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Article: Measurement of gap length in esophageal atresia: a simple predictor of outcome

TitleMeasurement of gap length in esophageal atresia: a simple predictor of outcome
Authors
Issue Date1996
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamcollsurg
Citation
Journal of American College of Surgeons, 1996, v. 182, p. 41-45 How to Cite?
AbstractBackground: Previous Classifications Of Esophageal Atresia (Ea) And Tracheoesophageal Fistula (Tef) Have Concentrated On Associated Medical Conditions That Influence Survival. We Propose A Classification Based On Gap Lengths To Define The Magnitude Of The Surgical Problems In Ea And Tef And Correlate Them With Outcome. Study Design: Gaps Between The Esophageal Ends Were Classified As Long (Greater Than 3 Cm), Intermediate (Greater Than 1 Cm But Less Than Or Equal To 3 Cm) Or Short (Less Than Or Equal To 1 Cm). A Series Of 66 Consecutive Patients With Ea And Tef Were Studied. Results: The Outcomes Of Patients With Long (N=16), Intermediate (N=16), And Short (N=34) Gaps Were Respectively: Death (18 Percent, 6 Percent, 3 Percent), Anastomotic Leak (31 Percent, 25 Percent, 6 Percent), Stricture (44 Percent, 31 Percent, 17 Percent), Recurrent Tef (6 Percent, 6 Percent, 6 Percent), Gastroesophageal Reflux (56 Percent, 37 Percent, 36 Percent), And Failure To Thrive (56 Percent, 43 Percent, 18 Percent). The Mean Hospital Stay At First Admission Was (97, 54, 24 Days, Respectively) And The Mean Number Of Readmissions Was (6.9, 5.2, 3.4, Respectively). Conclusions: This Classification, Which Is Based On Easily Measurable Criteria, Provides A Useful Method To Predict Morbidity, Long-Term Outcome, And Health Costs Associated With Ea And Tef Surgery.
Persistent Identifierhttp://hdl.handle.net/10722/83908
ISSN
2015 Impact Factor: 4.257
2015 SCImago Journal Rankings: 2.604
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorBrown, AKen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:46:39Z-
dc.date.available2010-09-06T08:46:39Z-
dc.date.issued1996en_HK
dc.identifier.citationJournal of American College of Surgeons, 1996, v. 182, p. 41-45en_HK
dc.identifier.issn1072-7515en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83908-
dc.description.abstractBackground: Previous Classifications Of Esophageal Atresia (Ea) And Tracheoesophageal Fistula (Tef) Have Concentrated On Associated Medical Conditions That Influence Survival. We Propose A Classification Based On Gap Lengths To Define The Magnitude Of The Surgical Problems In Ea And Tef And Correlate Them With Outcome. Study Design: Gaps Between The Esophageal Ends Were Classified As Long (Greater Than 3 Cm), Intermediate (Greater Than 1 Cm But Less Than Or Equal To 3 Cm) Or Short (Less Than Or Equal To 1 Cm). A Series Of 66 Consecutive Patients With Ea And Tef Were Studied. Results: The Outcomes Of Patients With Long (N=16), Intermediate (N=16), And Short (N=34) Gaps Were Respectively: Death (18 Percent, 6 Percent, 3 Percent), Anastomotic Leak (31 Percent, 25 Percent, 6 Percent), Stricture (44 Percent, 31 Percent, 17 Percent), Recurrent Tef (6 Percent, 6 Percent, 6 Percent), Gastroesophageal Reflux (56 Percent, 37 Percent, 36 Percent), And Failure To Thrive (56 Percent, 43 Percent, 18 Percent). The Mean Hospital Stay At First Admission Was (97, 54, 24 Days, Respectively) And The Mean Number Of Readmissions Was (6.9, 5.2, 3.4, Respectively). Conclusions: This Classification, Which Is Based On Easily Measurable Criteria, Provides A Useful Method To Predict Morbidity, Long-Term Outcome, And Health Costs Associated With Ea And Tef Surgery.en_US
dc.languageengen_HK
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamcollsurgen_HK
dc.relation.ispartofJournal of American College of Surgeonsen_HK
dc.rightsJournal of American College of Surgeons. Copyright © Elsevier Inc.en_HK
dc.titleMeasurement of gap length in esophageal atresia: a simple predictor of outcomeen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1072-7515&volume=182&spage=41&epage=45&date=1996&atitle=Measurement+of+gap+length+in+esophageal+atresia:+a+simple+predictor+of+outcomeen_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid8542088-
dc.identifier.scopuseid_2-s2.0-0030071314en_US
dc.identifier.hkuros23461en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030071314&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume182en_US
dc.identifier.issue1en_US
dc.identifier.spage41en_US
dc.identifier.epage45en_US
dc.identifier.isiWOS:A1996TN21800008-

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