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Surgical repair of long-gap esophageal atresia : A retrospective study comparing the management of long-gap esophageal atresia in the Nordic countries

Stadil, Tatjana (author)
Odense Univ Hosp, Surg Dept A, Sdr Blvd 29, DK-5000 Odense C, Denmark,Odense University Hospital
Koivusalo, Antti (author)
Univ Helsinki, Childrens Hosp, Dept Pediat Surg, Helsinki, Finland,University of Helsinki
Pakarinen, Mikko (author)
Univ Helsinki, Childrens Hosp, Dept Pediat Surg, Helsinki, Finland,University of Helsinki
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Mikkelsen, Audun (author)
Oslo Univ Hosp, Rikshosp, Dept Gastr & Pediat Surg, Oslo, Norway;Oslo Univ Hosp, Ulleval, Dept Gastr & Pediat Surg, Oslo, Norway,Oslo university hospital
Emblem, Ragnhild (author)
Oslo Univ Hosp, Rikshosp, Dept Gastr & Pediat Surg, Oslo, Norway;Oslo Univ Hosp, Ulleval, Dept Gastr & Pediat Surg, Oslo, Norway,Oslo university hospital
Svensson, Jan F. (author)
Karolinska Institutet
Ehren, Henrik (author)
Karolinska Institutet
Jonsson, Linus (author)
Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden,Queen Silvia Children’s Hospital
Backstrand, Jakob (author)
Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden,Queen Silvia Children’s Hospital
Engstrand Lilja, Helene, 1963- (author)
Uppsala University,Uppsala universitet,Barnkirurgisk forskning
Donoso, Felipe (author)
Uppsala University,Uppsala universitet,Barnkirurgisk forskning
Thorup, Jorgen Mogens (author)
Copenhagen Univ Hosp, Rigshosp, Dept Pediat Surg, Copenhagen, Denmark,Copenhagen University Hospital
Saeter, Thorstein (author)
Trondhe Univ Hosp, St Olavs Hosp, Dept Pediat Surg, Trondheim, Norway,St. Olav’s University Hospital
Rasmussen, Lars (author)
Odense Univ Hosp, Surg Dept A, Sdr Blvd 29, DK-5000 Odense C, Denmark,Odense University Hospital
Pedersen, Rikke Neess (author)
Odense Univ Hosp, Hans Christian Andersen Childrens Hosp, Odense, Denmark,Odense University Hospital
Stenström, Pernilla (author)
Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Barnkirurgi,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Pediatric surgery,Lund University Research Groups
Arnbjörnsson, Einar (author)
Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Barnkirurgi,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Pediatric surgery,Lund University Research Groups
Oskarsson, Kristjan (author)
Univ Hosp, Childrens Hosp, Reykjavik, Iceland,National University Hospital of Iceland
Qvist, Niels (author)
Odense Univ Hosp, Surg Dept A, Sdr Blvd 29, DK-5000 Odense C, Denmark;Odense Univ Hosp, Hans Christian Andersen Childrens Hosp, Odense, Denmark;Odense Univ Hosp, Odense Patient Data Explorat Network, OPEN, Odense, Denmark,Odense University Hospital
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 (creator_code:org_t)
Elsevier BV, 2019
2019
English.
In: Journal of Pediatric Surgery. - : Elsevier BV. - 0022-3468 .- 1531-5037. ; 54:3, s. 423-428
Related links:
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background:Several surgical procedures have been described in the reconstruction of long-gap esophageal atresia (LGEA). We reviewed the surgical methods used in children with LGEA in the Nordic countries over a 15-year period and the postoperative complications within the first postoperative year.Methods:Retrospective multicenter medical record review of all children born with Gross type A or B esophageal atresia between 01/01/2000 and 12/31/2014 reconstructed within their first year of life.Results:We included 71 children; 56 had Gross type A and 15 type B LGEA. Delayed primary anastomosis (DPA) was performed in 52.1% and an esophageal replacement procedure in 47.9%. Gastric pull-up (GPU) was the most frequent procedure (25.4%). The frequency of chromosomal abnormalities, congenital heart defects and other anomalies was significantly higher in patients who had a replacement procedure. The frequency of gastroesophageal reflux (GER) was significantly higher after DPA compared to esophageal replacement (p = 0.013). At 1-year follow-up the mean body weight was higher after DPA than after organ interposition (p = 0.043).Conclusion: DPA and esophageal replacement procedures were equally applied. Postoperative complications and follow-up were similar except for the development of GER and the body weight at 1-year follow-up. Long-term results should be investigated.Type of study:Treatment study.

Subject headings

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)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)

Keyword

Esophageal atresia
Long gap
Gross type A
Gross type B
Surgical repair
Postoperative complication

Publication and Content Type

ref (subject category)
art (subject category)

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