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Article Dans Une Revue Surgical endoscopy Année : 2023

Endoscopic management of esophageal mucosal bridges in children with esophageal atresia.

Julija Cervinskiene
  • Fonction : Auteur
Jérôme Viala
  • Fonction : Auteur
Julia Brendel
  • Fonction : Auteur
Christos Tzivinikos
  • Fonction : Auteur
Audrey Vanrenterghem
  • Fonction : Auteur
Georges Dimitrov
  • Fonction : Auteur
Bruno Hauser
  • Fonction : Auteur
Noémie Laverdure
  • Fonction : Auteur
Barbara Rohmer
  • Fonction : Auteur
Hélène Behal
  • Fonction : Auteur
Audrey Nicolas
  • Fonction : Auteur
Frédéric Gottrand
  • Fonction : Auteur
Matthieu Antoine
  • Fonction : Auteur

Résumé

Esophageal mucosal bridge (EMB) may be diagnosed at the anastomotic site in children operated on for esophageal atresia (EA) but so far only a few cases (n = 4) have been reported. This study aimed to characterize EMB in children with EA, risk factors, and treatment. This retrospective multicenter study recorded patient's characteristics, EMB diagnosis circumstances, endoscopic management, follow-up, and EMB recurrence in children with EA aged less than 18 years, compared with paired EA patients without EMB. Thirty patients were included (60% male, 90% EA/tracheoesophageal fistula, 43% associated malformations). Compared to 44 paired controls, EMB was associated with a history of nasogastric tube feeding (31% vs. 9.1%, p = 0.02) and severe gastroesophageal reflux disease (history of fundoplication: 41.4% vs. 13.6%, p < 0.01). 77% had symptoms (food impaction and/or dysphagia). Endoscopic management was performed in 53% of patients (83% electrocoagulation) with no technical difficulties or complications. 80% of the symptomatic patients with EMB improved after endoscopic treatment, independently of anastomotic stricture dilatation or not. EMB endoscopic management by electrocoagulation is safe and often leads to symptom improvement.
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Origine : Publication financée par une institution
Licence : CC BY - Paternité

Dates et versions

hal-04261718 , version 1 (06-11-2023)

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Matthieu Antoine, Usha Krishnan, Michael Manfredi, Julija Cervinskiene, Jérôme Viala, et al.. Endoscopic management of esophageal mucosal bridges in children with esophageal atresia.. Surgical endoscopy, 2023, Surgical endoscopy, ⟨10.1007/s00464-023-10492-1⟩. ⟨hal-04261718⟩

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