1. A cross-sectional nationwide survey on esophageal atresia and tracheoesophageal fistula
- Author
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Ernesto Leva, P.L. Lelli Chiesa, S. Caterino, A. Pini Prato, M. Andermarcher, S. Cacciaguerra, F. Bartoli, Vincenzo Jasonni, Bruno Noccioli, Fabio Rossi, Vito Briganti, Mario Lima, Gloria Pelizzo, C. Manzoni, L. Mascia, Mario Messina, Piergiorgio Gamba, P. Andriolo, A. Rizzo, M. Nobili, Daniela Codrich, A. Cacciari, E. De Grazia, V. Di Benedetto, F. Caccia, D. A. Cozzi, G. Perrino, E. Clemente, Francesco Saverio Camoglio, Pietro Bagolan, Juergen Schleef, Ciro Esposito, S. De Pascale, Silvana Federici, D. Salerno, Giovanna Riccipetitoni, Diego Falchetti, Antonino Tramontano, G. Piazza, G. Paradies, A. Franchella, Francesco Vaccarella, S. Licciardi, F. Caravaggi, M. Bernardi, M.G.R. Aceti, L. Liotta, Girolamo Mattioli, Carmelo Romeo, Marcello Carlucci, D. Alberti, Antonino Appignani, F.S. Chiarenza, Ascanio Martino, M. Ubertazzi, Pini Prato, A, Carlucci, M., Bagolan, P., Gamba, P.G., Bernardi, M., Leva, E., Paradies, G., Manzoni, C., Noccioli, B., Tramontano, A., Jasonni, V., Vaccarella, F., De Pascale, S., Alberti, D., Riccipetitoni, G., Falchetti, D., Caccia, F., Pelizzo, G., Schleef, J., Lima, M., Andriolo, P., Franchella, A., Cacciari, A., Caravaggi, F., Federici, S., Andermarcher, M., Perrino, G., Codrich, D., Camoglio, F.S., Chiarenza, F.S., Martino, A., Appignani, A., Briganti, V., Caterino, S., Cozzi, D., Messina, M., Rizzo, A., Liotta, L., Salerno, D., Aceti, M.G.R., Bartoli, F., Romeo, C., Esposito, C., Lelli Chiesa, P.L., Clemente, E., Mascia, L., Cacciaguerra, S., Di Benedetto, V., Licciardi, S., De Grazia, E., Ubertazzi, M., Piazza, G., Mattioli, G., Rossi, F., and Nobili, M.
- Subjects
Male ,Prenatal Diagnosi ,Pediatrics ,Cross-sectional ,Diagnosis ,Esophageal atresia ,Management ,Mortality ,Nationwide survey ,Adult ,Cross-Sectional Studies ,Diagnosis-Related Groups ,Esophageal Atresia ,Female ,Humans ,Incidence ,Infant, Newborn ,Italy ,Pregnancy ,Tracheoesophageal Fistula ,Young Adult ,Prenatal Diagnosis ,Surveys and Questionnaires ,Cross-sectional study ,Tracheoesophageal fistula ,Pediatric surgery ,Epidemiology ,Esophageal atresia, Management, Mortality, Nationwide survey, Adult, Cross-Sectional Studies ,Surveys and Questionnaire ,Incidence (epidemiology) ,Mortality rate ,Medicine (all) ,Diagnosis-Related Group ,General Medicine ,Place of birth ,Perinatology and Child Health ,Diagnosi ,Human ,medicine.medical_specialty ,Key words Esophageal atresia ,Pediatrics, Perinatology and Child Health ,Surgery ,medicine ,Cross-Sectional Studie ,business.industry ,Infant ,medicine.disease ,Newborn ,Atresia ,Settore MED/20 ,business - Abstract
Background Our study aims at disclosing epidemiology and most relevant clinical features of esophageal atresia (EA) pointing to a model of multicentre collaboration. Methods A detailed questionnaire was sent to all Italian Units of pediatric surgery in order to collect data of patients born with EA between January and December 2012. The results were crosschecked by matching date and place of birth of the patients with those of diagnosis-related group provided by the Italian Ministry of Health (MOH). Results A total of 146 questionnaires were returned plus a further 32 patients reported in the MOH database. Basing on a total of 178 patients with EA born in Italy in 2012, the incidence of EA was calculated in 3.33 per 10,000 live births. Antenatal diagnosis was suspected in 29.5% patients. 55.5% showed associated anomalies. The most common type of EA was Gross type C (89%). Postoperative complications occurred in 37% of type C EA and 100% of type A EA. A 9.5% mortality rate was reported. Conclusions This is the first Italian cross-sectional nationwide survey on EA. We can now develop shared guidelines and provide more reliable prognostic expectations for our patients.
- Published
- 2015