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Anastomotic Strictures after Esophageal Atresia Repair : Timing of Dilatation during the First Two Postoperative Years

Salö, Martin LU ; Stenström, Pernilla LU ; Anderberg, Magnus LU and Arnbjörnsson, Einar LU (2018) In The Surgery Journal 4(2). p.62-65
Abstract

Background  We determined time frames for dilatation of anastomotic strictures (ASs) occurring during the first 2 years after esophageal atresia (EA) repair. Methods  A retrospective study was conducted on children with EA (Gross type C) who underwent direct repair between January 2008 and March 2015 at a single tertiary center of pediatric surgery. Endoscopic signs of stricture were indications for dilatation because the endoscopy provides more reliable information than X-ray imagining methods. Results  Among our cohort of 49 children with EA, 19 (39%) required at least one esophageal dilatation. All children required initial dilatation within the first year of life and none was older than 1 year during initial dilatation ( p  <... (More)

Background  We determined time frames for dilatation of anastomotic strictures (ASs) occurring during the first 2 years after esophageal atresia (EA) repair. Methods  A retrospective study was conducted on children with EA (Gross type C) who underwent direct repair between January 2008 and March 2015 at a single tertiary center of pediatric surgery. Endoscopic signs of stricture were indications for dilatation because the endoscopy provides more reliable information than X-ray imagining methods. Results  Among our cohort of 49 children with EA, 19 (39%) required at least one esophageal dilatation. All children required initial dilatation within the first year of life and none was older than 1 year during initial dilatation ( p  < 0.01). A median of three dilatations (range: 1-13) took place per patient, with 87% performed during the first postoperative year. The timing of initial dilatation in the first year (< 6 months, 14/19 [74%] vs. 6-12 months, 5/19 [26%]) was predictive of the need for dilatation beyond the first year (9/14 [64%] vs. 0/5 [0%]; p  = 0.03) but not of more numerous dilatations (median, 3 vs. 1; p  = 0.07). Conclusion  The need for dilatation within 6 months postoperatively predicts the need for dilatation after 1 year, but it does not indicate the number of dilatations that will be needed.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Surgery Journal
volume
4
issue
2
pages
62 - 65
publisher
Georg Thieme Verlag
ISSN
2378-5128
DOI
10.1055/s-0038-1646950
language
English
LU publication?
yes
id
17b6702c-f3a5-4f53-90e2-b1616445ef74
date added to LUP
2018-10-11 18:12:40
date last changed
2018-11-21 21:42:21
@article{17b6702c-f3a5-4f53-90e2-b1616445ef74,
  abstract     = {<p>Background  We determined time frames for dilatation of anastomotic strictures (ASs) occurring during the first 2 years after esophageal atresia (EA) repair. Methods  A retrospective study was conducted on children with EA (Gross type C) who underwent direct repair between January 2008 and March 2015 at a single tertiary center of pediatric surgery. Endoscopic signs of stricture were indications for dilatation because the endoscopy provides more reliable information than X-ray imagining methods. Results  Among our cohort of 49 children with EA, 19 (39%) required at least one esophageal dilatation. All children required initial dilatation within the first year of life and none was older than 1 year during initial dilatation ( p  &lt; 0.01). A median of three dilatations (range: 1-13) took place per patient, with 87% performed during the first postoperative year. The timing of initial dilatation in the first year (&lt; 6 months, 14/19 [74%] vs. 6-12 months, 5/19 [26%]) was predictive of the need for dilatation beyond the first year (9/14 [64%] vs. 0/5 [0%]; p  = 0.03) but not of more numerous dilatations (median, 3 vs. 1; p  = 0.07). Conclusion  The need for dilatation within 6 months postoperatively predicts the need for dilatation after 1 year, but it does not indicate the number of dilatations that will be needed.</p>},
  author       = {Salö, Martin and Stenström, Pernilla and Anderberg, Magnus and Arnbjörnsson, Einar},
  issn         = {2378-5128},
  language     = {eng},
  number       = {2},
  pages        = {62--65},
  publisher    = {Georg Thieme Verlag},
  series       = {The Surgery Journal},
  title        = {Anastomotic Strictures after Esophageal Atresia Repair : Timing of Dilatation during the First Two Postoperative Years},
  url          = {http://dx.doi.org/10.1055/s-0038-1646950},
  volume       = {4},
  year         = {2018},
}