Anastomotic Strictures after Esophageal Atresia Repair : Timing of Dilatation during the First Two Postoperative Years
(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
- Salö, Martin LU ; Stenström, Pernilla LU ; Anderberg, Magnus LU and Arnbjörnsson, Einar LU
- organization
- publishing date
- 2018-05
- type
- Contribution to journal
- publication status
- published
- subject
- in
- The Surgery Journal
- volume
- 4
- issue
- 2
- pages
- 62 - 65
- publisher
- Georg Thieme Verlag
- external identifiers
-
- pmid:29740616
- 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 < 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.</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}}, doi = {{10.1055/s-0038-1646950}}, volume = {{4}}, year = {{2018}}, }