How should esophagitis in esophageal atresia patients be recognized and treated?
▶Ep 21 · 0:18
clinicalThe November article examines esophagitis in pediatric esophageal atresia, addressing knowledge gaps in occurrence, best management strategy, and whether children need long-term follow-up.↗
▶Ep 21 · 0:18
quoteSo the group in November chose this article, which is looking at esophagitis in pediatric esophageal atresia, and we feel that this was important because this is a bit of a knowledge gap on multiple fronts, what's the occurrence of esophagitis, what is the best management strategy and and really do we need to follow these children long term and what is the best management strategy from that standpoint?↗
▶Ep 21 · 0:55
quoteTodd, what do you know about esophagitis in esophageal atresia patients? We talk about, do patients need PPIs or some sort of prophylaxis after surgery, when and should they be getting an Nissen? Should they be followed prolonged for Barretts? Those are the controversies that go along with it.↗
▶Ep 21 · 2:31
clinicalThese children may be at risk for developing Barrett's esophagitis and adenocarcinoma later in life.↗
▶Ep 21 · 2:31
quoteAre these children at risk for developing Barrett's esophagitis, adenocarcinoma later in life?↗
▶Ep 21 · 2:42
guidelineChildren with esophageal atresia need surveillance and annual follow-up with endoscopy and biopsy.↗
▶Ep 21 · 3:06
quoteAnd I think that goes to the multifactorial nature of the esophagitis that we're seeing in these children.↗
▶Ep 21 · 3:06
clinicalThe esophagitis seen in esophageal atresia children is multifactorial in nature.↗
▶Ep 21 · 3:11
guidelineChildren with esophageal atresia need annual follow-up throughout adolescence.↗
▶Ep 21 · 3:30
clinicalEvaluation of esophageal atresia children with esophagitis requires understanding the underlying mechanism to treat other conditions such as eosinophilic esophagitis or dysmotility issues.↗
Summaries Robert gave as host
· 10 summaries
Recaps of other experts' statements, not Robert's own clinical position.
Summaries Robert gave as host · Esophageal Atresia10 summaries
How should esophagitis in esophageal atresia patients be recognized and treated?
▶Ep 21 · 1:18
host summaryRobert Rika summarizing a resource: The study examined a cohort of children from a single institution who underwent endoscopic surveillance and biopsy over a two-year period to assess esophagitis prevalence.↗
▶Ep 21 · 2:00
host summaryRobert Rika summarizing a resource: So many of these children were on acid suppressive therapy and despite the acid suppressive therapy, about half of those children still had esophagitis present on biopsy.↗
▶Ep 21 · 2:00
host summaryRobert Rika summarizing a resource: About half of children on acid suppressive therapy still had esophagitis present on biopsy.↗
▶Ep 21 · 2:20
host summaryRobert Rika summarizing a resource: So even if the child's asymptomatic at the time, we still know that they may be developing esophagitis.↗
▶Ep 21 · 2:20
host summaryRobert Rika summarizing a resource: Even asymptomatic children may be developing esophagitis.↗
▶Ep 21 · 2:52
host summaryRobert Rika summarizing a resource: About a quarter of the children had fundoplication.↗
▶Ep 21 · 2:58
host summaryRobert Rika summarizing a resource: Many children with fundoplication still had evidence of esophagitis despite the procedure.↗
▶Ep 21 · 3:36
host summaryRobert Rika summarizing a resource: Acid suppressive medications reduce the risk of esophagitis in esophageal atresia patients.↗
▶Ep 21 · 3:50
host summaryRobert Rika summarizing a resource: Increasing the dose of acid suppressive medications does not decrease esophagitis.↗
▶Ep 21 · 3:58
host summaryRobert Rika summarizing a resource: Even with acid suppressive medications and surgery, some children still develop esophagitis.↗
