Management and outcome of oesophageal atresia and tracheoesophageal fistula in pediatrics : our experience at Queen Rania Al-Abdullah Hospital for Children
المؤلفون المشاركون
Abu Qurah, Ahmad Nizar
al-Muflih, Wasim Ahmad
al-Ibrahim, Amir Damin
Khasawinah, Ghayth Faysal
al-Rimuni, Ahmad Ibrahim
karadishah, Samir Shukri
المصدر
Journal of the Royal Medical Services
العدد
المجلد 29، العدد 2 (31 أغسطس/آب 2022)، ص ص. 98-107، 10ص.
الناشر
الخدمات الطبية الملكية الأردنية
تاريخ النشر
2022-08-31
دولة النشر
الأردن
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Objective: To report our experience at Queen Rania Al-Abdullah Hospital for Children (QRHC) in the management of oesophageal atresia (EA) and tracheoesophageal fistula (TEF) regarding prognostic predictors, outcome, complications, survival and death rates.
Method: A retrospective study was conducted by reviewing the medical records of patients with EA-TEF who were admitted to QRHC in the period from March 2017 to November 2019.
Total number of cases was 40; 26 males and 14 females with a male to female ratio of 1.86:1.
The post-operative follow up period ranged from 8 to 24 months (mean was 18 months).
Demographic data, complications, survival and death rates were collected to analyse our outcome.
Results: Out of our 40 patients, 34 (85%) cases were EA Gross type C, 5 (12.5%) were type A and 1 (2.5%) case was type H.
Patient mean age was 22.5 hours (ranging from 5 hours to 3 days), mean body weight was 2.1 kg (ranging from 1.1 to 3.6 kg) and mean gestational age was 33.5 weeks (ranging from 28 to 38 weeks).
Congenital anomalies were seen in 60% (24 patients); the most common was cardiac, which presented in 50% (12 patients), while the second most common was urogenital anomalies in 33% (8 patients).
The VACTERL association was demonstrated in one patient.
No chromosomal anomalies were detected.
The survival rate was 80% (32 cases); the 8 patients who died were premature, 7 (87.5%) of whom had a low birth weight (less than 2.5 kg) and 5 (62.5%) of whom had cardiac anomalies.
Regarding complications, 27.5% complained of Gastroesophageal Reflux Disease (GERD) (11 cases), 20% developed oesophageal anastomotic stricture (8 cases) and 10% developed anastomotic oesophageal leak (4 cases).
Conclusion: The main prognostic predictors of outcome in the management of EA-TEF were gestational age (GA), birth weight (BW) and associated congenital anomalies, mainly cardiac.
The survival rate is improving due to advances in neonatal ICU, anaesthetics and surgical techniques.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Abu Qurah, Ahmad Nizar& al-Muflih, Wasim Ahmad& al-Ibrahim, Amir Damin& Khasawinah, Ghayth Faysal& karadishah, Samir Shukri& al-Rimuni, Ahmad Ibrahim. 2022. Management and outcome of oesophageal atresia and tracheoesophageal fistula in pediatrics : our experience at Queen Rania Al-Abdullah Hospital for Children. Journal of the Royal Medical Services،Vol. 29, no. 2, pp.98-107.
https://search.emarefa.net/detail/BIM-1430846
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Abu Qurah, Ahmad Nizar…[et al.]. Management and outcome of oesophageal atresia and tracheoesophageal fistula in pediatrics : our experience at Queen Rania Al-Abdullah Hospital for Children. Journal of the Royal Medical Services Vol. 29, no. 2 (Aug. 2022), pp.98-107.
https://search.emarefa.net/detail/BIM-1430846
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Abu Qurah, Ahmad Nizar& al-Muflih, Wasim Ahmad& al-Ibrahim, Amir Damin& Khasawinah, Ghayth Faysal& karadishah, Samir Shukri& al-Rimuni, Ahmad Ibrahim. Management and outcome of oesophageal atresia and tracheoesophageal fistula in pediatrics : our experience at Queen Rania Al-Abdullah Hospital for Children. Journal of the Royal Medical Services. 2022. Vol. 29, no. 2, pp.98-107.
https://search.emarefa.net/detail/BIM-1430846
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 105-107
رقم السجل
BIM-1430846
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر