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Update on Oesophageal Atresia-Tracheoesophageal Fistula

Oesophageal atresia-tracheoesophageal fistula (OA-TOF) is a congenital digestive malformation. With improvements in surgical techniques and perioperative care, survival rates now exceed 90% and OA-TOF is no more just a neonatal surgical problem, and the focus has now shifted from mortality to morbid...

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Detalhes bibliográficos
Autor principal: Christophe Faure (auth)
Outros Autores: Usha Krishnan (auth)
Formato: Recurso Eletrônico Capítulo de Livro
Idioma:inglês
Publicado em: Frontiers Media SA 2017
coleção:Frontiers Research Topics
Assuntos:
Medicine
Manometry
Fundoplication
Oesophageal Atresia
Gastric function
Dysmotility
Tracheoesophageal Fistula
cyanotic spells
Gastroesophageal Reflux
Impedance testing
Registry
Long Gap
Acesso em linha:DOAB: download the publication
DOAB: description of the publication
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Descrição
Resumo:Oesophageal atresia-tracheoesophageal fistula (OA-TOF) is a congenital digestive malformation. With improvements in surgical techniques and perioperative care, survival rates now exceed 90% and OA-TOF is no more just a neonatal surgical problem, and the focus has now shifted from mortality to morbidity with focus on long-term survival and quality of life issues. The primary complications experienced by these patients include gastroesophageal reflux, peptic and eosinophilic esophagitis, anastomotic stricture, esophageal dysmotility, abnormal gastric function, feeding difficulties and respiratory disorders including tracheomalacia and "cyanotic spells". Concerns in adults include oesophageal adenocarcinoma and epidermoid carcinoma which have been recently reported. This highlights the need for careful multidisciplinary follow up not only in childhood but also after transition to adulthood. Data regarding long-term outcomes and follow-ups are limited for patients following OA-TOF repair. The determination of the risk factors for the complicated evolution following OA-TOF repair may positively impact long-term prognoses. This e-book contains review articles and position paper on all aspects of management of this condition. The material presented in the following articles is primarily based on the presentations by world experts during the recent Fourth International Conference on Oesophageal Atresia held in Sydney in 2016.
Descrição Física:1 electronic resource (93 p.)
ISBN:978-2-88945-304-7
9782889453047
Acesso:Open Access

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