Diagnostic Workup of Neonates With Esophageal Atresia: Results From the EUPSA Esophageal Atresia Registry

Autor: Francesco Morini, Andrea Conforti, Augusto Zani, Sanja Sindjic-Antunovic, Antti Koivusalo, Florian Friedmacher, Ernest van Heurn, Agostino Pierro, Michael Hollwarth, Pietro Bagolan
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Frontiers in Pediatrics, Vol 8 (2020)
Druh dokumentu: article
ISSN: 2296-2360
DOI: 10.3389/fped.2020.00489
Popis: Aim: Controversies exist on the optimal diagnostic workup for neonates with esophageal atresia (EA) with/without tracheoesophageal fistula (TEF). Aim of this study was to describe the current diagnostic policies in EA/TEF patients enrolled in an International multicenter registry.Methods: All patients consecutively registered from July 2014 to December 2017 in the EUPSA Esophageal Atresia Registry (EUPSA-EAR) were included in the study. Data related to diagnostic investigations among Centers forming the EUPSA-EAR were analyzed.Main Results: During the study period, 374 consecutive patients were recorded by 23 Centers. The majority of patients underwent chest X-rays, echocardiography, abdominal ultrasound, and abdominal X-rays. Preoperative bronchoscopy and esophageal gap measurement were performed in one third of the patients.Conclusions: Present data from a large cohort of patients from the EUPSA-EAR show both inter-institutional and intra-institutional variability in diagnostic workup of patients with EA/TEF. Efforts should be made to develop guidelines on the diagnostic workup for EA/TEF patients.
Databáze: Directory of Open Access Journals