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Treatment and Outcome for Children with Esophageal Atresia from a Gender Perspective

Ekselius, Julia ; Salö, Martin LU ; Arnbjörnsson, Einar LU and Stenström, Pernilla LU (2017) In Surgery research and practice 2017.
Abstract

Background: Besides the incidence of esophageal atresia (EA) being higher in males, no other gender-specific differences in EA have been reported. The aim of this study was to search for gender-specific differences in EA.

Methods: A retrospective study was conducted at a tertiary center for pediatric surgery. The medical charts of infants born with EA were reviewed. 20 girls were identified, and 20 boys were selected as matched controls with respect to concomitant malformations. Their treatment and outcome were evaluated.

Results: Polyhydramnios was more common in pregnancies with boys, 40%, versus girls, 10%, with EA (p < 0.01). In total, 36 (90%) children had patent ductus arteriosus, without any gender difference (18... (More)

Background: Besides the incidence of esophageal atresia (EA) being higher in males, no other gender-specific differences in EA have been reported. The aim of this study was to search for gender-specific differences in EA.

Methods: A retrospective study was conducted at a tertiary center for pediatric surgery. The medical charts of infants born with EA were reviewed. 20 girls were identified, and 20 boys were selected as matched controls with respect to concomitant malformations. Their treatment and outcome were evaluated.

Results: Polyhydramnios was more common in pregnancies with boys, 40%, versus girls, 10%, with EA (p < 0.01). In total, 36 (90%) children had patent ductus arteriosus, without any gender difference (18 and 18, resp., p=1). The distribution of days at the different levels of care was not equally distributed between boys and girls. Boys with EA had significantly more postoperative days (median 5 days) in the ward than girls (median 5 and 2 days, resp., p=0.04). No other gender-specific differences in surgical treatment, complications, or symptoms at follow-up were identified.

Conclusion: Polyhydramnios appears to be more frequent in pregnancies with boys than girls with EA. In this study, boys have longer stays than girls at the pediatric surgery ward.

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type
Contribution to journal
publication status
published
subject
in
Surgery research and practice
volume
2017
article number
8345798
pages
6 pages
publisher
Hindawi Limited
external identifiers
  • pmid:29201998
ISSN
2356-7759
DOI
10.1155/2017/8345798
language
English
LU publication?
yes
id
9fb12828-de33-4573-a4cc-fcc65f59218b
date added to LUP
2018-10-11 18:15:45
date last changed
2018-11-21 21:42:21
@article{9fb12828-de33-4573-a4cc-fcc65f59218b,
  abstract     = {<p>Background: Besides the incidence of esophageal atresia (EA) being higher in males, no other gender-specific differences in EA have been reported. The aim of this study was to search for gender-specific differences in EA.</p><p>Methods: A retrospective study was conducted at a tertiary center for pediatric surgery. The medical charts of infants born with EA were reviewed. 20 girls were identified, and 20 boys were selected as matched controls with respect to concomitant malformations. Their treatment and outcome were evaluated.</p><p>Results: Polyhydramnios was more common in pregnancies with boys, 40%, versus girls, 10%, with EA (p &lt; 0.01). In total, 36 (90%) children had patent ductus arteriosus, without any gender difference (18 and 18, resp., p=1). The distribution of days at the different levels of care was not equally distributed between boys and girls. Boys with EA had significantly more postoperative days (median 5 days) in the ward than girls (median 5 and 2 days, resp., p=0.04). No other gender-specific differences in surgical treatment, complications, or symptoms at follow-up were identified.</p><p>Conclusion: Polyhydramnios appears to be more frequent in pregnancies with boys than girls with EA. In this study, boys have longer stays than girls at the pediatric surgery ward.</p>},
  author       = {Ekselius, Julia and Salö, Martin and Arnbjörnsson, Einar and Stenström, Pernilla},
  issn         = {2356-7759},
  language     = {eng},
  publisher    = {Hindawi Limited},
  series       = {Surgery research and practice},
  title        = {Treatment and Outcome for Children with Esophageal Atresia from a Gender Perspective},
  url          = {http://dx.doi.org/10.1155/2017/8345798},
  doi          = {10.1155/2017/8345798},
  volume       = {2017},
  year         = {2017},
}