The effect of postoperative ventilation strategies on postoperative complications and outcomes in patients with esophageal atresia: Results from the Turkish Esophageal Atresia Registry

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dc.authoridÖzcan, Rahşan/0000-0002-8873-2841
dc.authoridparlak, ayse/0000-0001-7686-2561
dc.authoridYalcin Comert, Hatice Sonay/0000-0002-5281-4933
dc.authoridUlukaya Durakbasa, Cigdem/0000-0002-6474-3407
dc.authoridOZTAN, Mustafa Onur/0000-0003-3696-4090
dc.authoridSoyer, Tutku/0000-0003-1505-6042
dc.authoridDökümcü, Zafer/0000-0002-4996-7824
dc.authorwosidUzunlu, Osman/AAC-5263-2020
dc.authorwosidÖzcan, Rahşan/O-3285-2014
dc.authorwosidDökümcü, Zafer/B-5279-2018
dc.authorwosidÖzcan, Rahsan/HTT-4755-2023
dc.contributor.authorCömert, Hatice Sonay Yalçın
dc.contributor.authorGüney, Doğuş
dc.contributor.authorDurakbasa, Cigdem Ulukaya
dc.contributor.authorDökümcü, Zafer
dc.contributor.authorSoyer, Tutku
dc.contributor.authorFırıncı, Binali
dc.contributor.authorÇiftçi, İlhan
dc.contributor.authorAydın, Emrah
dc.date.accessioned2023-05-06T17:22:10Z
dc.date.available2023-05-06T17:22:10Z
dc.date.issued2023
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Ana Bilim Dalı
dc.description.abstractObjectivesPostoperative ventilatory strategies in patients with esophageal atresia (EA) and tracheoesophageal fistula (TEF) may have an impact on early postoperative complications. Our national Esophageal Atresia Registry was evaluated to define a possible relationship between the type and duration of respiratory support on postoperative complications and outcome. Study DesignAmong the data registered by 31 centers between 2015 and 2021, patients with esophago-esophageal anastomosis (EEA)/tracheoesophageal fistula (TEF) were divided into two groups; invasive ventilatory support (IV) and noninvasive ventilatory support and/or oxygen support (NIV-OS). The demographic findings, gestational age, type of atresia, associated anomalies, and genetic malformations were evaluated. We compared the type of repair, gap length, chest tube insertion, follow-up times, tensioned anastomosis, postoperative complications, esophageal dilatations, respiratory problems requiring treatment after the operation, and mortality rates. ResultsAmong 650 registered patients, 502 patients with EEA/TEF repair included the study. Four hundred and seventy of patients require IV and 32 of them had NIV-OS treatment. The IV group had lower mean birth weights and higher incidence of respiratory problems when compared to NIV-OS group. Also, NIV-OS group had significantly higher incidence of associated anomalies than IV groups. The rates of postoperative complications and mortality were not different between the IV and NIV-OS groups. ConclusionWe demonstrated that patients who required invasive ventilation had a higher incidence of low birth weight and respiratory morbidity. We found no relation between mode of postoperative ventilation and surgical complications. Randomized controlled trials and clinical guidelines are needed to define the best type of ventilation strategy in children with EA/TEF.
dc.identifier.doi10.1002/ppul.26251
dc.identifier.endpage771
dc.identifier.issn8755-6863
dc.identifier.issn1099-0496
dc.identifier.issue3en_US
dc.identifier.pmid36398363
dc.identifier.scopus2-s2.0-85142615430
dc.identifier.scopusqualityQ1
dc.identifier.startpage763
dc.identifier.urihttps://doi.org/10.1002/ppul.26251
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12091
dc.identifier.volume58
dc.identifier.wosWOS:000890370000001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAydın, Emrah
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofPediatric Pulmonology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectcomplication
dc.subjectesophageal atresia
dc.subjectmechanical ventilation
dc.subjecttracheoesophageal fistula
dc.subjectTracheoesophageal Fistula
dc.subjectManagement
dc.subjectRisk
dc.titleThe effect of postoperative ventilation strategies on postoperative complications and outcomes in patients with esophageal atresia: Results from the Turkish Esophageal Atresia Registry
dc.typeArticle

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