FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2001487032> ?p ?o ?g. }

• W2001487032 endingPage "157" @default.
• W2001487032 startingPage "153" @default.
• W2001487032 abstract "Gastroesophageal reflux is a major cause of anastomotic complications after repair of esophageal atresia. For this reason, we evaluated a prospective, postoperative treatment protocol with the emphasis on comparing medical and operative treatment.From 1994 to 1995, 26 consecutive patients underwent correction of esophageal atresia in the Sophia Children's Hospital. These patients were enrolled in a decision-making protocol meant to establish the effect of medical treatment on gastroesophageal reflux and stricture formation, the relation between anastomotic tension and reflux, and the question of whether performing a Nissen fundoplication was justified. Patients who showed reflux on the first postoperative x-ray were given medical treatment. Reflux was assessed after 6-12 weeks by x-ray and 48-hour pH-metry (24 hours with and 24 hours without medication). Evaluations were repeated at 18 weeks, 6 months, and 1 year. Twenty-three patients were followed for > or = 1 year.Twenty-four patients had classic esophageal atresia combined with tracheoesophageal fistula. Two had isolated atresia and underwent a colonic interposition. One of the others died of severe cerebral hemorrhage early after the operation. Twenty-two of the remaining 23 showed reflux on the first postoperative x-ray and were given medical treatment. The mean 3.8% total mild reflux time (range, 0.0-11.0%) decreased to a mean of 1.47% (range, 0.0-6.8%). Medical treatment given according to protocol did not influence severe reflux. Eleven of 23 patients showed stricture formation, requiring a mean of four dilatation procedures (range, 1-9). Defining a real stricture as one needing three or more dilatations, as seen in seven patients, the following results were seen: four nonrefluxing patients (proved by x-ray and pH-metry) needed a mean of 4.2 dilatations (range, 3-7), and three refluxing patients (proved by x-ray and pH-metry) needed a mean of 7.3 dilatations (range, 5-9). Three of seven patients with anastomotic tension had proved gastroesophageal reflux; reflux was also diagnosed in 8 of 15 patients without any tension on the anastomosis. Nine of 23 patients underwent a Nissen fundoplication according to the protocol. In four of them, this was decided because of severe reflux-associated respiratory problems; in one, for resistant stenosis after a Livaditis procedure; and in one with normal pH-metry, the procedure was done on clinical grounds. The latter patient needed an aortopexy at a later stage. A late fundoplication was performed in two patients for persistent gastroesophageal reflux unresponsive to medical treatment, and in one for persistent stenosis and reflux. In all patients, the outcomes were successful, without complications.Medical treatment of gastroesophageal reflux after repair of esophageal atresia has a distinct effect on the duration of reflux and could have a positive effect on the occurrence and treatment of stenosis. There is no clear relation between the occurrence of reflux and tension on the anastomosis. Nissen fundoplication according to the protocol was done appropriately in eight of nine patients." @default.
• W2001487032 created "2016-06-24" @default.
• W2001487032 creator A5006574198 @default.
• W2001487032 creator A5072306544 @default.
• W2001487032 date "1998-08-01" @default.
• W2001487032 modified "2023-09-24" @default.
• W2001487032 title "Prospective medical and surgical treatment of gastroesophageal reflux in esophageal atresia" @default.
• W2001487032 cites W1988602971 @default.
• W2001487032 cites W1992139972 @default.
• W2001487032 cites W2001020784 @default.
• W2001487032 cites W2007720809 @default.
• W2001487032 cites W2013932145 @default.
• W2001487032 cites W2019997863 @default.
• W2001487032 cites W2031414596 @default.
• W2001487032 cites W2054690441 @default.
• W2001487032 cites W2069940160 @default.
• W2001487032 cites W2072419995 @default.
• W2001487032 cites W2072549573 @default.
• W2001487032 cites W2076279072 @default.
• W2001487032 cites W2078817159 @default.
• W2001487032 cites W2084322445 @default.
• W2001487032 doi "https://doi.org/10.1016/s1072-7515(98)00116-1" @default.
• W2001487032 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9704961" @default.
• W2001487032 hasPublicationYear "1998" @default.
• W2001487032 type Work @default.
• W2001487032 sameAs 2001487032 @default.
• W2001487032 citedByCount "29" @default.
• W2001487032 countsByYear W20014870322012 @default.
• W2001487032 countsByYear W20014870322013 @default.
• W2001487032 countsByYear W20014870322014 @default.
• W2001487032 countsByYear W20014870322015 @default.
• W2001487032 countsByYear W20014870322017 @default.
• W2001487032 countsByYear W20014870322018 @default.
• W2001487032 countsByYear W20014870322019 @default.
• W2001487032 countsByYear W20014870322022 @default.
• W2001487032 crossrefType "journal-article" @default.
• W2001487032 hasAuthorship W2001487032A5006574198 @default.
• W2001487032 hasAuthorship W2001487032A5072306544 @default.
• W2001487032 hasConcept C126322002 @default.
• W2001487032 hasConcept C141071460 @default.
• W2001487032 hasConcept C188816634 @default.
• W2001487032 hasConcept C2777229141 @default.
• W2001487032 hasConcept C2779134260 @default.
• W2001487032 hasConcept C2780867621 @default.
• W2001487032 hasConcept C2781149206 @default.
• W2001487032 hasConcept C43270747 @default.
• W2001487032 hasConcept C71924100 @default.
• W2001487032 hasConcept C8443397 @default.
• W2001487032 hasConceptScore W2001487032C126322002 @default.
• W2001487032 hasConceptScore W2001487032C141071460 @default.
• W2001487032 hasConceptScore W2001487032C188816634 @default.
• W2001487032 hasConceptScore W2001487032C2777229141 @default.
• W2001487032 hasConceptScore W2001487032C2779134260 @default.
• W2001487032 hasConceptScore W2001487032C2780867621 @default.
• W2001487032 hasConceptScore W2001487032C2781149206 @default.
• W2001487032 hasConceptScore W2001487032C43270747 @default.
• W2001487032 hasConceptScore W2001487032C71924100 @default.
• W2001487032 hasConceptScore W2001487032C8443397 @default.
• W2001487032 hasIssue "2" @default.
• W2001487032 hasLocation W20014870321 @default.
• W2001487032 hasLocation W20014870322 @default.
• W2001487032 hasOpenAccess W2001487032 @default.
• W2001487032 hasPrimaryLocation W20014870321 @default.
• W2001487032 hasRelatedWork W1969638647 @default.
• W2001487032 hasRelatedWork W1990265217 @default.
• W2001487032 hasRelatedWork W2001487032 @default.
• W2001487032 hasRelatedWork W2019087097 @default.
• W2001487032 hasRelatedWork W2064740151 @default.
• W2001487032 hasRelatedWork W2315618545 @default.
• W2001487032 hasRelatedWork W2378358762 @default.
• W2001487032 hasRelatedWork W2955522537 @default.
• W2001487032 hasRelatedWork W4220757117 @default.
• W2001487032 hasRelatedWork W4221003903 @default.
• W2001487032 hasVolume "187" @default.
• W2001487032 isParatext "false" @default.
• W2001487032 isRetracted "false" @default.
• W2001487032 magId "2001487032" @default.
• W2001487032 workType "article" @default.