PMID- 32657095 OWN - NLM STAT- MEDLINE DCOM- 20210506 LR - 20220415 IS - 2445-2807 (Electronic) IS - 0214-1221 (Linking) VI - 33 IP - 3 DP - 2020 Jul 1 TI - Measuring esophageal anastomotic stricture index as a predictor of dilatation following esophageal atresia surgical repair. PG - 119-124 AB - INTRODUCTION: Anastomotic stricture is the most common complication following esophageal atresia (EA) surgical repair. The objective of this study was to evaluate Anastomotic Stricture Index (ASI: relationship between pouch and stricture diameters in the postoperative esophagram) as a predictor of the need for esophageal dilatation. METHODS: A retrospective review of all patients undergoing EA repair in our healthcare facility from 2009 to 2017 was designed. Proximal pouch ASI (proximal ASI) and distal pouch ASI (distal ASI) in the first and second postoperative esophagram were calculated, and correlation with the number of esophageal dilatations required was studied. For statistical analysis purposes, Spearman's correlation test and ROC curves were used. RESULTS: Of the 31 patients included, 21 (67.7%) required esophageal dilatation, and 11 (35.5%) required 3 or more dilatations. The relationship between ASIs in the first esophagram and the need for esophageal dilatation was not statistically significant (p >0.05). The relationship between proximal ASI (RHO = 0.84, p <0.05) and the number of dilatations in the second esophagram was statistically significant. None of the patients with <0.55 proximal ASI required dilatation; patients with 0.55-0.79 proximal ASI required less than 3 dilatations; and patients with >0.79 proximal ASI had a high risk of requiring 3 or more dilatations. CONCLUSION: According to our study, measuring ASI in the second esophagram proves useful in predicting EA patients' postoperative management, especially when it comes to identifying patients with lower risk of undergoing multiple dilatations. FAU - Ordonez Pereira, J AU - Ordonez Pereira J AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - Perez Egido, L AU - Perez Egido L AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - Garcia-Casillas, M A AU - Garcia-Casillas MA AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - Fanjul, M AU - Fanjul M AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - de la Torre, M AU - de la Torre M AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - Cerda, J A AU - Cerda JA AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - Del Canizo, A AU - Del Canizo A AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - Pelaez, D AU - Pelaez D AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). FAU - de Agustin, J C AU - de Agustin JC AD - Pediatric Surgery Department. Gregorio Maranon University Hospital. Madrid (Spain). LA - eng LA - spa PT - Journal Article TT - Medicion del indice de estenosis de la anastomosis esofagica como predictor de dilatacion tras la correccion quirurgica de la atresia esofagica. DEP - 20200701 PL - Spain TA - Cir Pediatr JT - Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica JID - 8900492 SB - IM MH - Dilatation/methods MH - Esophageal Atresia/*surgery MH - Esophageal Stenosis/*etiology/therapy MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Postoperative Complications/*pathology/therapy MH - Retrospective Studies MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - Anastomotic stricture OT - Esophageal atresia OT - Esophageal dilatation OT - Esophagram OT - Stricture index EDAT- 2020/07/14 06:00 MHDA- 2021/05/07 06:00 CRDT- 2020/07/14 06:00 PHST- 2020/07/14 06:00 [entrez] PHST- 2020/07/14 06:00 [pubmed] PHST- 2021/05/07 06:00 [medline] PST - epublish SO - Cir Pediatr. 2020 Jul 1;33(3):119-124.