-gestational pregnancies affected by esophageal atresia – tracheoesophageal fistula

Cited by 3 publications

References 24 publications

Epidemiology of congenital diaphragmatic hernia, esophageal atresia, and gastroschisis in South Brazil

Epidemiology of congenital diaphragmatic hernia, esophageal atresia, and gastroschisis in South Brazil

The 30-day outcome of neonates operated for esophageal atresia

Surgical management of acute life-threatening events affecting esophageal atresia and/or tracheoesophageal fistula patients

Contact Info

Product

Resources

About