From
StayCurrentMD
What are risk factors for anti-reflux surgery after esophageal atresia repair?
With Dr. Alex Kasar
Chapter 1 of 3 · Evidence & Research
Study introduction
Introduction to French EA Registry Study
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Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
The French study established an esophageal atresia registry including results from 38 different hospitals.
The registry is a population-based study that followed over 800 children for one year after esophageal atresia repair.
The study evaluated factors that contributed to patients having fundoplication or any anti-reflux surgery by one year of age.
The paper does not specify how anastomotic tension was measured or quantified.
Measurement of anastomotic tension is subjective and varies between surgeons.
The study authors mentioned they would focus on Barrett's esophagus, esophagitis, adult reflux, and other outcomes in their long-term follow-up.
Three main perioperative factors contributed to anti-reflux surgery: anastomotic tension at the time of operation, associated malformations, and birth weight.
For any increase in Z score in birth weight, the chance that patients received an anti-reflux procedure decreased.