The role of prophylactic chest drainage in the operative management of esophageal atresia with tracheoesophageal fistula

Aslanabadi, Saeid; Jamshidi, Masoud; Tubbs, R. Shane; Shoja, Mohammadali Mohajel

doi:10.1007/s00383-009-2345-7

Cited by 19 publications

(10 citation statements)

References 16 publications

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“…Some infants were established on oral feeds within 24-48 h after surgery, and in others oral feeding was delayed considerably. Short stays can be achieved; Aslanabadi and colleagues 21 reported a postoperative stay of 6 days after uncomplicated procedures, although much longer stays have also been reported 3,29 .…”

Section: Discussionmentioning

confidence: 96%

Contemporary management and outcomes for infants born with oesophageal atresia

Burge

Shah

Spark

et al. 2013

British Journal of Surgery

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Section: Discussionmentioning

confidence: 96%

Contemporary management and outcomes for infants born with oesophageal atresia

Burge

Shah

Spark

et al. 2013

British Journal of Surgery

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“…A questionnaire was administered to delegates attending the EUPSA-BAPS Joint Congress (Rome, June [13][14][15][16]2012) and it was collected on the last day of the conference. Respondents were asked to fill in their position (Head of Department/ Permanent Staff or Consultant/Trainee), hospital, and country of practice.…”

Section: Methodsmentioning

confidence: 99%

“…Elective paralysis is adopted by 56% of respondents mainly for anastomosis tension (65%). About 72% of respondents routinely request a contrast study on postoperative day 7 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Approximately 54% of respondents use parenteral nutrition, 40% of respondents start transanastomotic feeds on postoperative day 1, and 89% of respondents start oral feeds after postoperative day 5.…”

Section: Postoperative Care and Feedingmentioning

confidence: 99%

International Survey on the Management of Esophageal Atresia

et al. 2013

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Introduction Because many aspects of the management of esophageal atresia (EA) are still controversial, we evaluated the practice patterns of this condition across Europe. Methods A survey was completed by 178 delegates (from 45 [27 European] countries; 88% senior respondents) at the EUPSA-BAPS 2012. Results Approximately 66% of respondents work in centers where more than five EA repairs are performed per year. Preoperatively, 81% of respondents request an echocardiogram, and only 43% of respondents routinely perform preoperative bronchoscopy. Approximately 94% of respondents prefer an open approach, which is extrapleural in 71% of respondents. There were no differences in use of thoracoscopy between Europeans (10%) and non-Europeans (11%, p ¼ nonsignificant). Approximately 60% of respondents measure the gap intraoperatively. A transanastomotic tube (90%)

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“…Esophageal atresia (EA), a rare congenital anomaly, occurs as an isolated entity or in association with tracheoesophageal fistula (TEF) 1. Depending on the size of gap between esophageal ends, EA is divided into short-gap and long-gap EA.…”

Section: Introductionmentioning

confidence: 99%

Associated congenital anomalies between neonates with short-gap and long-gap esophageal atresia: a comparative study

Aslanabadi

Ghabili

Rouzrokh³

et al. 2011

IJGM

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Background:Predicting the presence of long-gap esophageal atresia (EA) prior to the surgery is of clinical importance. No comparison between short-gap and long-gap EA for the prevalence of VACTERL and non-VACTERL-type anomalies has yet been performed.Objective:The aim of this study was to compare VACTERL and non-VACTERL-type anomalies between patients with short-gap and long-gap EA.Methods:Retrospectively, medical records of all newborns managed for EA/tracheoesophageal fistula (TEF) in Tabriz Children’s Hospital and Tehran Mofid Hospital between 2007 and 2010 were evaluated. Demographic data and associated anomalies including both the VACTERL and non-VACTERL-type defects were listed. The VACTERL spectrum defects covered vertebral/costal, anorectal, cardiovascular, TEF, and renal- or radial-type limb anomalies. The non-VACTERL-type anomalies included hydrocephalus, orofacial defects, respiratory system anomalies, gastrointestinal anomalies, genital anomalies, and non-VACTERL limb defects. Demographic data, and the VACTERL and non-VACTERL-type anomalies were compared among children with long-gap EA and those with short-gap EA.Results:Two hundred and seventy-six children were included in the study: 230 (83.3%) in the short-gap EA group and 46 (16.7%) in the long-gap EA group. Although prevalence of the VACTERL spectrum anomalies did not differ between the two groups, the non-VACTERL anomaly was more common in the long-gap EA group (P = 0.02). Among the VACTERL-type defects, TEF was detected in 30 (65.2%) and 218 (94.7%) patients in long-gap and short-gap EA groups, respectively (P = 0.0001).Conclusion:The non-VACTERL-type anomalies, but not the VACTERL spectrum defects, are more frequent in patients with long-gap EA than those with short-gap EA.

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The role of prophylactic chest drainage in the operative management of esophageal atresia with tracheoesophageal fistula

Abstract: It seems that prophylactic EPCT drainage does not decrease the early postoperative respiratory complications and mortality rates in newborns with EA-DTEF.

Cited by 19 publications

References 16 publications

Contemporary management and outcomes for infants born with oesophageal atresia

Contemporary management and outcomes for infants born with oesophageal atresia

International Survey on the Management of Esophageal Atresia

Associated congenital anomalies between neonates with short-gap and long-gap esophageal atresia: a comparative study

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