Patterns of gastroesophageal reflux in children following repair of esophageal atresia and distal tracheoesophageal fistula

Jolley, Stephen G.; Johnson, Dale G.; Roberts, Charles S.; Herbst, John J.; Matlak, Michael E.; McCombs, Ann; Christian, Paul E.

doi:10.1016/s0022-3468(80)80293-4

Cited by 126 publications

(54 citation statements)

References 11 publications

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“…Our incidence of clinically significant GOR in this series was 13%, which is lower than that reported in the literature [3][4][5][6][7][8][9]. We believe that the decreased traction on the distal oesophagus and the attention to the preservation of vagal nerve branches and vascular supply of the oesophageal pouch are significant in achieving this low rate.…”

Section: Discussioncontrasting

confidence: 49%

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Clinically significant gastro-oesophageal reflux following oesophageal flap repair for oesophageal atresia and tracheo-oesophageal fistula

2005

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Clinically significant gastro-oesophageal reflux (GOR) following oesophageal atresia and tracheo-oesophageal fistula (OA/TOF) repair is commonly considered normal sequela after repair. A retrospective review of patients operated on by two consultants was undertaken. All patients underwent oesophageal tailoring and augmentation for reconstruction of their oesophagus. The presence of clinically significant GOR was confirmed by contrast swallows, 24 hour pH study and endoscopy. Clinically significant GOR occurred in 7 (13%) of the 54 patients operated for OA and TOF. Two patients responded to non-surgical management. Four children (one with extensive tracheo-bronchomalacia and one with CHARGE association) had anti-reflux surgery (three Nissen and one Thal). We believe that oesophageal tailoring and augmentation for reconstruction of the oesophagus has the advantage of creating a more uniform oesophagus thus avoiding swallowing difficulty, bolus obstruction and the need of oesophageal dilatations too often accepted as integral to the problem following OA repair.

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Section: Discussioncontrasting

confidence: 49%

“…Gastro-oesophageal reflux following repair of oesophageal atresia (OA) is common, with the acquired incidence of clinically significant reflux between 26 and 70% [3][4][5][6][7][8][9]. GOR has been considered by some to be an associated 'anomaly' related to the abnormal motor function of the distal oesophagus [10].…”

Section: Introductionmentioning

confidence: 99%

Clinically significant gastro-oesophageal reflux following oesophageal flap repair for oesophageal atresia and tracheo-oesophageal fistula

2005

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“…In the group of patients with no verified stricture the prevalence of obstructive symptoms was 50%. The reason why these patients had clinical signs of oesophageal narrowing could be explained by the fact that patients with oesophageal atresia have a higher prevalence of oesophageal dysmotility, GER as well as tracheomalacia [6,7,8].…”

Section: Discussionmentioning

confidence: 99%

Prophylactic Treatment with Proton Pump Inhibitors in Children Operated on for Oesophageal Atresia

et al. 2012

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Prophylactic treatment with proton pump inhibitors in children operated on for oesophageal atresia.Hagander, Lars; Muszynska, Carolina; Arnbjörnsson, Einar; Sandgren, Katarina General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal

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“…Among the factors implicated in oesophageal anastomotic stricture following primary repair of OA are the use of silk sutures [8], two-layer anastomosis [9,10], end-to-side anastomosis [11], anastomotic tension [12], and GOR [5,13]. Anastomotic leaks are also responsible for oesophageal stricture [8].…”

Section: Discussionmentioning

confidence: 99%

An oblique anastomosis has more linear length than a transverse anastomosis of a tubular structure in oesophageal anastomosis

et al. 2009

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Patterns of gastroesophageal reflux in children following repair of esophageal atresia and distal tracheoesophageal fistula

Cited by 126 publications

References 11 publications

Clinically significant gastro-oesophageal reflux following oesophageal flap repair for oesophageal atresia and tracheo-oesophageal fistula

Clinically significant gastro-oesophageal reflux following oesophageal flap repair for oesophageal atresia and tracheo-oesophageal fistula

Prophylactic Treatment with Proton Pump Inhibitors in Children Operated on for Oesophageal Atresia

An oblique anastomosis has more linear length than a transverse anastomosis of a tubular structure in oesophageal anastomosis

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