Evidence map›Paper›PMID 41104659›Full record

Observational studyJournal of pediatric gastroenterology and nutrition2026

Retrospective case-control study of nutritional and respiratory status in children with type III esophageal atresia.

Marie-Alix Chansou, Rony Sfeir, Arnaud Bonnard, Véronique Rousseau, Thomas Gelas, Audrey Guinot, Edouard Habonimana, Pascale Micheau, Aline Ranke, Isabelle Talon and 19 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of pediatric gastroenterology and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04136795 (Evaluation of the Respiratory Impact of Post-operative Chest Wall Anomalies After Conventional or Minimally Invasive Esophageal Atresia Surgery), which is not on this 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.

NCT04136795 unknown statusnot on this map

Evaluation of the Respiratory Impact of Post-operative Chest Wall Anomalies After Conventional or Minimally Invasive Esophageal Atresia Surgery

TypeobservationalSponsorUniversity Hospital, AngersRan2020 to 2020Enrolled500ConditionsEsophageal Atresia, Oesophageal Atresia, Restrictive Lung Disease, Chest Wall Anomaly
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
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

29 authors.

Marie-Alix ChansouUMPCP, University Hospital Centre, Angers, France.
Rony SfeirPediatric Surgery Department, Univ. Lille, CHU Lille, Lille, France.
Arnaud BonnardDepartment of Pediatric Surgery, Robert Debré Hospital, AP-HP, Paris, France.
Véronique RousseauDepartment of Pediatric Surgery, Hôpital Necker-Enfants Malades, AP-HP, Paris, France.
Thomas GelasDepartment of Pediatric Surgery, Hospices civils de Lyon, Bron, France.
Audrey GuinotDepartment of Pediatric Surgery, University Hospital Centre, Nantes, France.
Edouard HabonimanaDepartment of Pediatric Surgery, University Hospital Centre, Rennes, France.
Pascale MicheauDepartment of Pediatric Surgery, University Hospital Centre, Toulouse, France.
Aline RankeDepartment of Pediatric Surgery, University Hospital Centre, Nancy, France.
Isabelle TalonDepartment of Pediatric Surgery, Hôpital de Hautepierre, Strasbourg, France.
Sabine IrtanDepartment of Pediatric Surgery, Trousseau Hospital AP-HP, Paris, France.
Thierry LamireauPediatric Surgery Department, University Hospital Centre, Bordeaux, France.
Pierre-Yves RabattuPediatric Surgery Department, University Hospital Centre, Grenoble, France.
Frédéric ElbazPediatric Surgery Department, University Hospital Centre, Rouen, France.
Nicolas KalfaPediatric Surgery Department, University Hospital Centre, Montpellier, France.
Nicoleta PanaitPediatric Surgery Department, AP-HM, Marseille, France.
Virginie FouquetPediatric Surgery Department, Hôpital Bicêtre, AP-HP, Paris, France.
Hubert LardyPediatric Surgery Department, University Hospital Centre, Tours, France.
Aurélien ScalabrePediatric Surgery Department, University Hospital Centre, Saint-Etienne, France.
Philippe BuissonPediatric Surgery Department, University Hospital Centre, Amiens, France.
Marc MargaryanPediatric Surgery Department, Le Mans Hospital, Le Mans, France.
Frédéric AuberCHU Besançon, SINERGIES, Pediatric Surgery Department, Franche-Comte University, Besançon, France.
Céline GrososPediatric Surgery Department, University Hospital Centre, Limoges, France.
Corinne BorderonPediatric Surgery Department, University Hospital Centre, Clermont-Ferrand, France.
Cécilia TölgPediatric Surgery Department, University Hospital Centre, Fort-de-France, France.
Jeanne GoulinUMPCP, University Hospital Centre, Angers, France.
Guillaume PodevinUMPCP, University Hospital Centre, Angers, France.
Frédéric GottrandPediatric Department, Univ. Lille, CHU Lille, Lille, France.
Françoise SchmittUMPCP, University Hospital Centre, Angers, France.ORCID https://orcid.org/0000-0002-3863-7694

Funding

"Institut de Recherche en Santé Respiratoire des Pays de la Loire (IRSR-PdL)" and the "Filière des Maladies rares Abdomino-THOraciques (FIMATHO)"University Hospital Centre of Angers 49RC19_0185_2
6 · The paper itself

Abstract

objectivesTo evaluate the impact of undernutrition in school-aged children born with type III esophageal atresia (EA), and to determine its potential risk factors, including their respiratory history and status assessed by pulmonary function tests at school-age.

methodsRetrospective multicentre cohort study encompassing patients born between 2008 and 2013 with type III EA included in a national registry. Baseline data, surgical history, and outcomes of patients with or without undernutrition (body mass index [BMI] z-score < -2 SD) at the age of 6-9 years were compared.

resultsOf the 212 patients included in the study, 20 (9.4%) presented with undernutrition, with a mean BMI z-score of -2.5 ± 0.4. At birth, 13 (65%) of them were preterm, twice as high as in the control group (34.9%, p = 0.013), but adjusted neonatal weights and associated malformations did not differ between groups. Surgical management of EA and other intestinal malformations, including gastrostomy and fundoplication, were comparable between groups, except for hernia/cryptorchidism occurrence (20% vs. 5.2%, p = 0.03). On spirometry, 15 (75%) of these patients demonstrated restriction, as compared to 38% of normal weight patients (p = 0.002), and 60% of them required pulmonary treatments (vs. 32%, p = 0.02). Multivariate analysis identified birth in a level 3 maternity (odds ratio [OR] = 6.0), hernia/cryptorchidism surgery (OR = 5.2), a restrictive syndrome (OR = 3.3) and pulmonary crisis treatment use (OR = 2.7) as associated with undernutrition.

conclusionsIn contrast to intestinal and esophageal surgeries, respiratory status appears to be significantly associated with nutritional outcomes in children born with type III EA. CLINICAL

trial registrationNCT04136795. (https://clinicaltrials.gov/study/NCT04136795?term=RestriMIS&rank=1).

Indexed as

Esophageal AtresiaMalnutritionNutritional StatusBody Mass IndexCase-Control StudiesChildFemaleHumansInfant, NewbornMaleRespiratory Function TestsRetrospective StudiesRisk Factorsrestrictive ventilatory impairmentsurgical long term outcomestrachoesophageal repairundernutrition

Identifiers

PMID41104659
PMCPMC12780480

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Registered trials

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.