Evidence map›Paper›PMID 40150645›Full record

ArticleChildren (Basel, Switzerland)2025

Long-Gap Esophageal Atresia Gross Type C and D: A Retrospective Study of Surgical Management and Postoperative Complications Within the First Year of Life in the Nordic Countries.

Ann Christine Waarkjær Olsen, Antti Koivusalo, Ragnhild Emblem, Audun Mikkelsen, Jan F Svensson, Anna Maria Tollne, Markus Almström, Linus Jönsson, Helene Lilja, Felipe Donoso and 5 more

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

15 authors.

Ann Christine Waarkjær OlsenResearch Unit for Surgery, and Centre of Excellence in Gastrointestinal Diseases and Malformations in Infancy and Childhood (GAIN), Odense University Hospital, 5000 Odense, Denmark.
Antti KoivusaloDepartment of Pediatric Surgery, Children's Hospital, University of Helsinki, 00100 Helsinki, Finland.
Ragnhild EmblemInstitute of Clinical Medicine, University of Oslo, 0313 Oslo, Norway.
Audun MikkelsenSection for Pediatric Surgery, Oslo University Hospital, 5000 Oslo, Norway.
Jan F SvenssonDepartment of Pediatric Surgery, Karolinska University Hospital, 17177 Stockholm, Sweden.ORCID 0000-0003-3143-1164
Anna Maria TollneDepartment of Pediatric Surgery, Karolinska University Hospital, 17177 Stockholm, Sweden.
Markus AlmströmDepartment of Pediatric Surgery, Karolinska University Hospital, 17177 Stockholm, Sweden.
Linus JönssonDepartment of Pediatric Surgery, Queen Silvia Children's Hospital, 41650 Gothenburg, Sweden.ORCID 0000-0002-5118-6568
Helene LiljaDepartment of Pediatric Surgery, Children's Hospital, Uppsala University, 75185 Uppsala, Sweden.ORCID 0000-0002-1998-5212
Felipe DonosoDepartment of Pediatric Surgery, Children's Hospital, Uppsala University, 75185 Uppsala, Sweden.
Thorstein SæterDepartment of Pediatric Surgery, St. Olavs Hospital, Trondheim University Hospital, 7030 Trondheim, Norway.
Jørgen Mogens ThorupDepartment of Pediatric Surgery, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.ORCID 0000-0003-3550-1107
Pernilla StenströmDepartment of Pediatrics, Children's Hospital, Lund University, 22100 Lund, Sweden.ORCID 0000-0002-5052-9944
Einar ArnbjörnssonDepartment of Pediatrics, Children's Hospital, Lund University, 22100 Lund, Sweden.ORCID 0000-0002-6624-4716
Niels QvistResearch Unit for Surgery, and Centre of Excellence in Gastrointestinal Diseases and Malformations in Infancy and Childhood (GAIN), Odense University Hospital, 5000 Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSeveral surgical approaches are being used in the reconstruction of long-gap esophageal atresia. We investigated which methods are being used in the Nordic countries and the postoperative complications that occurred in the first year of life.

methodsThis study is a retrospective multicenter study, where medical records on children with esophageal atresia Gross type C or D born in the period from 1 January 2000 to 1 May 2017 were reviewed.

resultsForty-four patients were included in this study, forty-three with Gross type C and one with Gross type D. Thirty-six patients were included in the statistical analysis. Delayed esophageal anastomosis was performed in half of the patients and an esophageal replacement procedure in the other half. Postoperative complications were common, but there was no difference in postoperative complications or weight-gain within the first year of life. There were no differences in hospital stay or duration of parenteral nutrition. Attempted primary esophageal anastomosis was significantly more common in patients that underwent an esophageal replacement procedure compared to those who underwent a delayed esophageal anastomosis.

conclusionsNo significant relationship between surgical approach and postoperative complications within the first year of life could be demonstrated. Long-term functional studies are warranted.

Indexed as

esophageal atresiaGross type CGross type Dlong-gapsurgical management—postoperative complication

Identifiers

PMID40150645
PMCPMC11940838

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.