Evidence map›Paper›PMID 32236666›Full record

ArticlePediatric surgery international2020

14 Years' experience of esophageal replacement surgeries.

Muhammad Saleem, Asif Iqbal, Uzma Ather, Naveed Haider, Nabila Talat, Imran Hashim, Muhammad Bilal Mirza, Jamal Butt, Hassan Mahmud, Fatima Majeed

Erratum issuedAbstract read
In one paragraph

Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Muhammad SaleemThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan. msalimc@yahoo.com.
Asif IqbalThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Uzma AtherCresecent Medical college, Lahore, Pakistan.
Naveed HaiderThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Nabila TalatThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Imran HashimThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Muhammad Bilal MirzaThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Jamal ButtThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Hassan MahmudThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Fatima MajeedThe Children's Hospital and The Institute of Child Health, Lahore, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal replacement is a challenge to the therapeutic skills of surgeons and a technically demanding operation in the pediatric age group. Various conduits and routes have been described in the literature, each with their specific advantages and disadvantages. We carried out this retrospective study to share our experience of esophageal replacement. METHODOLOGY: This study was conducted at the department of pediatric surgery The Children's Hospital and The Institute of Child Health, Lahore. The records of patients treated for esophageal replacement were reviewed. The patients under follow-up were called for clinical evaluation and assessed of long terms complications if any.

resultsA total of 93 patients with esophageal replacement were included in the study. Esophageal replacement was done with gastric transposition in 84 cases (90%), colon interposition in 7 cases (7.5%) including one case of redo colonic interposition, and jejunal interposition in 2 cases (2%). Routes of esophageal replacement were trans-hiatal in 71 (76%), retrosternal in 13 (14%), and trans-hiatal with thoracotomy in 9 (10%) patients. Postoperatively, all of the conduits maintained viability. Wound infection was seen in 10 (11%), wound dehiscence in 5 (5%), anastomotic leak in 9 (10%), anastomotic stenosis in 12 (13%), fistula formation in 4 (4%), aortic injury 1 (1%), dumping syndrome 8 (9%), reflux 18 (19%), dysphagia 15 (16%) and death occurred in 12 patients (13%).

conclusionThere are problems with esophageal replacement in developing countries. In this context, gastric conduit appeared as the best conduit for esophageal replacement, using the trans-hiatal route for replacement, in the authors' experience.

Indexed as

AdolescentAfghanistanChildChild, PreschoolColonEsophagusFemaleFollow-Up StudiesHumansInfantInfant, NewbornJejunumMalePostoperative ComplicationsRetrospective StudiesStomachColonic interpositionCorrosive stricturesEsophageal atresiaEsophageal replacementGastric pull-upJejunal transpositionLMICRetrosternal routeTrans hiatal route

Identifiers

PMID32236666
PMCPMC7223057

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.