Evidence map›Paper›PMID 38160233›Full record

ArticleJournal of medical case reports2023

Esophageal atresia with tracheoesophageal fistula: two case reports.

Naomi A Mwamanenge, Haika K Mariki, Lucy L Mpayo, Ernestina E Mwipopo, Fatima Mussa, Masawa K Nyamuryekung'e, Yahaya Binde, Said Kiangi, Zaituni Bokhary, Martha Mkony and 2 more

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 3 institutions in 1 country.

Naomi A MwamanengeMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania. naomimwams@gmail.com.
Haika K MarikiMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Lucy L MpayoMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Ernestina E MwipopoMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Fatima MussaMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Masawa K Nyamuryekung'eMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Yahaya BindeMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Said KiangiMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Zaituni BokharyMuhimbili National Hospital (Mnh), Dar es Salaam, Tanzania.
Martha MkonyMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Yaser AbdallahAga Khan Hospital, Dar es Salaam, Tanzania.
Karim ManjiMuhimbili University of Health and Allied Sciences (Muhas), P. O box 65001, Dar es Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZAga Khan Hospital Dar es Salaam · TZMuhimbili National Hospital · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of esophageal atresia with tracheoesophageal fistula is 1 out of 3000-5000 live births. Its incidence in lower middle income countries is not known. The infants usually present with excessive secretions or choking while feeding and are at risk for aspiration. The outcome of these infants in lower middle income countries is not encouraging due to delays in referral, sepsis at presentation requiring preoperative stabilization, postoperative complications such as anastomosis leaks, pneumonia, and pneumothorax. CASE PRESENTATION: We present two African babies who were term infants at age 2 days (male) and 5 days (female) with diagnosis of esophageal atresia and tracheoesophageal fistula. The 5-day-old infant required preoperative stabilization due to sepsis and delayed surgery with a poor postoperative outcome. The 2-day-old infant was preoperatively stable and had a good postoperative outcome. The challenges faced in management of these two cases have been highlighted.

conclusionOutcome of infants with esophageal atresia and tracheoesophageal fistula in lower middle income countries is not encouraging due to delays in referral and poor postoperative healing attributed to sepsis and recurrent pneumothorax. Timely referral, preoperative condition of the infant, and timely management has shown to be a contributory factor for an improved outcome.

Indexed as

Esophageal AtresiaPneumothoraxSepsisTracheoesophageal FistulaAnastomotic LeakFemaleHumansInfant, NewbornMalePostoperative ComplicationsRetrospective StudiesAnastomosis leakEsophageal atresiaPneumothoraxSepsisTracheoesophageal fistula

Identifiers

PMID38160233
PMCPMC10757763
OpenAlexW4390455808

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.