ArticleBMC surgery2025
Comparative analysis of outcomes of one stage versus staged surgical repair in esophageal atresia: an audit from a tertiary pediatric center in low resources country.
Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Associated Congenital Anomalies in Gastrointestinal Tract Atresias: An Early Outcome Analysis from a Turkish Tertiary Center.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEsophageal atresia (EA) is a life-threatening congenital anomaly requiring surgical repair. The choice between primary (one-stage) and staged repair remains debated, particularly in neonates with long-gap EA or comorbidities. Evidence from resource-limited settings is scarce.
methodsWe retrospectively reviewed 115 neonates with EA who underwent surgical repair at Motahari Pediatric Hospital, Iran (2017-2024). Patients were classified into one-stage or staged repair groups. Demographics, associated anomalies, complications, operative time, hospital stay, and survival were analyzed using appropriate statistical tests.
resultsOf 115 patients, 68 underwent one-stage repair and 47 staged repair. Baseline characteristics were comparable, though Type A EA was more frequent in staged cases. Postoperative complication rates, including anastomotic stricture, leak, pneumonia, and sepsis, were similar between groups. Failed gastrostomy was significantly higher in staged repair (p = 0.01). Survival rates were comparable (79.4% vs. 78.7%). Mean operative time and hospital stay were longer in the staged group but not statistically significant. Gestational age showed a significant inverse correlation with operative duration (ρ = - 0.225, p = 0.016).
conclusionOne-stage and staged repairs demonstrated comparable short-term outcomes in EA. Individualized surgical planning, considering gestational age, gap length, and comorbidities, is essential. These findings highlight that acceptable outcomes can be achieved even in resource-limited settings, supporting tailored decision-making rather than universal preference for either technique.
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