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Thoracic skeletal anomalies following surgical treatment of esophageal atresia. Lessons from a national cohort

dc.rights.licenseopenen_US
dc.contributor.authorBASTARD, F.
dc.contributor.authorBONNARD, A.
dc.contributor.authorROUSSEAU, V.
dc.contributor.authorGELAS, T.
dc.contributor.authorMICHAUD, L.
dc.contributor.authorIRTAN, S.
dc.contributor.authorPIOLAT, C.
dc.contributor.authorRANKE-CHRETIEN, A.
dc.contributor.authorBECMEUR, F.
dc.contributor.authorDARIEL, A.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorLAMIREAU, Thierry
dc.contributor.authorPETIT, T.
dc.contributor.authorFOUQUET, V.
dc.contributor.authorLE MANDAT, A.
dc.contributor.authorLEFEBVRE, F.
dc.contributor.authorALLAL, H.
dc.contributor.authorBORGNON, J.
dc.contributor.authorBOUBNOVA, J.
dc.contributor.authorHABONIMANA, E.
dc.contributor.authorPANAIT, N.
dc.contributor.authorBUISSON, P.
dc.contributor.authorMARGARYAN, M.
dc.contributor.authorMICHEL, J. L.
dc.contributor.authorGAUDIN, J.
dc.contributor.authorLARDY, H.
dc.contributor.authorAUBER, F.
dc.contributor.authorBORDERON, C.
dc.contributor.authorDE VRIES, P.
dc.contributor.authorJABY, O.
dc.contributor.authorFOURCADE, L.
dc.contributor.authorLECOMPTE, J. F.
dc.contributor.authorTOLG, C.
dc.contributor.authorDELORME, B.
dc.contributor.authorSCHMITT, F.
dc.contributor.authorPODEVIN, G.
dc.date.accessioned2020-10-19T11:45:44Z
dc.date.available2020-10-19T11:45:44Z
dc.date.issued2018-04
dc.identifier.issn0022-3468en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/11420
dc.description.abstractEnINTRODUCTION: Thoracotomy as surgical approach for esophageal atresia treatment entails the risk of deformation of the rib cage and consequently secondary thoracogenic scoliosis. The aim of our study was to assess these thoracic wall anomalies on a large national cohort and search for factors influencing this morbidity. MATERIALS AND METHODS: Pediatric surgery departments from our national network were asked to send recent thoracic X-ray and operative reports for patients born between 2008 and 2010 with esophageal atresia. The X-rays were read in a double-blind manner to detect costal and vertebral anomalies. RESULTS: Among 322 inclusions from 32 centers, 110 (34.2%) X-rays were normal and 25 (7.7%) displayed thoracic malformations, including 14 hemivertebrae. We found 187 (58.1%) sequelae of surgery, including 85 costal hypoplasia, 47 other types of costal anomalies, 46 intercostal space anomalies, 21 costal fusions and 12 scoliosis, with some patients suffering from several lesions. The rate of patients with these sequelae was not influenced by age at intervention, weight at birth, type of atresia, number of thoracotomy or size of the center. The rate of sequelae was higher following a classical thoracotomy (59.1%), whatever the way that thoracotomy was performed, compared to nonconverted thoracoscopy (22.2%; p=0.04). CONCLUSION: About 60 % of the patients suffered from a thoracic wall morbidity caused by the thoracotomy performed as part of surgical treatment of esophageal atresia. Minimally invasive techniques reduced thoracic wall morbidity. Further studies should be carried out to assess the potential benefit of minimally invasive approaches to patient pulmonary functions and on the occurrence of thoracogenic scoliosis in adulthood. LEVELS OF EVIDENCE: Level III retrospective comparative treatment study.
dc.language.isoENen_US
dc.subject.enLEHA
dc.title.enThoracic skeletal anomalies following surgical treatment of esophageal atresia. Lessons from a national cohort
dc.title.alternativeJ Pediatr Surgen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jpedsurg.2017.07.013en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed28778692en_US
bordeaux.journalJournal of pediatric surgeryen_US
bordeaux.page605-609en_US
bordeaux.volume53en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue4en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamLEHA_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.exportfalse
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