Evidence map›Paper›PMID 27785539›Full record

ArticlePediatric radiology2017

Computed tomography and upper gastrointestinal series findings of esophageal bronchi in infants.

Gabrielle C Colleran, Ciara E Ryan, Edward Y Lee, Brian Sweeney, David Rea, Clare Brenner

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Unclassified bronchopulmonary foregut malformation in a 2-year-old girl.General thoracic and cardiovascular surgery cases · 2023
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Esophageal Lung in a Preterm Boy-Report on a Multidisciplinary Treatment.European journal of pediatric surgery reports · 2019
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Gabrielle C ColleranDepartment of Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, MA, 02115, USA. gabrielle.colleran@childrens.harvard.edu.
Ciara E RyanDepartment of Pathology, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Edward Y LeeDepartment of Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, MA, 02115, USA.
Brian SweeneyDepartment of Surgery, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
David ReaDepartment of Radiology, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Clare BrennerDepartment of Radiology, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Children's Health Ireland at Crumlin · IEOur Lady's Hospital · IEBoston Children's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal bronchus is a rare form of communicating bronchopulmonary foregut malformation and a rare but important cause of an opaque hemithorax on chest radiography. A higher incidence of esophageal bronchus is associated with esophageal atresia, tracheo-esophageal fistula (TEF) and VACTERL (vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities) association. In the presence of these conditions, the pediatric radiologist may be the first to consider the diagnosis of esophageal bronchus or esophageal lung.

objectiveTo describe the imaging features in five children with esophageal bronchus. MATERIALS AND

methodsWe reviewed hospital records and teaching files at two large pediatric tertiary referral centers over the 24-year period from January 1992 to January 2016. We reviewed all imaging studies and tabulated findings on radiography, fluoroscopic upper gastrointestinal (GI) series and CT. We then described the imaging features of esophageal bronchi with emphasis on CT and upper GI findings in four infants and one toddler.

resultsThree cases were identified from one institution (cases 2, 3, 4) and two from another (cases 1, 5). All five cases occurred in association with other midline malformations: four of the five had VACTERL association and three of the five had esophageal atresia and TEF.

conclusionLung opacification, ipsilateral mediastinal shift, and an abnormal carina and anomalous vascular anatomy suggest an esophageal bronchus or an esophageal lung on CT. While esophageal bronchus is a rare cause of an opaque hemithorax, CT and upper GI imaging play key roles in its diagnosis. Associations with esophageal atresia with tracheo-esophageal fistula and VACTERL association are particularly pertinent. Early diagnosis of esophageal bronchus might prevent complications such as aspiration and infection, which can allow for parenchymal sparing surgery as opposed to pneumonectomy.

Indexed as

Anal CanalBronchiEsophageal AtresiaEsophagusFemaleFluoroscopyHeart Defects, CongenitalHumansInfantInfant, NewbornKidneyLimb Deformities, CongenitalMaleRetrospective StudiesSpineTomography, X-Ray ComputedComputed tomographyEsophageal bronchusEsophagusInfantLungTracheo-esophageal fistulaUpper gastrointestinal series

Identifiers

PMID27785539
OpenAlexW2545403160

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.