The effect of azygos vein preservation on postoperative complications after esophageal atresia repair: Results from the Turkish Esophageal Atresia Registry

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dc.authoridCiftci, Ilhan/0000-0001-9080-4480
dc.authoridTekant, Gonca Topuzlu/0000-0002-6231-9792
dc.authoridAydin, Emrah/0000-0001-7776-9684
dc.authoriddurakbasa, cigdem ulukaya/0000-0002-6474-3407
dc.authoridKaraman, Ayşe/0000-0001-6860-1222
dc.authoridKaraman, Ayse/0000-0001-6860-1222
dc.authoridözden, önder/0000-0001-5683-204X
dc.authorwosidCiftci, Ilhan/GNP-4605-2022
dc.authorwosidTekant, Gonca Topuzlu/AAA-1462-2020
dc.authorwosidErginel, Basak/HHY-7675-2022
dc.authorwosidÖZTORUN, can ihsan/AAF-1602-2019
dc.authorwosidAydin, Emrah/G-4000-2017
dc.authorwosiddurakbasa, cigdem ulukaya/H-8489-2019
dc.authorwosidKaraman, Ayşe/HHS-0256-2022
dc.contributor.authorSoyer, Tutku
dc.contributor.authorOztorun, Can Ihsan
dc.contributor.authorFirinci, Binali
dc.contributor.authorDurakbasa, Cigdem Ulukaya
dc.contributor.authorBahadir, Gulnur Gollu
dc.contributor.authorKaraman, Ayse
dc.contributor.authorDokumcu, Zafer
dc.date.accessioned2023-01-12T19:55:29Z
dc.date.available2023-01-12T19:55:29Z
dc.date.issued2021
dc.departmentN/A/Departmenten_US
dc.description.abstractAim: Preservation of the azygos vein (AV) maintains normal venous drainage of the mediastinum and decreases postoperative congestion. The modification of esophageal atresia (EA) repair by preserving AV may prevent postoperative complications and may lead to better outcomes. The data from the Turkish Esophageal Atresia Registry (TEAR) were evaluated to define the effect of AV preservation on postoperative complications of patients with EA. Methods: Data from TEAR for a period of five years were evaluated. Patients were enrolled into two groups according to the preservation of AV. Patients with divided (DAV) and preserved AV (PAV) were evaluated for demographic and operative features and postoperative complications for the first year of life. The DAV and PAV groups were compared according to the postoperative complications, such as fis-tula recanalization, symptomatic strictures, anastomotic leaks, total number of esophageal dilatations, and anti-reflux surgery. In addition, respiratory problems, which required treatment, were compared between groups. Results: Among 502 registered patients; the data from 315 patients with the information of AV ligation were included. The male female ratio of DAV (n = 271) and PAV (n = 44) groups were 150:121 and 21:23, respectively (p > 0.05). The mean body weight, height, gestational age, and associated anomalies were similar in both groups (p > 0.05). The esophageal repair with thoracotomy was significantly higher in DAV group, when compared to the PAV group (p < 0.05). The rates of primary anastomosis and ten-sioned anastomosis were similar in both groups (p > 0.05). There was no difference between DAV and PAV groups for anastomotic leaks, symptomatic anastomotic strictures, fistula recanalization, and the re-quirement for anti-reflux surgery (p > 0.05). The rate of respiratory problems, which required treatment, was significantly higher in the DAV group (p < 0.05) Conclusion: The data in the TEAR demonstrated that preserving the AV during EA repair led to no sig-nificant advantage on postoperative complications, with exception of respiratory problems. AV should be preserved as much as possible to maintain a normal mediastinal anatomy and to avoid respiratory com-plications. (c) 2020 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2020.12.008
dc.identifier.endpage1943en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue11en_US
dc.identifier.pmid33353739en_US
dc.identifier.startpage1940en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2020.12.008
dc.identifier.urihttps://hdl.handle.net/11454/76691
dc.identifier.volume56en_US
dc.identifier.wosWOS:000711604100006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal of Pediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEsophageal atresiaen_US
dc.subjectTracheoesophageal fistulaen_US
dc.subjectAzygos veinen_US
dc.subjectAnastomotic stricturesen_US
dc.subjectComplicationsen_US
dc.subjectTracheoesophageal Fistulaen_US
dc.titleThe effect of azygos vein preservation on postoperative complications after esophageal atresia repair: Results from the Turkish Esophageal Atresia Registryen_US
dc.typeArticleen_US

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