Sökning: onr:"swepub:oai:DiVA.org:uu-534532" >
Role of Magnetic Co...
Role of Magnetic Compression Anastomosis in Long-Gap Esophageal Atresia : A Systematic Review
-
- Krishnan, Nellai (författare)
- All India Inst Med Sci, Dept Pediat Surg, New Delhi, India.
-
- Pakkasjärvi, Niklas (författare)
- Turku Univ Hosp, Dept Pediat Surg, Turku, Finland; Univ Childrens Hosp, Dept Pediat Surg, Uppsala, Sweden
-
- Kainth, Deepika (författare)
- All India Inst Med Sci, Dept Pediat, Div Neonatol, New Delhi, India.
-
visa fler...
-
- Danielson, Johan, 1975- (författare)
- Univ Childrens Hosp, Dept Pediat Surg, Uppsala, Sweden
-
- Verma, Ajay (författare)
- All India Inst Med Sci, Dept Pediat Surg, New Delhi, India.
-
- Yadav, Devendra Kumar (författare)
- All India Inst Med Sci, Dept Pediat Surg, New Delhi, India.
-
- Goel, Prabudh (författare)
- All India Inst Med Sci, Dept Pediat Surg, New Delhi, India.
-
- Anand, Sachit (författare)
- All India Inst Med Sci, Dept Pediat Surg, New Delhi, India.;All India Inst Med Sci, Dept Pediat Surg, New Delhi 110029, India.
-
visa färre...
-
All India Inst Med Sci, Dept Pediat Surg, New Delhi, India Turku Univ Hosp, Dept Pediat Surg, Turku, Finland; Univ Childrens Hosp, Dept Pediat Surg, Uppsala, Sweden (creator_code:org_t)
- Mary Ann Liebert, 2023
- 2023
- Engelska.
-
Ingår i: Journal of Laparoendoscopic and Advanced Surgical Techniques. - : Mary Ann Liebert. - 1092-6429 .- 1557-9034. ; 33:12, s. 1223-1230
- Relaterad länk:
-
https://urn.kb.se/re...
-
visa fler...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: Magnetic compression anastomosis (MCA) is an alternative technique for patients with long-gap esophageal atresia (EA). It allows for preservation of the native esophagus. We aimed to systematically summarize the current literature on MCA in EA.Methods: Studies where neonates with EA were treated with MCA devices were included, while studies on esophageal stenosis were excluded. All clinical studies, including comparative studies, case series, and case reports, were eligible for inclusion. Methodological quality assessment was performed using a validated tool.Results: Twelve studies with a total of 42 patients were included in this review. There was a wide variation among these studies with regard to the time of initiation of MCA (1 day to 7 months), procedure time (13–320 minutes), and magnet characteristics (strength, size, and shape of the magnets used). The time to achieve anastomosis ranged from 1 to 12 days. Stricture at the anastomotic site was reported in almost all the patients, which required multiple endoscopic dilatations (median no. of dilatations/patient = 9.8). Stent placement for refractory stricture was required in 9 (21%) patients, and surgery for stricture was required in 6 (14%) patients. Long-term outcomes included esophageal dysmotility (n = 3) and recurrent pulmonary infections (n = 3) were reported in only four studies.Conclusion: As per the findings of this review, neonates with long-gap EA undergoing MCA would invariably require multiple sittings of endoscopic dilatations (median no. of dilatations/patient = 9.8). Also, there is a wide variation among the included studies in terms of the procedure of MCA. Future studies with a standardized procedure for achieving MCA are needed to determine additional outcomes in this fragile patient population.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- magnetic compression anastomosis
- magnamosis
- esophageal atresia
- minimally invasive surgery
- esophageal dilatation
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
Hitta via bibliotek
Till lärosätets databas