Long term digestive outcome of œsophageal atresia

Author(s):  
Madeleine Aumar ◽  
Audrey Nicolas ◽  
Rony Sfeir ◽  
David Seguy ◽  
Frédéric Gottrand
Keyword(s):  
2007 ◽  
Vol 23 (7) ◽  
pp. 647-651 ◽  
Author(s):  
Thambipillai Sri Paran ◽  
Diane Decaluwe ◽  
Martin Corbally ◽  
Prem Puri

2012 ◽  
Vol 97 (9) ◽  
pp. 808-811 ◽  
Author(s):  
Céline Legrand ◽  
Laurent Michaud ◽  
Julia Salleron ◽  
Dorothée Neut ◽  
Rony Sfeir ◽  
...  

2017 ◽  
Vol 52 (10) ◽  
pp. 1571-1575 ◽  
Author(s):  
Antti I. Koivusalo ◽  
Saara J. Sistonen ◽  
Harry G. Lindahl ◽  
Risto J. Rintala ◽  
Mikko P. Pakarinen

2021 ◽  
Vol 13 (2) ◽  
pp. 189-196
Author(s):  
Raef Jackson ◽  
Carmen Francis ◽  
Karim Awad ◽  
Semiu E. Folaranmi

We present a case series of two patients with tracheo-oesophageal fistula with oesophageal atresia (TOF/OA), duodenal atresia (DA) and ano-rectal malformation (ARM). This constellation of abnormalities, dubbed triple atresia (TA), is a rare combination with few described cases in the literature. Here we describe our management of these cases, as well as the results of our literature review. Both of our cases had staged surgical procedures and were initially managed with thoracotomy for repair of TOF/OA on day two of life. They subsequently underwent laparotomy for management of their abdominal pathology at day five and seven of life. Both have survived the neonatal period and are awaiting definitive surgery for ARM. Literature review yielded seven cases of TA involving a TOF, DA, and ARM. Four patients underwent staged repair, while three patients underwent repair of TOF/OA, DA and colostomy for ARM at the same time. Of these three patients, two died, representing 22% of the overall cohort. Triple atresia remains a rare subset of patients suspected to have VACTERL association, however mortality may be significantly higher. Our data would suggest a staged approach to be optimal for long term survival.


2016 ◽  
Vol 19 ◽  
pp. 34-38 ◽  
Author(s):  
Hanneke IJsselstijn ◽  
Saskia J. Gischler ◽  
Leontien Toussaint ◽  
Marjolein Spoel ◽  
Monique H.M. van der Cammen-van Zijp ◽  
...  

1982 ◽  
Vol 71 (6) ◽  
pp. 973-978 ◽  
Author(s):  
J. M. COURIEL ◽  
M. HIBBERT ◽  
A. OLINSKY ◽  
P. D. PHELAN
Keyword(s):  

1995 ◽  
Vol 5 (04) ◽  
pp. 206-210 ◽  
Author(s):  
B. Ure ◽  
E. Slany ◽  
E. Eypasch ◽  
M. Gharib ◽  
A. Holschneider ◽  
...  

2008 ◽  
Vol 90 (1) ◽  
pp. 7-12 ◽  
Author(s):  
GS Arul ◽  
D Parikh

INTRODUCTION The usual indications for oesophageal replacement in childhood are intractable corrosive strictures and long-gap oesophageal atresia. Generally, paediatric surgeons attempt to preserve the native oesophagus with repeat dilatations. However, when this is not successful, an appropriate conduit must be fashioned to replace the oesophagus. The neo-oesophagus should allow normal oral feeding, not have gastro-oesophageal reflux, and be able to function well for the life-time of the patient. PATIENTS AND METHODS A Medline search for oesophageal replacement, oesophageal atresia, gastric transposition, colon transposition, gastric tube, caustic stricture was conducted. The commonest conduits including whole stomach, gastric tube, colon and jejunum are all discussed. RESULTS No randomised controlled studies exist comparing the different types of conduits available for children. The techniques used tend to be based on personal preference and local experience rather than on any discernible objective data. The biggest series with long-term outcome are reported for gastric transposition and colon replacement. Comparison of a number of studies shows no significant difference in early or late complications. Early operative complications include graft necrosis, anastomotic leaks and sepsis. Late problems include strictures, poor feeding, gastro-oesophageal reflux, tortuosity of the graft and the development of Barrett's oesophagus. The biggest series, however, seem to have lower complications than small series probably reflecting the experience, built up over years, in their respective centres. CONCLUSIONS Long-term follow-up is recommended because of the risks of late strictures, excessive tortuosity of the neo-oesophagus and the development of Barrett's oesophagus.


Sign in / Sign up

Export Citation Format

Share Document