The Experts below are selected from a list of 3267 Experts worldwide ranked by ideXlab platform
David C. Van Der Zee - One of the best experts on this subject based on the ideXlab platform.
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Esophageal Atresia and tracheo Esophageal fistula
2017Co-Authors: David C. Van Der Zee, Stefaan H. A. J. Tytgat, Maud Y. A. Van HerwaardenAbstract:Management of Esophageal Atresia has merged from correction of the anomaly to the complete spectrum of management of Esophageal Atresia and all its sequelae. It is the purpose of this article to give an overview of all aspects involved in taking care of patients with Esophageal Atresia between January 2011 and June 2016, as well as the patients who were referred from other centers. Esophageal Atresia is a complex anomaly that has many aspects that have to be dealt with and complications to be solved. By centralizing these patients in centers of expertise it is believed that the best care can be given.
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position paper of inoea working group on long gap Esophageal Atresia for better care
2017Co-Authors: David C. Van Der Zee, R Sfeir, Pietro Bagolan, Christophe Faure, Frederic Gottrand, Russell W Jennings, Jean Martin Laberge, Marcela Hernan Martinez Ferro, Benoit Parmentier, Warwick J TeagueAbstract:INoEA is the International Network of Esophageal Atresia and consists of a broad spectrum of pediatric specialties and patient societies. The working group on long gap Esophageal Atresia set out to develop guidelines regarding the definition of long gap Esophageal Atresia, the best diagnostic and treatment strategies, and highlight the necessity of experience and communication in the management of these challenging patients. Review of the literature and expert discussion concluded that long gap Esophageal Atresia should be defined as any Esophageal Atresia that has no intra-abdominal air, realizing that this defines Esophageal Atresia with no distal trachea-Esophageal fistula. Long gap Esophageal Atresia is considerably more complex than Esophageal Atresia with distal tracheo-Esophageal fistulas, and should be referred to a center of expertise. The first choice is to preserve the native esophagus and pursue primary repair, delayed primary anastomosis or traction/growth techniques to achieve anastomosis. A cervical esophagostomy should be avoided if possible. Only if primary anastomosis is not possible, replacement techniques should be used. Jejunal interposition is proposed as the best option among the major Esophageal Atresia centers. In light of the infrequent occurrence of long gap Esophageal Atresia and the technically demanding techniques involved to achieve Esophageal continuity, it is strongly advised to develop regional or national centers of expertise for the management and follow-up of these very complex patients.
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thoracoscopic traction technique in long gap Esophageal Atresia entering a new era
2015Co-Authors: David C. Van Der Zee, Gabriele Gallo, Stefaan H. A. J. TytgatAbstract:Objective To describe the evolution from delayed management of long gap Esophageal Atresia to thoracoscopic treatment directly after birth without the placement of a gastrostomy.
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Learning Curve of Thoracoscopic Repair of Esophageal Atresia
2012Co-Authors: David C. Van Der Zee, Stefaan H. A. J. Tytgat, Sander Zwaveling, Maud Y. A. Van Herwaarden, Daisy Vieira-travassosAbstract:Background Thoracoscopic repair of Esophageal Atresia is considered to be one of the more advanced pediatric surgical procedures, and it undoubtedly has a learning curve. This is a single-center study that was designed to determine the learning curve of thoracoscopic repair of Esophageal Atresia.
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thoracoscopic elongation of the esophagus in long gap Esophageal Atresia
2011Co-Authors: David C. Van Der ZeeAbstract:Esophageal Atresia has always been the hallmark of pediatric surgery. Long-gap Esophageal Atresia (LGEA) has been a challenge for many pediatric surgeons for many decades. Several alternative techniques have past the revenue, some to stay, and some to go. As early as in the late 1950s of the past century, Rehbein [1] already described the approximation of both ends with two metal balls in the esophagus attached to a thread in between the two ends that were slowly pushed to one another.
Stefaan H. A. J. Tytgat - One of the best experts on this subject based on the ideXlab platform.
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Esophageal Atresia and tracheo Esophageal fistula
2017Co-Authors: David C. Van Der Zee, Stefaan H. A. J. Tytgat, Maud Y. A. Van HerwaardenAbstract:Management of Esophageal Atresia has merged from correction of the anomaly to the complete spectrum of management of Esophageal Atresia and all its sequelae. It is the purpose of this article to give an overview of all aspects involved in taking care of patients with Esophageal Atresia between January 2011 and June 2016, as well as the patients who were referred from other centers. Esophageal Atresia is a complex anomaly that has many aspects that have to be dealt with and complications to be solved. By centralizing these patients in centers of expertise it is believed that the best care can be given.
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thoracoscopic traction technique in long gap Esophageal Atresia entering a new era
2015Co-Authors: David C. Van Der Zee, Gabriele Gallo, Stefaan H. A. J. TytgatAbstract:Objective To describe the evolution from delayed management of long gap Esophageal Atresia to thoracoscopic treatment directly after birth without the placement of a gastrostomy.
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Learning Curve of Thoracoscopic Repair of Esophageal Atresia
2012Co-Authors: David C. Van Der Zee, Stefaan H. A. J. Tytgat, Sander Zwaveling, Maud Y. A. Van Herwaarden, Daisy Vieira-travassosAbstract:Background Thoracoscopic repair of Esophageal Atresia is considered to be one of the more advanced pediatric surgical procedures, and it undoubtedly has a learning curve. This is a single-center study that was designed to determine the learning curve of thoracoscopic repair of Esophageal Atresia.
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thoracoscopic elongation of the esophagus in long gap Esophageal Atresia
2007Co-Authors: David C. Van Der Zee, Daisy Vieirratravassos, William L M Kramer, Stefaan H. A. J. TytgatAbstract:Long gap Esophageal Atresia in which a primary anastomosis cannot be achieved remains a challenge. Elongation of the esophagus by traction on the 2 ends has been previously described. With the advent of thoracoscopic repair of Esophageal Atresia, there have thus far been no reports of thoracoscopic repair of long gap Esophageal Atresia. This paper describes the first successful repair of long gap Esophageal Atresia by thoracoscopic traction of the 2 Esophageal ends and delayed thoracoscopic anastomosis.
Christophe Faure - One of the best experts on this subject based on the ideXlab platform.
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intestinal metaplasia of the esophagus in children with Esophageal Atresia
2017Co-Authors: Helen Hsieh, F Gottrand, Laurent Michaud, Usha Krishnan, Adam Frenette, Dorothee B Dalsoglio, Christophe FaureAbstract:Objectives:Patients with Esophageal Atresia/tracheoEsophageal fistula (EA-TEF) can develop Barrett esophagus as a long-term consequence of their condition. Intestinal metaplasia (IM), a risk factor for developing adenocarcinoma of the esophagus, has not been well characterized in the pediatric popul
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position paper of inoea working group on long gap Esophageal Atresia for better care
2017Co-Authors: David C. Van Der Zee, R Sfeir, Pietro Bagolan, Christophe Faure, Frederic Gottrand, Russell W Jennings, Jean Martin Laberge, Marcela Hernan Martinez Ferro, Benoit Parmentier, Warwick J TeagueAbstract:INoEA is the International Network of Esophageal Atresia and consists of a broad spectrum of pediatric specialties and patient societies. The working group on long gap Esophageal Atresia set out to develop guidelines regarding the definition of long gap Esophageal Atresia, the best diagnostic and treatment strategies, and highlight the necessity of experience and communication in the management of these challenging patients. Review of the literature and expert discussion concluded that long gap Esophageal Atresia should be defined as any Esophageal Atresia that has no intra-abdominal air, realizing that this defines Esophageal Atresia with no distal trachea-Esophageal fistula. Long gap Esophageal Atresia is considerably more complex than Esophageal Atresia with distal tracheo-Esophageal fistulas, and should be referred to a center of expertise. The first choice is to preserve the native esophagus and pursue primary repair, delayed primary anastomosis or traction/growth techniques to achieve anastomosis. A cervical esophagostomy should be avoided if possible. Only if primary anastomosis is not possible, replacement techniques should be used. Jejunal interposition is proposed as the best option among the major Esophageal Atresia centers. In light of the infrequent occurrence of long gap Esophageal Atresia and the technically demanding techniques involved to achieve Esophageal continuity, it is strongly advised to develop regional or national centers of expertise for the management and follow-up of these very complex patients.
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prevalence of barrett esophagus in adolescents and young adults with Esophageal Atresia
2016Co-Authors: Anne Schneider, F Gottrand, Christophe Faure, M Bellaiche, Francois Becmeur, A Lachaux, Laure Bridouxhenno, J L Michel, Paul Philippe, Yvan VandenplasAbstract:Objective:To study the prevalence of Barrett esophagus (BE) (gastric and/or intestinal metaplasia) in adolescents treated for Esophageal Atresia (EA).Summary of Background Data:EA patients are at high risk of BE.Methods:This multicenter prospective study included EA patients aged 15 to 19 years. All
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risk factors for short and long term morbidity in children with Esophageal Atresia
2010Co-Authors: Julie Castilloux, Angela Noble, Christophe FaureAbstract:Objective To describe short- (first year of age) and long-term (after 1 year of age) outcome in patients with Esophageal Atresia and identify early predictive factors of morbidity in the first month of life. Study design Charts of children with Esophageal Atresia born January 1990 to May 2005 were reviewed. A complicated evolution was defined as the occurrence of at least 1 complication: severe gastroEsophageal reflux, Esophageal stricture requiring dilatations, recurrent fistula needing surgery, need for gavage feeding for ≥3 months, severe tracheomalacia, chronic respiratory disease, and death. Results A total of 134 patients were included. Forty-nine percent of patients had a complicated evolution before 1 year of age, and 54% had a complicated evolution after 1 year. With bivariate analysis, predictive variables of a complicated evolution were demonstrated, including twin birth, preoperative tracheal intubation, birth weight Conclusion Early factors are predictive of morbidity in children with Esophageal Atresia.
Russell W Jennings - One of the best experts on this subject based on the ideXlab platform.
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long gap Esophageal Atresia
2017Co-Authors: Hester F Shieh, Russell W JenningsAbstract:The management of long-gap Esophageal Atresia remains challenging with limited consensus on the definition, evaluation, and surgical approach to treatment. Efforts to preserve the native esophagus have been successful with delayed primary anastomosis and tension-based Esophageal growth induction processes. Esophageal replacement is necessary in a minority of cases, with the conduit of choice and patient outcomes largely dependent on institutional expertise. Given the complexity of this patient population with significant morbidity, treatment and long-term follow-up are best done in multidisciplinary Esophageal and airway treatment centers.
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position paper of inoea working group on long gap Esophageal Atresia for better care
2017Co-Authors: David C. Van Der Zee, R Sfeir, Pietro Bagolan, Christophe Faure, Frederic Gottrand, Russell W Jennings, Jean Martin Laberge, Marcela Hernan Martinez Ferro, Benoit Parmentier, Warwick J TeagueAbstract:INoEA is the International Network of Esophageal Atresia and consists of a broad spectrum of pediatric specialties and patient societies. The working group on long gap Esophageal Atresia set out to develop guidelines regarding the definition of long gap Esophageal Atresia, the best diagnostic and treatment strategies, and highlight the necessity of experience and communication in the management of these challenging patients. Review of the literature and expert discussion concluded that long gap Esophageal Atresia should be defined as any Esophageal Atresia that has no intra-abdominal air, realizing that this defines Esophageal Atresia with no distal trachea-Esophageal fistula. Long gap Esophageal Atresia is considerably more complex than Esophageal Atresia with distal tracheo-Esophageal fistulas, and should be referred to a center of expertise. The first choice is to preserve the native esophagus and pursue primary repair, delayed primary anastomosis or traction/growth techniques to achieve anastomosis. A cervical esophagostomy should be avoided if possible. Only if primary anastomosis is not possible, replacement techniques should be used. Jejunal interposition is proposed as the best option among the major Esophageal Atresia centers. In light of the infrequent occurrence of long gap Esophageal Atresia and the technically demanding techniques involved to achieve Esophageal continuity, it is strongly advised to develop regional or national centers of expertise for the management and follow-up of these very complex patients.
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upper airway anomalies in congenital tracheoEsophageal fistula and Esophageal Atresia patients
2015Co-Authors: Anne Hseu, Russell W Jennings, Thomas Recko, Roger C NussAbstract:Objective:To examine the prevalence of upper airway anomalies in patients diagnosed with congenital tracheoEsophageal fistula and Esophageal Atresia (TEF/EA).Methods:A retrospective review was cond...
Klaas M A Bax - One of the best experts on this subject based on the ideXlab platform.
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jejunum for bridging long gap Esophageal Atresia
2009Co-Authors: Klaas M A BaxAbstract:Objective Exploring pros and cons of bridging long-gap Esophageal Atresia with an orthotopic jejunal pedicle graft. Retrospective series of 19 patients. Methods From 1988 through 2005, 19 patients with long-gap Esophageal Atresia received a jejunal graft. Median age at reconstruction was 76 days. The technique involved an initial right-sided thoracotomy or thoracoscopy to confirm the diagnosis of long-gap Esophageal Atresia. Through a median laparotomy, a small pediculated jejunal graft was prepared and placed transmesocolically and transhiatally in an orthotopic position in the right chest. Results All patients survived and none of the grafts were lost. Four intrathoracic and one intraabdominal leak occurred. One intrathoracic and one intraabdominal leak were surgically repaired. One early distal stenosis was reoperated as well. There were always signs of distal functional subobstruction, responding to dilation in all but one patient. GastroEsophageal reflux was not a problem except for one patient whose distal esophagus was eventually resected because of ongoing distal obstruction with dilation of the graft. Except for one patient, all patients are eating normally and most of them grow well. Respiratory problems were rare. Grafts did not become redundant and retained peristaltic activity. Conclusion Orthotopic jejunal pedicle graft reconstruction of the esophagus in children is a demanding operation with considerably early morbidity but good long-term results. It should be part of the pediatric surgical armamentarium for reconstruction of the esophagus.
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feasibility of thoracoscopic repair of Esophageal Atresia with distal fistula
2002Co-Authors: Klaas M A Bax, David C. Van Der ZeeAbstract:Abstract Backgound/Purpose: Evaluation of the feasibility of thoracoscopic correction of Esophageal Atresia with distal fistula. Methods: Eight consecutive neonates with Esophageal Atresia and distal fistula were treated thoracoscopically. Mean birth weight was 3,048 g (range, 2,140 to 3,770). The patients were intubated endotracheally and placed in a¾ left prone position. Three cannulae were inserted along the inferior tip of the scapula. CO 2 was insufflated at a pressure of 5mm Hg and a flow of 0.5 L/min. The fistula was either clipped or ligated. The proximal esophagus was opened and an anastomosis was made over a 6F or 8F nasogastric tube with interrupted 5-0 Vicryl. Results: All procedures were completed thoracoscopically without major peroperative complications. The mean operating time was 198 minutes (range, 138 to 250). One patient had a major leak, resulting in a stormy postoperative course, but the leak healed on conservative treatment. This patient and 3 others had stenosis requiring dilatation, respectively, 3, 6, 12, and 1 times. The babies were fed after a median period of 8 days. The median hospital stay was 13 days. Conclusions: Thoracoscopic repair of Esophageal Atresia with distal fistula is feasible. Larger series are needed to determine the exact place of the thoracoscopic approach. J Pediatr Surg 37:192-196. Copyright © 2002 by W.B. Saunders Company.