Evidence map›Paper›PMID 40453740›Full record

ArticleJournal of surgical case reports2025

The boy who lived: staged repair of congenital diaphragmatic hernia with esophageal atresia and tracheoesophageal fistula in a 32-week, 1.5 kg infant, and review of the literature.

John M Woodward, Patricia Corujo Avila, Bobby Mathew, Kathryn D Bass, P Benson Ham Rd

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

John M WoodwardUniversity at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Surgery, 100 High Street, Buffalo, NY 14215, United States.ORCID https://orcid.org/0000-0002-6730-950X
Patricia Corujo AvilaUniversity at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Surgery, 100 High Street, Buffalo, NY 14215, United States.ORCID https://orcid.org/0009-0001-2636-6356
Bobby MathewDepartment of Pediatrics, John R. Oishei Children's Hospital, 100 High Street, Buffalo, NY 14215, United States.
Kathryn D BassDepartment of Pediatric Surgery, Carilion Roanoke Memorial Hospital, 1906 Belleview Ave Roanoke, VA 24014, United States.
P Benson Ham RdUniversity at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Surgery, 100 High Street, Buffalo, NY 14215, United States.ORCID https://orcid.org/0000-0002-7240-1239

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital diaphragmatic hernia (CDH) associated with esophageal atresia (EA) and tracheoesophageal fistula (TEF) is a rare and often fatal combination with reported survival rates of 6%-26%. We aim to analyze the literature on left sided CDH with EA and TEF and report our experience, hypothesizing that delaying right chest approach for EA/TEF repair improves outcomes. We report a case of a 1.5 kg 32-week patient who survived a staged approach of initial CDH repair and abdominal control of TEF with gastrostomy to water seal and vessel loop encircling the gastroesophageal junction followed by EA/TEF repair at 18 days of life. This case report and review of the literature highlights the benefit of a staged surgical approach for left CDH, EA, and TEF; initially proceeding with CDH repair and abdominal control of the TEF first, followed by EA/TEF repair once the patient stabilizes.

Indexed as

congenital diaphragmatic herniaesophageal atresiaimproved survivalpediatric surgerystaged surgical approachtracheoesophageal fistula

Identifiers

PMID40453740
PMCPMC12124474

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Registered trials

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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.