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Long-Gap Esophageal Atresia Gross Type C and D : A Retrospective Study of Surgical Management and Postoperative Complications Within the First Year of Life in the Nordic Countries

Olsen, Ann Christine Waarkjær ; Koivusalo, Antti ; Emblem, Ragnhild ; Mikkelsen, Audun ; Svensson, Jan F. ; Tollne, Anna Maria ; Almström, Markus ; Jönsson, Linus ; Lilja, Helene and Donoso, Felipe , et al. (2025) In Children 12(3).
Abstract

Objective: Several surgical approaches are being used in the reconstruction of long-gap esophageal atresia. We investigated which methods are being used in the Nordic countries and the postoperative complications that occurred in the first year of life. Methods: This study is a retrospective multicenter study, where medical records on children with esophageal atresia Gross type C or D born in the period from 1 January 2000 to 1 May 2017 were reviewed. Results: Forty-four patients were included in this study, forty-three with Gross type C and one with Gross type D. Thirty-six patients were included in the statistical analysis. Delayed esophageal anastomosis was performed in half of the patients and an esophageal replacement procedure in... (More)

Objective: Several surgical approaches are being used in the reconstruction of long-gap esophageal atresia. We investigated which methods are being used in the Nordic countries and the postoperative complications that occurred in the first year of life. Methods: This study is a retrospective multicenter study, where medical records on children with esophageal atresia Gross type C or D born in the period from 1 January 2000 to 1 May 2017 were reviewed. Results: Forty-four patients were included in this study, forty-three with Gross type C and one with Gross type D. Thirty-six patients were included in the statistical analysis. Delayed esophageal anastomosis was performed in half of the patients and an esophageal replacement procedure in the other half. Postoperative complications were common, but there was no difference in postoperative complications or weight-gain within the first year of life. There were no differences in hospital stay or duration of parenteral nutrition. Attempted primary esophageal anastomosis was significantly more common in patients that underwent an esophageal replacement procedure compared to those who underwent a delayed esophageal anastomosis. Conclusions: No significant relationship between surgical approach and postoperative complications within the first year of life could be demonstrated. Long-term functional studies are warranted.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
esophageal atresia, Gross type C, Gross type D, long-gap, surgical management—postoperative complication
in
Children
volume
12
issue
3
article number
363
publisher
MDPI AG
external identifiers
  • scopus:105001098985
  • pmid:40150645
ISSN
2227-9067
DOI
10.3390/children12030363
language
English
LU publication?
yes
id
e2b88d2c-2e7c-45da-984a-c52ed70bd8d8
date added to LUP
2025-08-27 12:51:55
date last changed
2025-09-24 19:57:32
@article{e2b88d2c-2e7c-45da-984a-c52ed70bd8d8,
  abstract     = {{<p>Objective: Several surgical approaches are being used in the reconstruction of long-gap esophageal atresia. We investigated which methods are being used in the Nordic countries and the postoperative complications that occurred in the first year of life. Methods: This study is a retrospective multicenter study, where medical records on children with esophageal atresia Gross type C or D born in the period from 1 January 2000 to 1 May 2017 were reviewed. Results: Forty-four patients were included in this study, forty-three with Gross type C and one with Gross type D. Thirty-six patients were included in the statistical analysis. Delayed esophageal anastomosis was performed in half of the patients and an esophageal replacement procedure in the other half. Postoperative complications were common, but there was no difference in postoperative complications or weight-gain within the first year of life. There were no differences in hospital stay or duration of parenteral nutrition. Attempted primary esophageal anastomosis was significantly more common in patients that underwent an esophageal replacement procedure compared to those who underwent a delayed esophageal anastomosis. Conclusions: No significant relationship between surgical approach and postoperative complications within the first year of life could be demonstrated. Long-term functional studies are warranted.</p>}},
  author       = {{Olsen, Ann Christine Waarkjær and Koivusalo, Antti and Emblem, Ragnhild and Mikkelsen, Audun and Svensson, Jan F. and Tollne, Anna Maria and Almström, Markus and Jönsson, Linus and Lilja, Helene and Donoso, Felipe and Sæter, Thorstein and Thorup, Jørgen Mogens and Stenström, Pernilla and Arnbjörnsson, Einar and Qvist, Niels}},
  issn         = {{2227-9067}},
  keywords     = {{esophageal atresia; Gross type C; Gross type D; long-gap; surgical management—postoperative complication}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{MDPI AG}},
  series       = {{Children}},
  title        = {{Long-Gap Esophageal Atresia Gross Type C and D : A Retrospective Study of Surgical Management and Postoperative Complications Within the First Year of Life in the Nordic Countries}},
  url          = {{http://dx.doi.org/10.3390/children12030363}},
  doi          = {{10.3390/children12030363}},
  volume       = {{12}},
  year         = {{2025}},
}