Esophageal Surveillance Practices in Esophageal Atresia Patients: A Survey by the Eastern Pediatric Surgery Network

被引：3

作者：

Hamilton-Hall III, Malcolm N. ^{[1
]}

Jungbauer, Dana ^{[2
]}

Finck, Christine ^{[3
]}

Middlesworth, William ^{[4
,13
]}

Zendejas, Benjamin ^{[5
]}

Alaish, Samuel M. ^{[6
]}

Griggs, Cornelia L. ^{[7
,8
]}

Russell, Robert T. ^{[9
]}

Shieh, Hester F. ^{[10
]}

Scholz, Stefan ^{[11
]}

Kunisaki, Shaun M. ^{[6
]}

Feng, Christina ^{[12
]}

Danko, Melissa E. ^{[13
]}

DeFazio, Jennifer R. ^{[14
]}

Smithers, Charles J. ^{[10
]}

Zamora, Irving J. ^{[12
]}

Knod, J. Leslie ^{[3
,15
]}

机构：

[1] Univ Connecticut, UConn John Dempsey Hosp, MD MPH Dual Degree Program, Sch Med, 100 Hosp Dr, Farmington, CT 06030 USA

[2] Connecticut Childrens Med Ctr, Div Res Operat & Dev, 282 Washington St, Hartford, CT 06106 USA

[3] Connecticut Childrens Med Ctr, Div Pediat Surg, 282 Washington St, Hartford, CT 06106 USA

[4] Columbia Irving Med Ctr, Div Pediat Surg, 622 168th St, New York, NY 10032 USA

[5] Boston Childrens Hosp, Dept Surg, 300 Longwood Ave, Boston, MA 02115 USA

[6] Johns Hopkins Univ, Dept Surg, Sch Med, 733 N Broadway, Baltimore, MD 21205 USA

[7] Massachusetts Gen Hosp, Div Pediat Surg, 55 Fruit St, Boston, MA 02114 USA

[8] Harvard Med Sch, 25 Shattuck St, Boston, MA 02115 USA

[9] Childrens Alabama, Div Pediat Surg, 1600 7th Ave South, Birmingham, AL 35233 USA

[10] Johns Hopkins All Childrens Hosp, Div Pediat Surg, 501 6th Ave S, St Petersburg, FL 33701 USA

[11] UPMC Childrens Hosp Pittsburgh, Div Pediat Gen & Thorac Surg, One Childrens Hosp Dr,4401 Penn Ave, Pittsburgh, PA 15224 USA

[12] Childrens Natl Hosp, Div Pediat Colorectal & Pelv Reconstruct, 111 Michigan Ave NW, Washington, DC 20010 USA

[13] Monroe Carell Jr Childrens Hosp Vanderbilt, Dept Pediat Surg, 2200 Childrens Way, Nashville, TN 37232 USA

[14] NewYork Presbyterian Morgan Stanley Childrens Hosp, Div Pediat Surg, 3959 Broadway, New York, NY 10032 USA

[15] Connecticut Childrens Med Ctr, 282 Washington St, Hartford, CT 06106 USA

来源：

JOURNAL OF PEDIATRIC SURGERY | 2023年 / 58卷 / 06期

关键词：

Esophageal atresia; Surveillance; Esophageal disease; TRACHEOESOPHAGEAL FISTULA; GASTROESOPHAGEAL-REFLUX; FOLLOW-UP; KNOWLEDGE; COMPLICATIONS; GUIDELINES; MANAGEMENT; CHILDREN; ADULTS;

D O I：

10.1016/j.jpedsurg.2023.02.030

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Introduction: Endoscopic surveillance guidelines for patients with repaired esophageal atresia (EA) rely primarily on expert opinion. Prior to embarking on a prospective EA surveillance registry, we sought to understand EA surveillance practices within the Eastern Pediatric Surgery Network (EPSN).Methods: An anonymous, 23-question Qualtrics survey was emailed to 181 physicians (surgeons and gastroenterologists) at 19 member institutions. Likert scale questions gauged agreement with interna-tional EA surveillance guideline-derived statements. Multiple-choice questions assessed individual and institutional practices.Results: The response rate was 77%. Most respondents (80%) strongly agree or agree that EA surveillance endoscopy should follow a set schedule, while only 36% claimed to perform routine upper GI endoscopy regardless of symptoms. Many institutions (77%) have an aerodigestive clinic, even if some lack a multi-disciplinary EA team. Most physicians (72%) expressed strong interest in helping develop evidence-based guidelines.Conclusions: Our survey reveals physician agreement with current guidelines but weak adherence. Surveillance methods vary greatly, underscoring the lack of evidence-based data to guide EA care. Aer-odigestive clinics may help implement surveillance schedules. Respondents support evidence-based protocols, which bodes well for care standardization. Results will inform the first multi-institutional EA databases in the United States (US), which will be essential for evidence-based care.Level of Evidence: This is a prognosis study with level 4 evidence.(c) 2023 Elsevier Inc. All rights reserved.

引用

页码：1213 / 1218

页数：6

共 17 条

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