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This page shows you the latest news and research items in this category.

Gap measurement in patients with esophageal atresia: Not a trivial matter
In their recent paper, Thakkar and co-workers [1] report their experience with 122 consecutive patients treated for esophageal atresia (EA) with/without tracheoesophageal fistula (TEF). They focus on the impact of gap length on some well-known postoperative complications, such as anastomotic leak, anastomotic stricture, and gastroesophageal reflux disease. Interestingly, gap length did not seem to have an influence on the development of the outcomes analyzed except for the need for fundoplication. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 24, 2014 Category: Surgery Authors: Francesco Morini, Pietro Bagolan Tags: Correspondence Source Type: research

Revisional surgery for recurrent tracheoesophageal fistula and anastomotic complications after repair of esophageal atresia in 258 infants
We assessed the occurrence and outcome of major reoperations following repair of esophageal atresia with or without tracheoesophageal fistula (TOF). Major outcome measures were survival, preservation of native esophagus, and long–term esophageal function. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 24, 2014 Category: Surgery Authors: Antti I. Koivusalo, Mikko P. Pakarinen, Harry G. Lindahl, Risto J. Rintala Source Type: research

Aberrant right subclavian artery-esophageal fistula: massive upper gastrointestinal hemorrhage secondary to prolonged intubation
We report a rare case of a patient who survived after emergent surgical procedure for massive upper gastrointestinal bleeding secondary to aberrant right subclavian artery-esophageal fistula after prolonged intubation. (Source: Brazilian Journal of Anesthesiology)
Source: Brazilian Journal of Anesthesiology - November 23, 2014 Category: Anesthesiology Source Type: research

Hypercapnia and acidosis during the thoracoscopic repair of oesophageal atresia and congenital diaphragmatic hernia
Thoracoscopic operations in neonates, such as repair of oesophageal atresia and tracheooesophageal fistula or congenital diaphragmatic hernia, can be associated with intraoperative acidosis and hypercapnia in the absence of hypoxia. These derangements in intraoperative gas exchanges seem to be related to the insufflation and absorption of medical CO2. The effects on the developing brain are unknown, and further prospective investigations are needed to elucidate whether different strategies should be implemented to avoid these intraoperative problems. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 22, 2014 Category: Surgery Authors: Agostino Pierro Source Type: research

Lower esophageal banding in extremely low birth weight infants with esophageal atresia and tracheoesophageal fistula is a life saving practice followed by a successful delayed primary thoracoscopy reconstruction
In extremely low birth weight (ELBW) infants, i.e. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - November 19, 2014 Category: Surgery Authors: Loren Margain, Eduardo Perez-Etchepare, François Varlet, Manuel Lopez Tags: Operative Techniques Source Type: research

Isolated esophageal atresia in both premature twins
Publication date: Available online 4 November 2014 Source:Pediatria Polska Author(s): Iwona Maroszyńska , Katarzyna Fortecka-Piestrzeniewicz , Marta Niedźwiecka , Alicja Żarkowska-Szaniawska An esophageal atresia is a rare congenital malformation of gastrointestinal tract. Its estimated incidence is 1–2 cases per 5000 live births. An esophageal atresia is more frequent in Caucasians and in children from twin pregnancy. However, it is extremely rare to observe this malformation in both twins. In 70% of cases an esophageal atresia is accompanied by other congenital malformations. The authors present a case of preterm ...
Source: Pediatria Polska - November 19, 2014 Category: Pediatrics Source Type: research

Esophageal atresia and malrotation: what association?
Conclusion There is a high incidence of malrotation in patients with pure EA. In the type A group an attempt to identify the DJF position at gastrostomy siting and/or performance of UGIS in the neonatal period should be undertaken. There should also be a low threshold for UGIS in all EA/TEF patients. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - November 17, 2014 Category: Surgery Source Type: research

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)
Conclusion Post-esophagectomy fistula is a morbid complication and the surgical treatments available are highly morbid and have variable success rates. Due to the development of new endoscopic technologies, the endotherapy has assumed new prominence for treatment of enteric fistula. This complex case illustrates feasibility of endoscopic fistula treatment using dual scope, biologic plug application which effectively controlled this patient’s EBF symptoms. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 11, 2014 Category: Surgery Source Type: research

Pectoralis Major Myocutaneous Flap versus Free Fasciocutaneous Flap for Reconstruction of Partial Hypopharyngeal Defects: What Should We Be Doing?
Conclusions PMMF and FFC flaps are valid approaches to reconstructing partial hypopharyngeal defects, though rates in the literature of fistula, need for revisional surgery, and tracheoesophageal speech after laryngectomy are more favorable after free flap reconstruction.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - November 11, 2014 Category: Surgery Authors: Chao, Jerry W.Spector, Jason A.Taylor, Erin M.Otterburn, David M.Kutler, David I.Caruana, Salvatore M.Rohde, Christine H. Tags: Original Article Source Type: research

Acellular dermal matrix for the treatment of a persistent tracheoesophegeal fistula
We report the use of Acellular dermal matrix (ADM) for the treatment of a persistent TEF in a 65 year old lady. The literature on ADM applications is reviewed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - November 11, 2014 Category: Cosmetic Surgery Authors: Waseem Bhat, Jonathan Wiper, Mark liddington Source Type: research

Post-radiation tracheoesophageal fistula following salvage laryngectomy: microsurgical repair using a “bi-laminar” lateral arm flap
We report using a free fasciocutaneous lateral arm flap, folded to create a bi-laminar (epithelial) reconstruction for salvage repair of large, high output persistent TOF initiated by tracheoesophageal puncture following total laryngectomy, two previous courses of radiotherapy and two unsuccessful repairs using small local flap and a pedicled pectoralis major. The folded lateral arm free flap provided resolution of the fistula, interposition of well-vascularised soft tissue, in addition to oesophageal lining and external tension-free cutaneous coverage, while maintaining a patent endotracheostomy. Chronic high output fistu...
Source: European Journal of Plastic Surgery - November 10, 2014 Category: Cosmetic Surgery Source Type: research

Esophageal lung – A rare bronchopulmonary foregut malformation
We report a case of a 6 month old girl who was previously operated for TEF repair, with esophageal lobe which was successfully excised. The relevant literature is reviewed. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - November 9, 2014 Category: Surgery Source Type: research

Management of Patients with Combined Tracheoesophageal Fistula, Esophageal Atresia, and Duodenal Atresia
Conclusion A staged approach of inserting a gastrostomy tube and repairing the EA/TEF first followed by a duodenoduodenostomy within one week resulted in excellent outcomes. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 7, 2014 Category: Surgery Source Type: research

Oesophageal atresia and tracheo-oesophageal fistula
Oesophageal atresia with tracheo-oesophageal fistula is a relatively common congenital anomaly occurring in around 1:2500 births. The aetiology and embryology of the condition remain unclear, whilst associations with other significant anomalies are common. Studies in rodent models are contributing to our understanding of the condition. Advances in surgical care and neonatal management have improved survival considerably to around 90%. Long-gap and isolated oesophageal atresia present significant management challenges. (Source: Early Human Development)
Source: Early Human Development - November 7, 2014 Category: Perinatology & Neonatology Authors: Nicola Smith Tags: Best practice guidelines Source Type: research

VACTERL rare association with rare survival pattern
Publication date: Available online 11 June 2014 Source:Journal of Indian College of Cardiology Author(s): Rajeev Gupta , Chandrabhushan Pandey , Sunil Tripathi Truncus Arteriosus (TA) as a cardiac anomaly is a rare occurrence in VACTERL (Vertebral defects, Anorectal malformations, Cardiac defects, Tracheo-Esophageal fistula, Renal & Limb anomalies) association and portends an extremely poor prognosis. The authors report here the case of a 37-year-old male who presented with complaints of recurrent respiratory tract infections and occasional syncopal attacks. The patient was subsequently found to possess an extrem...
Source: Journal of Indian College of Cardiology - November 3, 2014 Category: Cardiology Source Type: research

Henry Barrett: pioneer paediatric surgeon
ConclusionHenry Barrett pioneered the undertaking of two complex paediatric surgical procedures in New Zealand. These operations were performed without specialist paediatric support at a time when procedures for these conditions, particularly patent ductus arteriosus, were viewed with suspicion. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 1, 2014 Category: Surgery Authors: Jonathan B. Koea Tags: Original Article Source Type: research

‘H’ type tracheo-oesophageal fistula – Case reports with review of the literature
We report two cases, one presented as a 3months female child with ‘nasal regurgitation of feeds, recurrent pneumonia and choking on feeding since 15days of life, while the other immediately after birth with classic triad of symptoms. A review of the literature is presented, with a focused discussion of presentation and treatment options. Confirmation of diagnosis was done by compiling clinical presentation, high index of suspicion and rigid tracheobronchoscopy findings. Management involved surgery by right transcervical approach. High index of clinical suspicion and early diagnosis can provide a better prognosis. (Source...
Source: Egyptian Journal of Ear, Nose, Throat and Allied Sciences - November 1, 2014 Category: ENT & OMF Source Type: research

Therapeutic Bronchoscopy for Malignant Central Airway Obstruction: Success Rates and Impact on Dyspnea and Quality of Life.
Conclusions:Technical success rates were high overall, with the highest success rates associated with stent placement and endobronchial obstruction. Therapeutic bronchoscopy should not be withheld from patients based solely on an assessment of risk, since patients with the most dyspnea and lowest functional status benefitted the most. Background: There is significant variation between physicians in terms of how they perform therapeutic bronchoscopy but there is little data on whether these differences impact effectiveness. Methods: This was a multicenter registry study of patients undergoing therapeutic bronchoscop...
Source: Chest - October 30, 2014 Category: Respiratory Medicine Authors: Ost DE, Ernst A, Grosu HB, Lei X, Diaz-Mendoza J, Slade M, Gildea TR, Machuzak M, Jimenez CA, Toth J, Kovitz KL, Ray C, Greenhill S, Casal RF, Almeida FA, Wahidi M, Eapen GA, Feller-Kopman D, Morice RC, Benzaquen S, Tremblay A, Simoff M Tags: Chest Source Type: research

Tracheoesophageal Fistula in a Newborn
New England Journal of Medicine, Volume 371, Issue 16, October 2014. (Source: New England Journal of Medicine)
Source: New England Journal of Medicine - October 15, 2014 Category: Internal Medicine Tags: article Source Type: research

Martinez-Frias Syndrome: Evidence of Linkage to RFX6 Mutation
We present a case report of a preterm infant with a diagnosis of MFS, and a review of the literature. The constellation of symptoms described varies between the limited number of cases reported; this case presented is rare as the patient’s course was complicated by cerebral ischemia something not previously described. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - October 12, 2014 Category: Surgery Source Type: research

Anterior Tracheal Suspension for Tracheobronchomalacia in Infants and Children
Conclusions Anterior tracheal suspension is feasible and appears effective in dramatically improving respiratory clinical status. Tracheal suspension is applicable to a wide range of anatomic variants. Additional study is needed to characterize long-term functional outcomes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 12, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Physiological Studies at 7 Years of Age in Children Born with Esophageal Atresia
Conclusion This study confirms a high prevalence of respiratory and esophageal morbidity. In terms of respiratory function, the high proportion with a spirometric abnormality indicated an associated developmental delay/dysfunction in the central airways, whereas the peripheral airways appeared to have normal function at this age. Tracheomalacia may explain the spirometric abnormalities, but this need to be studied in more detail.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - October 10, 2014 Category: Surgery Authors: Olbers, JosefinGatzinsky, VladimirJönsson, LinusFriberg, Lars GöranAbrahamsson, KateSillén, UllaGustafsson, Per Tags: Original Article Source Type: research

Quality of reporting of the literature on gastrointestinal reflux after repair of esophageal atresia–tracheoesophageal fistula
There is variation in the management of postoperative gastroesophageal reflux (GER) in esophageal atresia–tracheoesophageal fistula (EA-TEF). Well-reported literature is important for clinical decision-making. We assessed the quality of reporting (QOR) of postoperative GER management in EA-TEF. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 9, 2014 Category: Surgery Authors: Anna C. Shawyer, Julia Pemberton, David Kanters, Amar A.A. Alnaqi, Helene Flageole Source Type: research

Oesophageal atresia with tracheo-oesophageal fistula in a preterm neonate in Limbe, Cameroon: case report & brief literature review
Conclusion: A high index of suspicion for Oesophageal atresia/trachea-oesophageal fistula should prevail when faced with a neonate with the triad: respiratory distress during feeds, regurgitation and persistent frothy salivation. The case discusses the diagnostic dilemma and management difficulties in a preterm neonate with the above association in a low income setting. (Source: BioMed Central)
Source: BioMed Central - October 7, 2014 Category: Journals (General) Authors: Leopold N AmindeVeronica N EbenyeWalters T ArreyNoah F TakahGeorge Awungafac Source Type: research

Knowledge and management of endotracheal tube cuffs: A survey among 591 intensive care nurses
In the intensive care unit (ICU), intubation is a common procedure that requires the insertion of an endotracheal tube, usually equipped with a high-volume low-pressure (HVLP) cuff. Safe cuff pressure ranges between 20 and 30cmH2O or 15 and 22mmHg. Overinflation may cause alterations in swallowing, tracheal wall ischemia, stenosis, and tracheo-esophageal fistulae; underinflation may lead to the development of ventilator-associated pneumonia (VAP) through leakage of oropharyngeal and subglottic secretions into the tracheobronchial tree and micro-aspiration of pathogens from the gastrointestinal tract (Lorente et al., 2010)....
Source: International Journal of Nursing Studies - October 4, 2014 Category: Nursing Authors: Sonia O. Labeau, Marc Bleiman, Jordi Rello, Dominique M. Vandijck, Brigitte Claes, Stijn I. Blot Tags: Letters Source Type: research

One shall become two: Separation of the esophagus and trachea from the common foregut tube
Abstract The alimentary and respiratory organ systems arise from a common endodermal origin, the anterior foregut tube. Formation of the esophagus from the dorsal region and the trachea from the ventral region of the foregut primordium occurs via a poorly understood compartmentalization process. Disruption of this process can result in severe birth defects, such as esophageal atresia and tracheoesphageal fistula (EA/TEF), in which the lumina of the trachea and esophagus remain connected. Here we summarize the signaling networks known to be necessary for regulating dorso‐ventral patterning within the common foregut tube a...
Source: Developmental Dynamics - October 1, 2014 Category: Molecular Biology Authors: Katherine Kretovich Billmyre, Mary Hutson, John Klingensmith Tags: Review Source Type: research

A contemporary prediction rule for esophageal atresia (EA) and tracheo-esophageal fistula (TEF)
Existing prediction models for tracheo-esophageal fistula (TEF) and esophageal atresia (EA) are derived from small single-institution populations treated over long periods. A prediction rule developed in a contemporary, multicenter cohort is important for counseling, tailoring therapy, and benchmarking outcomes. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 1, 2014 Category: Surgery Authors: Benjamin Turner, Roshni Dasgupta, Mary Elizabeth Brindle Source Type: research

Laryngotracheal resection and reconstruction for subglottic tracheal stenosis,our experience of 32 cases
This article is protected by copyright. All rights reserved. (Source: Clinical Otolaryngology)
Source: Clinical Otolaryngology - October 1, 2014 Category: ENT & OMF Authors: Liangfa Liu, Wenmin Wu, Yueying Ma, Yanli Liu, Yanlin Wang, Efosa Kenneth Oghagbon, Mingyan Xiang, Deliang Huang Tags: Our Experience Source Type: research

Thoracoscopic repair of esophageal atresia with tracheoesophageal fistula: Overcoming the learning curve
We describe our initial experience of thoracoscopic esophageal atresia with distal tracheoesophageal fistula (EA/TEF) repair. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 1, 2014 Category: Surgery Authors: Sanghoon Lee, Suk-Koo Lee, Jeong-Meen Seo Source Type: research

Anchoring of self-expanding metal stents using the over-the-scope clip, and a technique for subsequent removal
Conclusions: Although endoscopic anchoring of fully covered SEMS with the OTSC was feasible, easy to accomplish, safe, and prevented stent migration in most cases, larger studies are needed to confirm these encouraging early findings. The inject-and-resect technique was safe and efficient for OTSC and stent removal in all cases in which it was attempted.[...]© Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Endoscopy)
Source: Endoscopy - September 30, 2014 Category: Gastroenterology Authors: Mudumbi, SandhyaVelazquez-Aviña, JacoboNeumann, HelmutKyanam Kabir Baig, K. R.Mönkemüller, Klaus Tags: Innovations and brief communications Source Type: research

Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula in neonates: the current state of the art
This report evaluates the results and evolution of the technique over the last decade. Thoracoscopic esophageal atresia repair has proven to be an effective and safe technique. Initial experience resulted in a higher stricture rate but this improved with experience and changes in technique over the last decade. The outcomes are similar to or superior to that of an open thoracotomy and avoid the musculoskeletal morbidity associated with that technique. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - September 25, 2014 Category: Surgery Source Type: research

The management of postoperative reflux in congenital esophageal atresia–tracheoesophageal fistula: a systematic review
Conclusion The quality of literature regarding anti-reflux medication for GER post EA-TEF repair is poor. There are no well-outlined algorithms for anti-reflux agents, doses, or duration of therapy. Standardized protocols and reliable reporting are necessary to develop guidelines to better manage postoperative GER in EA-TEF patients. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - September 25, 2014 Category: Surgery Source Type: research

Thoracoscopic repair of congenital tracheo-oesophageal fistula manifesting in an adult
We report the case of a 23-year-old man diagnosed with an H-type TOF during workup undertaken for his symptoms of gastro-oesophageal reflux. This fistula located at the level of third thoracic vertebra was repaired successfully using a thoracoscopic approach. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 23, 2014 Category: Surgery Authors: Hrishikesh P SalgaonkarPradeep Chandra SharmaNippun ChhakarvartyRavindra RamadwarRajiv MehtaDeepraj S Bhandarkar Source Type: research

242 * repair of post-intubation tracheo-oesophageal fistulas through the left pre-sternocleidomastoid approach: a recent case series of 13 patients
Conclusion: The left pre-sternocleidomastoid incision is an excellent access for the repair of a post-intubation TOF avoiding tracheal resection. The interposition of the whole left pedicled sternocleidomastoid muscle between the suture lines of trachea and oesophagus prevents fistula recurrence and offers the best chance for cure. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Foroulis, C. N. N., Nana, C., Kleontas, A., Tagarakis, G., Tossios, P., Anastasiadis, K. Tags: Oesophagus Source Type: research

Analysis of renal anomalies in VACTERL association
ConclusionGiven the high prevalence of isolated VUR in our cohort, we recommend a screening VCUG or other imaging modality be obtained to evaluate for VUR if initial renal ultrasound shows evidence of obstruction or renal scarring, as well as ongoing evaluation of renal health. Birth Defects Research (Part A), 2014. © 2014 Wiley Periodicals, Inc. (Source: Birth Defects Research Part A: Clinical and Molecular Teratology)
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - September 5, 2014 Category: Perinatology & Neonatology Authors: Bridget K. Cunningham, Alina Khromykh, Ariel F. Martinez, Tyler Carney, Donald W. Hadley, Benjamin D. Solomon Tags: Brief Report Source Type: research

Montgomery T-tube for the Management of Postintubation Tracheoesophageal Fistula with Synchronic Subglottic Laryngotracheal Stenosis
In this report, we describe the successful management of two cases of postintubation TEF complicated with SLTS using a Montgomery T-tube because of the patients' contraindications for laryngotracheal resection and primary anastomosis.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  open access Full text (Source: The Thoracic and Cardiovascular Surgeon Reports)
Source: The Thoracic and Cardiovascular Surgeon Reports - September 3, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Li, ZhigangZhong, Chenxi Tags: Case Report: Thoracic Source Type: research

Difficult Esophageal Atresia: Trick and Treat
Although most patients with esophageal atresia (EA) and tracheo-esophageal fistula (TEF) may benefit from “standard” management, that is deferred emergency surgery, some may present unexpected elements that change this paradigm. Birth weight, associated anomalies and long gap can influence the therapeutic schedule of the patients with EA/TEF and make their treatment tricky. As a consequence, detailed information on these aspects gives the power to develop a decision making process as correct as possible. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 3, 2014 Category: Pediatrics Authors: Andrea Conforti, Francesco Morini, Pietro Bagolan Source Type: research

Spontaneous viral tracheoesophageal fistula
(Source: Diseases of the Esophagus)
Source: Diseases of the Esophagus - September 1, 2014 Category: Gastroenterology Authors: D. Adão, J. R. M. Carlotto, P. R. L. Oyama, F. A. M. Herbella Tags: Images in esophageal diseases Source Type: research

Ultrashort-Segment Tracheal Stenosis at Juxtacarinal Location: Is it Congenital Absence of Just the Single Cartilage or Part of a Spectrum of Anomalous Growth?
We report 3 such patients treated by excision of the affected segment and a direct anastomosis, with good result. PMID: 25193201 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Abelardo E, Muthialu N Tags: Ann Thorac Surg Source Type: research

Type IV laryngotracheoesophageal cleft with associated pulmonary foregut malformation
Laryngotracheoesophageal clefts are rare anomalies usually diagnosed in early infancy with high rates of morbidity and mortality. Frequent complications after repair are tracheoesophageal fistula, tracheomalacia, and tracheostomy dependence. Here we describe the successful repair of a Type IV laryngotracheoesophageal cleft with an associated bronchopulmonary foregut malformation in a full-term female infant. In addition to a three-layered closure, costal cartilage grafts were used anteriorly and posteriorly to recreate the lamina of the cricoid. (Source: International Journal of Pediatric Otorhinolaryngology Extra)
Source: International Journal of Pediatric Otorhinolaryngology Extra - August 26, 2014 Category: ENT & OMF Authors: Naveen Kumar, Michael Haupert, Phani Durvasula, Sonal Saraiya Tags: Case Report Source Type: research

Toxicity and survival outcomes of adjuvant chemoradiation for gastric and gastroesophageal junction cancer patients treated in period 2006-2009: an institutional experience.
Abstract Surgical resection is the mainstay of gastric or gastroesophageal junction cancer treatment and has curative potential for patients with early-stage disease. In order to improve the poor survival rates, there are two complementary treatment strategies used at most - perioperative chemotherapy based on UK Magic trial or adjuvant chemoradiation based on INT-0116 trial. Daily treatment decision making should be led also by institutional experiences with toxicity evaluation. We evaluated survival and toxicity outcomes of 47 consecutive patients who underwent adjuvant chemoradiation in our institution in the ye...
Source: Neoplasma - August 23, 2014 Category: Cancer & Oncology Authors: Slavik M, Burkon P, Kazda T, Budikova M, Slavikova M, Dvorakova E, Pospisil P, Gombosova J, Navratilova P, Slampa P Tags: Neoplasma Source Type: research

Tertiary Surgery for Complicated Repair of Esophageal Atresia
Conclusions When repeated complications appear after EA repair, radical surgical attitudes may be justified. If esophageal continuity cannot be reestablished, the native esophagus may have to be discarded and replaced. Many complications should be expected, but the end result can be good. These patients should be referred to centers with large experience in the management of this complex condition.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - August 21, 2014 Category: Surgery Authors: Ortiz, RubenGalán, Alba SánchezMartinez, LeopoldoDominguez, EvaHernández, FranciscoSantamaria, Manuel LopezTovar, Juan Antonio Tags: Original Article Source Type: research

Recurrent cerebral embolism secondary to esophageal and atrial foreign body complicated by infective endocarditis
Ingestion leading to an esophageal foreign body (FB) is not uncommon in clinical practice. Although many are retrieved without event, FBs can lead to devastating complications such as esophageal perforation, tracheoesophageal fistula, and respiratory distress. Neurologic complications of FBs are rare.1 Here we describe the case of a patient with recurrent stroke secondary to an esophageal and atrial FB complicated by infective endocarditis (IE), a complication that has not been reported before. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - August 13, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Hui Liang, Ziqi Xu, Qiang Feng, Liang Ma Tags: Case report Source Type: research

The Importance of Patient Advocacy and Family Care
By Kerry Sheeran, author of The Marathon, a novel based on the true, emotional journey of a mother and father forced to face their daughter’s life-threatening medical crisis.  Having held my daughter Emma’s hand through eight major surgeries, I consider myself well-versed in what it means to be a patient advocate. All parents are advocates for their children to a degree. From trying to feed them the right foods to connecting with their teachers, helping kids find their way in the world requires a lot of guidance and support from mom and dad. But when your child has a medical crisis, advocacy takes on a whole new ...
Source: Thrive, Children's Hospital Boston - August 7, 2014 Category: Pediatrics Authors: Guest Blogger Tags: All posts our patients' stories patient advocacy Source Type: news

Distal tracheoesophageal fistula in pediatric patient - an anesthetic challenge.
PMID: 25039876 [PubMed - in process] (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - July 22, 2014 Category: Anesthesiology Authors: Gupta B, Ayub A, Bindra A, Gupta S, Mishra B Tags: Paediatr Anaesth Source Type: research

What Causes Abdominal Distention?
Discussion Constipation generally is defined as infrequent or painful defecation. It often is due to passing large hard stool infrequently which causes painful defecation and then withholding behaviors. As stool withholding continues, the rectum dilates and gradually accommodates with the normal defecation urge disappearing. Chronic rectal distension results in both loss of rectal sensitivity, and loss of urge to defecate, which can lead to encopresis. Abdominal distention because of stool retention occurs frequently. Treatment includes colonic evacuation, establishing regular bowel habits, eating a balanced diet with diet...
Source: PediatricEducation.org - July 21, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Closure of a chronic tracheoesophageal fistula by use of a cardiac septal occluder
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - July 15, 2014 Category: Gastroenterology Authors: Vivek Kumbhari, Alba Azola, Patrick I. Okolo, Andrew Hughes, Payal Saxena, Vijay Bapat, Andrew C. Storm, Rex Yung, Mouen A. Khashab Tags: VideoGIE Source Type: research

Anterior Mediastinal Tracheostomy as Salvage Operation.
CONCLUSIONS: Our experience with AMT as salvage therapy has shown acceptable long-term results if complete resection is achieved. This procedure is not risk free, and very careful patient selection is required because of a tortuous postoperative course, especially in combined pharyngeal-esophageal and vascular reconstruction. PMID: 25038017 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Berthet JP, Garrel R, Gimferrer JM, Paradela M, Marty-Ané CH, Molins L, Gómez-Caro A Tags: Ann Thorac Surg Source Type: research

Treatment outcomes after intraluminal brachytherapy following definitive chemoradiotherapy in patients with esophageal cancer
Conclusion: ILRT boost following concurrent chemoradiotherapy is well tolerated and potentially improves outcomes. It might be beneficial in selected patients with esophageal carcinoma. Further studies are required to identify its role in definitive treatment. (Source: Journal of Cancer Research and Therapeutics)
Source: Journal of Cancer Research and Therapeutics - July 14, 2014 Category: Cancer & Oncology Authors: Krishna SharanDonald Jerard FernandesPU Prakash SaxenaSourjya BanerjeeBrijesh Sathian Source Type: research

Impact of short-term iv paracetamol in high risk neonates
Conclusion Short duration of IV paracetamol treatment in post-operative neonates on TPN, morphine and antibiotics has minimal impact on liver function in the absence of severe sepsis. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - July 11, 2014 Category: Pediatrics Authors: Windscheif, P., Mishra, G., Welsh, R., Lakhoo, K. Tags: POSTERS Source Type: research