Dingemann, C;
Eaton, S;
Aksnes, G;
Bagolan, P;
Cross, K;
De Coppi, P;
Fruithof, J;
... Ure, B; + view all
(2021)
ERNICA consensus conference on the management of patients with long-gap esophageal atresia: Perioperative, surgical and long-term management.
European Journal of Pediatric Surgery
, 31
(3)
pp. 214-225.
10.1055/s-0040-1713932.
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Abstract
Introduction: Evidence supporting best practice for long-gap esophageal atresia is limited. The European Reference Network for Rare Inherited Congenital Anomalies (ERNICA) organized a consensus conference on the management of patients with long-gap esophageal atresia based on expert opinion referring to the latest literature aiming to provide clear and uniform statements in this respect. / Materials and Methods: Twenty-four ERNICA representatives from nine European countries participated. The conference was prepared by item generation, item prioritization by online survey, formulation of a final list containing items on perioperative, surgical, and long-term management, and literature review. The 2-day conference was held in Berlin in November 2019. Anonymous voting was conducted via an internet-based system using a 1 to 9 scale. Consensus was defined as ≥75% of those voting scoring 6 to 9. / Results: Ninety-seven items were generated. Complete consensus (100%) was achieved on 56 items (58%), e.g., avoidance of a cervical esophagostomy, promotion of sham feeding, details of delayed anastomosis, thoracoscopic pouch mobilization and placement of traction sutures as novel technique, replacement techniques, and follow-up. Consensus ≥75% was achieved on 90 items (93%), e.g., definition of long gap, routine pyloroplasty in gastric transposition, and avoidance of preoperative bougienage to enable delayed anastomosis. Nineteen items (20%), e.g., methods of gap measurement were discussed controversially (range 1–9). / Conclusion: This is the first consensus conference on the perioperative, surgical, and long-term management of patients with long-gap esophageal atresia. Substantial statements regarding esophageal reconstruction or replacement and follow-up were formulated which may contribute to improve patient care.
| Type: | Article |
|---|---|
| Title: | ERNICA consensus conference on the management of patients with long-gap esophageal atresia: Perioperative, surgical and long-term management |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1055/s-0040-1713932 |
| Publisher version: | https://doi.org/10.1055/s-0040-1713932 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | long-gap, esophageal atresia, pediatric surgery, management, follow-up, consensus conference |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10098498 |
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