Neonatal surgery in low- vs. high-volume institutions: a KID inpatient database outcomes and cost study after repair of congenital diaphragmatic hernia, esophageal atresia, and gastroschisis

2019 ◽  
Vol 35 (11) ◽  
pp. 1293-1300 ◽  
Author(s):  
Stig Sømme ◽  
Niti Shahi ◽  
Lisa McLeod ◽  
Michelle Torok ◽  
Beth McManus ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Esophageal Atresia ◽  
Diaphragmatic Hernia ◽  
High Volume ◽  
Neonatal Surgery ◽  
Cost Study ◽  
Inpatient Database

Malrotation in Congenital Diaphragmatic Hernia: Is It Really a Problem?

2019 ◽  
Vol 30 (05) ◽  
pp. 434-439 ◽  
Author(s):  
Ivo de Blaauw ◽  
Julia van Ling ◽  
Sanne M. B. I. Botden ◽  
Kim Heiwegen
Keyword(s):  
Small Bowel ◽  
Congenital Diaphragmatic Hernia ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Diaphragmatic Hernia ◽  
High Volume ◽  
Acute Surgery ◽  
High Volume Center ◽  
Acute Small Bowel Obstruction ◽  
Intestinal Rotation

Abstract Introduction Congenital diaphragmatic hernia (CDH) has been associated with other congenital malformations, such as intestinal rotation abnormalities. However, there is no standard evaluation and treatment of intestinal rotation during initial CDH repair. This study evaluates intestinal malrotation in CDH patients. Materials and Methods All patients with a CDH treated in a high-volume center between 2000 and 2015 were retrospectively evaluated. Demographics, gastrointestinal characteristics, surgical treatment, and abdominal outcomes (acute surgery, small bowel obstruction, and volvulus) were described. Results A total of 197 CDH patients were surgically repaired. In 76 (39%) patients, a malrotation was described at initial CDH repair, in 39 (20%) patients, a normal rotation, but 82 patients (42%) had no report on intestinal rotation. During follow-up (range: 2–16 years), 12 additional malrotations were diagnosed, leading to a prevalence of at least 45% (n = 88). These were mostly diagnosed due to acute small bowel obstruction, of which three had a volvulus. Of the 12 later diagnosed malrotations, 58% required acute surgery, compared to 3% of the 76 initially diagnosed patients (p < 0.001). Conclusion Malrotation is associated with CDH, with a prevalence of at least 45% and in 21% a normal intestinal rotation. “Missed” malrotations have a higher risk on need for acute surgery later in life.

scholarly journals A prospective comparative evaluation of persistent respiratory morbidity in esophageal atresia and congenital diaphragmatic hernia survivors

2009 ◽  
Vol 44 (9) ◽  
pp. 1683-1690 ◽  
Author(s):  
Saskia J. Gischler ◽  
Monique H.M. van der Cammen-van Zijp ◽  
Petra Mazer ◽  
Gerard C. Madern ◽  
Nikolaas M.A. Bax ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Esophageal Atresia ◽  
Diaphragmatic Hernia ◽  
Comparative Evaluation ◽  
Respiratory Morbidity

scholarly journals Congenital diaphragmatic hernia associated with esophageal atresia, tracheoesophageal fistula and total anomalous pulmonary venous connection in a premature twin newborn

2019 ◽  
Vol 76 (7) ◽  
pp. 745-748
Author(s):  
Djordje Savic ◽  
Blagoje Grujic ◽  
Nikola Stankovic ◽  
Maja Milickovic ◽  
Zoran Stankovic ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Congenital Diaphragmatic Hernia ◽  
Esophageal Atresia ◽  
Diaphragmatic Hernia ◽  
Congenital Heart ◽  
Gastroesophageal Junction ◽  
Rare Condition ◽  
Team Work ◽  
Adequate Treatment ◽  
Anomalous Pulmonary Venous Connection

Introduction. Congenital diaphragmatic hernia (CDH) with concomitant esophageal atresia (EA) and tracheo-esophageal fistula (TEF) is a very rare condition, with a high mortality rate. Prematurity and congenital heart anomalies additionally increase the mortality rate. This situation is a great challenge for clinicians, requiring multidisciplinary work and adequate treatment strategy. Case report. We presented a premature twin newborn at the gestational age of 33/34 weeks with body mass of 1690 g. The existence of the left CDH was established on prenatal ultrasound exam in the 24th gestational week, and the diagnosis of EA with TEF was made on admittance to our hospital. The cardiac ultrasound exam revealed the total anomalous pulmonary venous connection (TAPVC). The first operation was performed on the day of admittance and consisted of left subcostal laparotomy, diaphragmatic repair, elastic occlusion of the gastroesophageal junction and gastrostomy. The ligation of TEF and esophagoplasty were done 13 days later in the second operation. The lethal outcome during the esophagoplasty was caused by the crisis of pulmonary hypertension and associated congenital heart anomaly (TAPVC). The presence of CDH and EA/TEF in association with TAPVC in a twin newborn has not been reported before in the literature. Conclusion. The treatment of newborns with CDH and EA/TEF requires multidisciplinary well-coordinated team work of pediatric surgeons, anaesthesiologists, neonatologists and pulmologists. The standard protocol for the management does not exist, but well-planned staged operations could enable greater survival rate.

scholarly journals A Rare Association of Congenital Diaphragmatic Hernia with Lower Esophageal Atresia and Perforation

2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
Narendra Kumar Are ◽  
K. Nagarjuna ◽  
Lavanya Kannaiyan
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Esophageal Atresia ◽  
Diaphragmatic Hernia ◽  
Rare Occurrence ◽  
Rare Association

Congenital diaphragmatic hernia is known to be associated with esophageal atresia, which is a rare association. We report a rare occurrence of congenital diaphragmatic hernia and lower esophageal atresia.

Long term respiratory outcomes of congenital diaphragmatic hernia, esophageal atresia, and cardiovascular anomalies

2012 ◽  
Vol 17 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Christophe Delacourt ◽  
Alice Hadchouel ◽  
Jaan Toelen ◽  
Maissa Rayyan ◽  
Jacques de Blic ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Esophageal Atresia ◽  
Diaphragmatic Hernia ◽  
Respiratory Outcomes ◽  
Cardiovascular Anomalies
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