Retrospective analysis of pneumothorax after repair of esophageal atresia/tracheoesophageal fistula

To analyze the possible causes, treatment and outcomes of postoperative pneumothorax in patients with Gross type C esophageal atresia/tracheoesophageal fistula (EA/TEF). Medical records of patients with Gross type C EA/TEF who were diagnosed and treated in Beijing Children's Hospital from Janua...

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Bibliographic Details
Published in:BMC pediatrics 2021-12, Vol.21 (1), p.543-543, Article 543
Main Authors: Zhao, Jiawei, Yang, Shen, Li, Siqi, Wang, Peize, Zhang, Yanan, Zhao, Yong, Hua, Kaiyun, Gu, Yichao, Liao, Junmin, Li, Shuangshuang, Chen, Yongwei, Huang, Jinshi
Format: Article
Language:English
Subjects:
Anastomosis
Anastomotic leakage
Atresia
Birth weight
Care and treatment
Child
Complications
Complications and side effects
Esophageal atresia
Esophageal Atresia - complications
Esophageal Atresia - surgery
Esophagus
Fistula
Fistula, Tracheoesophageal
Humans
Hypotheses
Mechanical ventilation
Medical records
Methods
Oxygen saturation
Patient outcomes
Patients
Pediatric research
Pediatrics
Pneumothorax
Pneumothorax - epidemiology
Pneumothorax - etiology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Respiration
Retrospective Studies
Risk factors
Surgery
Surgical anastomosis
Tracheoesophageal Fistula - etiology
Tracheoesophageal Fistula - surgery
Treatment Outcome
Ventilators
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Summary:To analyze the possible causes, treatment and outcomes of postoperative pneumothorax in patients with Gross type C esophageal atresia/tracheoesophageal fistula (EA/TEF). Medical records of patients with Gross type C EA/TEF who were diagnosed and treated in Beijing Children's Hospital from January 2007 to January 2020 were retrospectively collected. They were divided into 2 groups according to whether postoperative pneumothorax occurred. Univariate and multivariate logistic regression analysis were performed to identify risk factors for pneumothorax. A total of 188 patients were included, including 85 (45 %) in the pneumothorax group and 103 (55 %) in the non-pneumothorax group. Multivariate logistic regression analysis showed that postoperative anastomotic leakage [P 
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-021-02948-x