Endoscopic management of esophageal mucosal bridges in children with esophageal atresia. Antoine, M., Krishnan, U., Manfredi, M., Cervinskiene, J., Viala, J., Brendel, J., Tzivinikos, C., Vanrenterghem, A., Dimitrov, G., Hauser, B., Laverdure, N., Rohmer, B., Behal, H., Nicolas, A., & Gottrand, F. Surgical Endoscopy, 37(12):9167–9172, December, 2023. ![Endoscopic management of esophageal mucosal bridges in children with esophageal atresia [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex BACKGROUND AND STUDY AIMS: Esophageal mucosal bridge (EMB) may be diagnosed at the anastomotic site in children operated on for esophageal atresia (EA) but so far only a few cases (n = 4) have been reported. This study aimed to characterize EMB in children with EA, risk factors, and treatment. PATIENTS AND METHODS: This retrospective multicenter study recorded patient's characteristics, EMB diagnosis circumstances, endoscopic management, follow-up, and EMB recurrence in children with EA aged less than 18 years, compared with paired EA patients without EMB. RESULTS: Thirty patients were included (60% male, 90% EA/tracheoesophageal fistula, 43% associated malformations). Compared to 44 paired controls, EMB was associated with a history of nasogastric tube feeding (31% vs. 9.1%, p = 0.02) and severe gastroesophageal reflux disease (history of fundoplication: 41.4% vs. 13.6%, p \textless 0.01). 77% had symptoms (food impaction and/or dysphagia). Endoscopic management was performed in 53% of patients (83% electrocoagulation) with no technical difficulties or complications. 80% of the symptomatic patients with EMB improved after endoscopic treatment, independently of anastomotic stricture dilatation or not. CONCLUSION: EMB endoscopic management by electrocoagulation is safe and often leads to symptom improvement.
@article{antoine_endoscopic_2023,
title = {Endoscopic management of esophageal mucosal bridges in children with esophageal atresia},
volume = {37},
issn = {1432-2218},
url = {http://hdl.handle.net/20.500.12210/88775},
doi = {10.1007/s00464-023-10492-1},
abstract = {BACKGROUND AND STUDY AIMS: Esophageal mucosal bridge (EMB) may be diagnosed at the anastomotic site in children operated on for esophageal atresia (EA) but so far only a few cases (n = 4) have been reported. This study aimed to characterize EMB in children with EA, risk factors, and treatment.
PATIENTS AND METHODS: This retrospective multicenter study recorded patient's characteristics, EMB diagnosis circumstances, endoscopic management, follow-up, and EMB recurrence in children with EA aged less than 18 years, compared with paired EA patients without EMB.
RESULTS: Thirty patients were included (60\% male, 90\% EA/tracheoesophageal fistula, 43\% associated malformations). Compared to 44 paired controls, EMB was associated with a history of nasogastric tube feeding (31\% vs. 9.1\%, p = 0.02) and severe gastroesophageal reflux disease (history of fundoplication: 41.4\% vs. 13.6\%, p {\textless} 0.01). 77\% had symptoms (food impaction and/or dysphagia). Endoscopic management was performed in 53\% of patients (83\% electrocoagulation) with no technical difficulties or complications. 80\% of the symptomatic patients with EMB improved after endoscopic treatment, independently of anastomotic stricture dilatation or not.
CONCLUSION: EMB endoscopic management by electrocoagulation is safe and often leads to symptom improvement.},
language = {eng},
number = {12},
journal = {Surgical Endoscopy},
author = {Antoine, Matthieu and Krishnan, Usha and Manfredi, Michael and Cervinskiene, Julija and Viala, Jérôme and Brendel, Julia and Tzivinikos, Christos and Vanrenterghem, Audrey and Dimitrov, Georges and Hauser, Bruno and Laverdure, Noémie and Rohmer, Barbara and Behal, Hélène and Nicolas, Audrey and Gottrand, Frédéric},
month = dec,
year = {2023},
pmid = {37831175},
pmcid = {PMC10709217},
keywords = {Child, Deglutition Disorders, Endoscopy, Esophageal Atresia, Esophageal Stenosis, Esophageal atresia, Esophageal mucosal bridge, Female, Fundoplication, Humans, Male, Pediatric gastrointestinal endoscopy, Postoperative Complications, Retrospective Studies, Tracheoesophageal Fistula, Treatment Outcome},
pages = {9167--9172},
}
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This study aimed to characterize EMB in children with EA, risk factors, and treatment. PATIENTS AND METHODS: This retrospective multicenter study recorded patient's characteristics, EMB diagnosis circumstances, endoscopic management, follow-up, and EMB recurrence in children with EA aged less than 18 years, compared with paired EA patients without EMB. RESULTS: Thirty patients were included (60% male, 90% EA/tracheoesophageal fistula, 43% associated malformations). Compared to 44 paired controls, EMB was associated with a history of nasogastric tube feeding (31% vs. 9.1%, p = 0.02) and severe gastroesophageal reflux disease (history of fundoplication: 41.4% vs. 13.6%, p \\textless 0.01). 77% had symptoms (food impaction and/or dysphagia). Endoscopic management was performed in 53% of patients (83% electrocoagulation) with no technical difficulties or complications. 80% of the symptomatic patients with EMB improved after endoscopic treatment, independently of anastomotic stricture dilatation or not. CONCLUSION: EMB endoscopic management by electrocoagulation is safe and often leads to symptom improvement.","language":"eng","number":"12","journal":"Surgical Endoscopy","author":[{"propositions":[],"lastnames":["Antoine"],"firstnames":["Matthieu"],"suffixes":[]},{"propositions":[],"lastnames":["Krishnan"],"firstnames":["Usha"],"suffixes":[]},{"propositions":[],"lastnames":["Manfredi"],"firstnames":["Michael"],"suffixes":[]},{"propositions":[],"lastnames":["Cervinskiene"],"firstnames":["Julija"],"suffixes":[]},{"propositions":[],"lastnames":["Viala"],"firstnames":["Jérôme"],"suffixes":[]},{"propositions":[],"lastnames":["Brendel"],"firstnames":["Julia"],"suffixes":[]},{"propositions":[],"lastnames":["Tzivinikos"],"firstnames":["Christos"],"suffixes":[]},{"propositions":[],"lastnames":["Vanrenterghem"],"firstnames":["Audrey"],"suffixes":[]},{"propositions":[],"lastnames":["Dimitrov"],"firstnames":["Georges"],"suffixes":[]},{"propositions":[],"lastnames":["Hauser"],"firstnames":["Bruno"],"suffixes":[]},{"propositions":[],"lastnames":["Laverdure"],"firstnames":["Noémie"],"suffixes":[]},{"propositions":[],"lastnames":["Rohmer"],"firstnames":["Barbara"],"suffixes":[]},{"propositions":[],"lastnames":["Behal"],"firstnames":["Hélène"],"suffixes":[]},{"propositions":[],"lastnames":["Nicolas"],"firstnames":["Audrey"],"suffixes":[]},{"propositions":[],"lastnames":["Gottrand"],"firstnames":["Frédéric"],"suffixes":[]}],"month":"December","year":"2023","pmid":"37831175","pmcid":"PMC10709217","keywords":"Child, Deglutition Disorders, Endoscopy, Esophageal Atresia, Esophageal Stenosis, Esophageal atresia, Esophageal mucosal bridge, Female, Fundoplication, Humans, Male, Pediatric gastrointestinal endoscopy, Postoperative Complications, Retrospective Studies, Tracheoesophageal Fistula, Treatment Outcome","pages":"9167–9172","bibtex":"@article{antoine_endoscopic_2023,\n\ttitle = {Endoscopic management of esophageal mucosal bridges in children with esophageal atresia},\n\tvolume = {37},\n\tissn = {1432-2218},\n\turl = {http://hdl.handle.net/20.500.12210/88775},\n\tdoi = {10.1007/s00464-023-10492-1},\n\tabstract = {BACKGROUND AND STUDY AIMS: Esophageal mucosal bridge (EMB) may be diagnosed at the anastomotic site in children operated on for esophageal atresia (EA) but so far only a few cases (n = 4) have been reported. This study aimed to characterize EMB in children with EA, risk factors, and treatment.\nPATIENTS AND METHODS: This retrospective multicenter study recorded patient's characteristics, EMB diagnosis circumstances, endoscopic management, follow-up, and EMB recurrence in children with EA aged less than 18 years, compared with paired EA patients without EMB.\nRESULTS: Thirty patients were included (60\\% male, 90\\% EA/tracheoesophageal fistula, 43\\% associated malformations). Compared to 44 paired controls, EMB was associated with a history of nasogastric tube feeding (31\\% vs. 9.1\\%, p = 0.02) and severe gastroesophageal reflux disease (history of fundoplication: 41.4\\% vs. 13.6\\%, p {\\textless} 0.01). 77\\% had symptoms (food impaction and/or dysphagia). 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