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Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula

Background: Esophageal diverticulum (ED) is an extremely rare complication of congenital esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) surgery. We aimed to investigate feasible methods for the treatment of this rare complication. Methods: We retrospectively reviewed all pat...

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Autores principales: Yong, Zhao, Dingding, Wang, Kaiyun, Hua, Yichao, Gu, Yanan, Zhang, Junmin, Liao, Shen, Yang, Shuangshuang, Li, Peize, Wang, Jinshi, Huang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129005/
https://www.ncbi.nlm.nih.gov/pubmed/34017810
http://dx.doi.org/10.3389/fped.2021.663705
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author Yong, Zhao
Dingding, Wang
Kaiyun, Hua
Yichao, Gu
Yanan, Zhang
Junmin, Liao
Shen, Yang
Shuangshuang, Li
Peize, Wang
Jinshi, Huang
author_facet Yong, Zhao
Dingding, Wang
Kaiyun, Hua
Yichao, Gu
Yanan, Zhang
Junmin, Liao
Shen, Yang
Shuangshuang, Li
Peize, Wang
Jinshi, Huang
author_sort Yong, Zhao
collection PubMed
description Background: Esophageal diverticulum (ED) is an extremely rare complication of congenital esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) surgery. We aimed to investigate feasible methods for the treatment of this rare complication. Methods: We retrospectively reviewed all patients with EA/TEF at Beijing Children's Hospital from January 2015 to September 2019. The clinicopathological features of patients with ED after EA/TEF surgery were recorded. Follow-up was routinely performed after surgery until December 2020. Results: Among 198 patients with EA/TEF, ED only occurred in four patients (2.02%; one male, three female). The four patients had varying complications after the initial operation, including anastomotic leakage (3/4), esophageal stenosis (3/4), and recurrence of TEF (1/4). The main clinical symptoms of ED included recurrent pneumonia (4/4), coughing (4/4), and dysphagia (3/4). All ED cases occurred near the esophageal anastomosis. Patients' age at the time of diverticulum repair was 6.6–16.8 months. All patients underwent thoracoscopic esophageal diverticulectomy (operation time: 1.5–3.5 h). Anastomotic leakage occurred in one patient and spontaneously healed after 2 weeks. The other three patients had no peri-operative complications. All patients were routinely followed up after surgery for 14–36 months. During the follow-up period, all patients could eat orally, had good growth and weight gain, and showed no ED recurrence or anastomotic leakage on esophagogram. Conclusions: ED is a rare complication after EA/TEF surgery and is a clear indication for diverticulectomy. During the midterm follow-up, thoracoscopic esophageal diverticulectomy was safe and effective for ED after EA/TEF surgery.
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spelling pubmed-81290052021-05-19 Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula Yong, Zhao Dingding, Wang Kaiyun, Hua Yichao, Gu Yanan, Zhang Junmin, Liao Shen, Yang Shuangshuang, Li Peize, Wang Jinshi, Huang Front Pediatr Pediatrics Background: Esophageal diverticulum (ED) is an extremely rare complication of congenital esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) surgery. We aimed to investigate feasible methods for the treatment of this rare complication. Methods: We retrospectively reviewed all patients with EA/TEF at Beijing Children's Hospital from January 2015 to September 2019. The clinicopathological features of patients with ED after EA/TEF surgery were recorded. Follow-up was routinely performed after surgery until December 2020. Results: Among 198 patients with EA/TEF, ED only occurred in four patients (2.02%; one male, three female). The four patients had varying complications after the initial operation, including anastomotic leakage (3/4), esophageal stenosis (3/4), and recurrence of TEF (1/4). The main clinical symptoms of ED included recurrent pneumonia (4/4), coughing (4/4), and dysphagia (3/4). All ED cases occurred near the esophageal anastomosis. Patients' age at the time of diverticulum repair was 6.6–16.8 months. All patients underwent thoracoscopic esophageal diverticulectomy (operation time: 1.5–3.5 h). Anastomotic leakage occurred in one patient and spontaneously healed after 2 weeks. The other three patients had no peri-operative complications. All patients were routinely followed up after surgery for 14–36 months. During the follow-up period, all patients could eat orally, had good growth and weight gain, and showed no ED recurrence or anastomotic leakage on esophagogram. Conclusions: ED is a rare complication after EA/TEF surgery and is a clear indication for diverticulectomy. During the midterm follow-up, thoracoscopic esophageal diverticulectomy was safe and effective for ED after EA/TEF surgery. Frontiers Media S.A. 2021-05-04 /pmc/articles/PMC8129005/ /pubmed/34017810 http://dx.doi.org/10.3389/fped.2021.663705 Text en Copyright © 2021 Yong, Dingding, Kaiyun, Yichao, Yanan, Junmin, Shen, Shuangshuang, Peize and Jinshi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Yong, Zhao
Dingding, Wang
Kaiyun, Hua
Yichao, Gu
Yanan, Zhang
Junmin, Liao
Shen, Yang
Shuangshuang, Li
Peize, Wang
Jinshi, Huang
Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula
title Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula
title_full Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula
title_fullStr Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula
title_full_unstemmed Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula
title_short Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula
title_sort thoracoscopy for esophageal diverticula after esophageal atresia with tracheo-esophageal fistula
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129005/
https://www.ncbi.nlm.nih.gov/pubmed/34017810
http://dx.doi.org/10.3389/fped.2021.663705
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