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Surgical treatment and major complications within the first year of life in newborns with long-gap esophageal atresia gross type A and B – a systematic review

Stadil, Tatjana ; Koivusalo, Antti ; Svensson, Jan F. ; Jönsson, Linus ; Lilja, Helene Engstrand ; Thorup, Jørgen Mogens ; Sæter, Thorstein ; Stenström, Pernilla LU orcid and Qvist, Niels (2019) In Journal of Pediatric Surgery
Abstract

Background: The surgical repair of long-gap esophageal atresia (LGEA) is still a challenge and there is no consensus on the preferred method of reconstruction. We performed a systematic review of the surgical treatment of LGEA Gross type A and B with the primary aim to compare the postoperative complications related to the different methods within the first postoperative year. Methods: Systematic literature review on the surgical repair of LGEA Gross type A and B within the first year of life published from January 01, 1996 to November 01, 2016. Results: We included 57 articles involving a total of 326 patients of whom 289 had a Gross type A LGEA. Delayed primary anastomosis (DPA) was the most applied surgical method (68.4%) in both... (More)

Background: The surgical repair of long-gap esophageal atresia (LGEA) is still a challenge and there is no consensus on the preferred method of reconstruction. We performed a systematic review of the surgical treatment of LGEA Gross type A and B with the primary aim to compare the postoperative complications related to the different methods within the first postoperative year. Methods: Systematic literature review on the surgical repair of LGEA Gross type A and B within the first year of life published from January 01, 1996 to November 01, 2016. Results: We included 57 articles involving a total of 326 patients of whom 289 had a Gross type A LGEA. Delayed primary anastomosis (DPA) was the most applied surgical method (68.4%) in both types, followed by gastric pull-up (GPU) (8.3%). Anastomotic stricture (53.7%), gastro-esophageal reflux (GER) (32.2%) and anastomotic leakage (22.7%) were the most common postoperative complications, with stricture and GER occurring more often after DPA (61.9% and 40.8% respectively) compared to other methods (p < 0.001). Conclusion: The majority of patients in this review were managed by DPA and postoperative complications were common despite the surgical method, with anastomotic stricture and GER being most common after DPA. Level of evidence: Systematic review of case series and case reports with no comparison group (level IV).

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Esophageal atresia, Gross type a, Gross type B, Long-gap, Postoperative complication, Surgical repair
in
Journal of Pediatric Surgery
publisher
Elsevier
external identifiers
  • pmid:31350044
  • scopus:85069688559
ISSN
0022-3468
DOI
10.1016/j.jpedsurg.2019.06.017
language
English
LU publication?
yes
id
1e66619f-9e71-471d-9d40-ab096aa8296f
date added to LUP
2019-08-16 09:46:11
date last changed
2024-05-28 22:13:10
@article{1e66619f-9e71-471d-9d40-ab096aa8296f,
  abstract     = {{<p>Background: The surgical repair of long-gap esophageal atresia (LGEA) is still a challenge and there is no consensus on the preferred method of reconstruction. We performed a systematic review of the surgical treatment of LGEA Gross type A and B with the primary aim to compare the postoperative complications related to the different methods within the first postoperative year. Methods: Systematic literature review on the surgical repair of LGEA Gross type A and B within the first year of life published from January 01, 1996 to November 01, 2016. Results: We included 57 articles involving a total of 326 patients of whom 289 had a Gross type A LGEA. Delayed primary anastomosis (DPA) was the most applied surgical method (68.4%) in both types, followed by gastric pull-up (GPU) (8.3%). Anastomotic stricture (53.7%), gastro-esophageal reflux (GER) (32.2%) and anastomotic leakage (22.7%) were the most common postoperative complications, with stricture and GER occurring more often after DPA (61.9% and 40.8% respectively) compared to other methods (p &lt; 0.001). Conclusion: The majority of patients in this review were managed by DPA and postoperative complications were common despite the surgical method, with anastomotic stricture and GER being most common after DPA. Level of evidence: Systematic review of case series and case reports with no comparison group (level IV).</p>}},
  author       = {{Stadil, Tatjana and Koivusalo, Antti and Svensson, Jan F. and Jönsson, Linus and Lilja, Helene Engstrand and Thorup, Jørgen Mogens and Sæter, Thorstein and Stenström, Pernilla and Qvist, Niels}},
  issn         = {{0022-3468}},
  keywords     = {{Esophageal atresia; Gross type a; Gross type B; Long-gap; Postoperative complication; Surgical repair}},
  language     = {{eng}},
  month        = {{01}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Pediatric Surgery}},
  title        = {{Surgical treatment and major complications within the first year of life in newborns with long-gap esophageal atresia gross type A and B – a systematic review}},
  url          = {{http://dx.doi.org/10.1016/j.jpedsurg.2019.06.017}},
  doi          = {{10.1016/j.jpedsurg.2019.06.017}},
  year         = {{2019}},
}