Position Paper of INoEA Working Group on Long-Gap Esophageal Atresia: For Better Care.
Identifieur interne : 000584 ( PubMed/Checkpoint ); précédent : 000583; suivant : 000585Position Paper of INoEA Working Group on Long-Gap Esophageal Atresia: For Better Care.
Auteurs : David C. Van Der Zee [Pays-Bas] ; Pietro Bagolan [Italie] ; Christophe Faure [Canada] ; Frederic Gottrand [France] ; Russell Jennings [États-Unis] ; Jean-Martin Laberge [Canada] ; Marcela Hernan Martinez Ferro [Argentine] ; Benoît Parmentier [France] ; Rony Sfeir [France] ; Warwick Teague [Australie]Source :
- Frontiers in pediatrics [ 2296-2360 ] ; 2017.
Abstract
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 (LGEA) set out to develop guidelines regarding the definition of LGEA, 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 LGEA should be defined as any esophageal atresia (EA) that has no intra-abdominal air, realizing that this defines EA with no distal tracheoesophageal fistula (TEF). LGEA is considerably more complex than EA with distal TEFs 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 EA centers. In light of the infrequent occurrence of LGEA 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.
DOI: 10.3389/fped.2017.00063
PubMed: 28409148
Affiliations:
- Argentine, Australie, Canada, France, Italie, Pays-Bas, États-Unis
- Hauts-de-France, Latium, Massachusetts, Nord-Pas-de-Calais, Québec, Utrecht (province), Île-de-France
- Lille, Montréal, Paris, Rome, Utrecht
- Université McGill
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Van Der Zee</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Surgery, UMC Utrecht, Utrecht, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Pediatric Surgery, UMC Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Bagolan, Pietro" sort="Bagolan, Pietro" uniqKey="Bagolan P" first="Pietro" last="Bagolan">Pietro Bagolan</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical and Surgical Neonatology, Newborn Surgery Unit, Bambino Gesù Children's Hospital-Research Institute Rome, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical and Surgical Neonatology, Newborn Surgery Unit, Bambino Gesù Children's Hospital-Research Institute Rome, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Faure, Christophe" sort="Faure, Christophe" uniqKey="Faure C" first="Christophe" last="Faure">Christophe Faure</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Université de Montréal, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pediatrics, Université de Montréal, Montreal, QC</wicri:regionArea><wicri:noRegion>QC</wicri:noRegion></affiliation></author><author><name sortKey="Gottrand, Frederic" sort="Gottrand, Frederic" uniqKey="Gottrand F" first="Frederic" last="Gottrand">Frederic Gottrand</name><affiliation wicri:level="3"><nlm:affiliation>Pôle enfant, Hôpital J de Flandre CHRU de Lille, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pôle enfant, Hôpital J de Flandre CHRU de Lille, Lille</wicri:regionArea><placeName><region type="region">Hauts-de-France</region><region type="old region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Jennings, Russell" sort="Jennings, Russell" uniqKey="Jennings R" first="Russell" last="Jennings">Russell Jennings</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatric Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pediatric Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Laberge, Jean Martin" sort="Laberge, Jean Martin" uniqKey="Laberge J" first="Jean-Martin" last="Laberge">Jean-Martin Laberge</name><affiliation wicri:level="4"><nlm:affiliation>Montréal Children's Hospital, McGill University, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Montréal Children's Hospital, McGill University, Montreal, QC</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Martinez Ferro, Marcela Hernan" sort="Martinez Ferro, Marcela Hernan" uniqKey="Martinez Ferro M" first="Marcela Hernan" last="Martinez Ferro">Marcela Hernan Martinez Ferro</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Surgery, J. P. Garrahan National Children's Hospital, Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Department of Pediatric Surgery, J. P. Garrahan National Children's Hospital, Buenos Aires</wicri:regionArea><wicri:noRegion>Buenos Aires</wicri:noRegion></affiliation></author><author><name sortKey="Parmentier, Benoit" sort="Parmentier, Benoit" uniqKey="Parmentier B" first="Benoît" last="Parmentier">Benoît Parmentier</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Surgery, Robert Debré University Hospital, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Pediatric Surgery, Robert Debré University Hospital, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Sfeir, Rony" sort="Sfeir, Rony" uniqKey="Sfeir R" first="Rony" last="Sfeir">Rony Sfeir</name><affiliation wicri:level="3"><nlm:affiliation>Department of Surgery, Jeanne de Flandre Hospital, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Surgery, Jeanne de Flandre Hospital, Lille</wicri:regionArea><placeName><region type="region">Hauts-de-France</region><region type="old region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Teague, Warwick" sort="Teague, Warwick" uniqKey="Teague W" first="Warwick" last="Teague">Warwick Teague</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Surgery, The Royal Children's Hospital, Melbourne, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Pediatric Surgery, The Royal Children's Hospital, Melbourne, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author></analytic><series><title level="j">Frontiers in pediatrics</title><idno type="ISSN">2296-2360</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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 (LGEA) set out to develop guidelines regarding the definition of LGEA, 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 LGEA should be defined as any esophageal atresia (EA) that has no intra-abdominal air, realizing that this defines EA with no distal tracheoesophageal fistula (TEF). LGEA is considerably more complex than EA with distal TEFs 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 EA centers. In light of the infrequent occurrence of LGEA 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.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28409148</PMID><DateCreated><Year>2017</Year><Month>04</Month><Day>14</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>16</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2296-2360</ISSN><JournalIssue CitedMedium="Print"><Volume>5</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>Frontiers in pediatrics</Title><ISOAbbreviation>Front Pediatr</ISOAbbreviation></Journal><ArticleTitle>Position Paper of INoEA Working Group on Long-Gap Esophageal Atresia: For Better Care.</ArticleTitle><Pagination><MedlinePgn>63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3389/fped.2017.00063</ELocationID><Abstract><AbstractText>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 (LGEA) set out to develop guidelines regarding the definition of LGEA, 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 LGEA should be defined as any esophageal atresia (EA) that has no intra-abdominal air, realizing that this defines EA with no distal tracheoesophageal fistula (TEF). LGEA is considerably more complex than EA with distal TEFs 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 EA centers. In light of the infrequent occurrence of LGEA 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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van der Zee</LastName><ForeName>David C</ForeName><Initials>DC</Initials><AffiliationInfo><Affiliation>Department of Pediatric Surgery, UMC Utrecht, Utrecht, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bagolan</LastName><ForeName>Pietro</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Medical and Surgical Neonatology, Newborn Surgery Unit, Bambino Gesù Children's Hospital-Research Institute Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Faure</LastName><ForeName>Christophe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Université de Montréal, Montreal, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gottrand</LastName><ForeName>Frederic</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Pôle enfant, Hôpital J de Flandre CHRU de Lille, Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jennings</LastName><ForeName>Russell</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Pediatric Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laberge</LastName><ForeName>Jean-Martin</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Montréal Children's Hospital, McGill University, Montreal, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martinez Ferro</LastName><ForeName>Marcela Hernan</ForeName><Initials>MH</Initials><AffiliationInfo><Affiliation>Department of Pediatric Surgery, J. P. Garrahan National Children's Hospital, Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parmentier</LastName><ForeName>Benoît</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Pediatric Surgery, Robert Debré University Hospital, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sfeir</LastName><ForeName>Rony</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Surgery, Jeanne de Flandre Hospital, Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Teague</LastName><ForeName>Warwick</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Pediatric Surgery, The Royal Children's Hospital, Melbourne, VIC, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Front Pediatr</MedlineTA><NlmUniqueID>101615492</NlmUniqueID><ISSNLinking>2296-2360</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Pediatr Surg. 2013 Nov;48(11):2351-3</RefSource><PMID Version="1">24210211</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pediatr Surg. 2008 Mar;43(3):522-5</RefSource><PMID Version="1">18358293</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>World J Surg. 2015 Jan;39(1):158-64</RefSource><PMID Version="1">25231705</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Surg Endosc. 2015 Nov;29(11):3324-30</RefSource><PMID Version="1">25669641</PMID></CommentsCorrections><CommentsCorrections 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RefType="Cites"><RefSource>Dis Esophagus. 2013 May-Jun;26(4):372-9</RefSource><PMID Version="1">23679026</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pediatr Surg. 2015 Apr;50(4):535-9</RefSource><PMID Version="1">25840058</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pediatr Surg. 2015 Jun;50(6):933-7</RefSource><PMID Version="1">25841281</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">centers of expertise</Keyword><Keyword MajorTopicYN="N">definition</Keyword><Keyword MajorTopicYN="N">diagnosis</Keyword><Keyword MajorTopicYN="N">long-gap esophageal atresia</Keyword><Keyword MajorTopicYN="N">management</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>12</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>03</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>4</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>4</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>15</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28409148</ArticleId><ArticleId IdType="doi">10.3389/fped.2017.00063</ArticleId><ArticleId IdType="pmc">PMC5374143</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Argentine</li><li>Australie</li><li>Canada</li><li>France</li><li>Italie</li><li>Pays-Bas</li><li>États-Unis</li></country><region><li>Hauts-de-France</li><li>Latium</li><li>Massachusetts</li><li>Nord-Pas-de-Calais</li><li>Québec</li><li>Utrecht (province)</li><li>Île-de-France</li></region><settlement><li>Lille</li><li>Montréal</li><li>Paris</li><li>Rome</li><li>Utrecht</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="Van Der Zee, David C" sort="Van Der Zee, David C" uniqKey="Van Der Zee D" first="David C" last="Van Der Zee">David C. Van Der Zee</name></region></country><country name="Italie"><region name="Latium"><name sortKey="Bagolan, Pietro" sort="Bagolan, Pietro" uniqKey="Bagolan P" first="Pietro" last="Bagolan">Pietro Bagolan</name></region></country><country name="Canada"><noRegion><name sortKey="Faure, Christophe" sort="Faure, Christophe" uniqKey="Faure C" first="Christophe" last="Faure">Christophe Faure</name></noRegion><name sortKey="Laberge, Jean Martin" sort="Laberge, Jean Martin" uniqKey="Laberge J" first="Jean-Martin" last="Laberge">Jean-Martin Laberge</name></country><country name="France"><region name="Hauts-de-France"><name sortKey="Gottrand, Frederic" sort="Gottrand, Frederic" uniqKey="Gottrand F" first="Frederic" last="Gottrand">Frederic Gottrand</name></region><name sortKey="Parmentier, Benoit" sort="Parmentier, Benoit" uniqKey="Parmentier B" first="Benoît" last="Parmentier">Benoît Parmentier</name><name sortKey="Sfeir, Rony" sort="Sfeir, Rony" uniqKey="Sfeir R" first="Rony" last="Sfeir">Rony Sfeir</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Jennings, Russell" sort="Jennings, Russell" uniqKey="Jennings R" first="Russell" last="Jennings">Russell Jennings</name></region></country><country name="Argentine"><noRegion><name sortKey="Martinez Ferro, Marcela Hernan" sort="Martinez Ferro, Marcela Hernan" uniqKey="Martinez Ferro M" first="Marcela Hernan" last="Martinez Ferro">Marcela Hernan Martinez Ferro</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Teague, Warwick" sort="Teague, Warwick" uniqKey="Teague W" first="Warwick" last="Teague">Warwick Teague</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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