Clinical outcomes after tracheoplasty in patients with congenital tracheal stenosis in 1997-2014.

Abstract:

BACKGROUND:Mortality and morbidity of congenital tracheal stenosis (CTS) remain high. The aim of this study was to determine the factors predicting 12-month survival and 2-month successful extubation after tracheoplasty in patients with CTS. METHODS:Retrospective chart reviews were conducted in patients with CTS undergoing tracheoplasty at a single institution between 1997 and 2014. Patients' characteristics at disease onset and tracheoplasty were summarized. Twelve-month survival rate and 2-month extubation rate without tracheotomy after tracheoplasty were analyzed. RESULTS:We reviewed 81 patients' records. Multivariate analysis for 12-month survival revealed that older age (>2 months, hazard ratio [HR]: 0.08, 95% confidence interval [CI]: 0.02-0.36) or heavier body weight (>4.4 kg, HR: 0.13, 95% CI: 0.02-0.73) at tracheoplasty was a predictive factor for survival. Body weight at tracheoplasty (>8.2 kg, HR: 3.83, 95% CI: 1.88-7.79), preoperative balloon dilatation (HR: 0.30, 95% CI: 0.12-0.78), and carina involvement (HR: 0.36, 95% CI: 0.19-0.69) were predictive factors for successful extubation. CONCLUSIONS:Although CTS management is individualized, age or body weight at tracheoplasty needs to be considered and assessed for survival, as well as preoperative balloon dilatation, and carina involvement for successful extubation. LEVELS OF EVIDENCE:Level III.

journal_name

J Pediatr Surg

authors

Yokoi A,Hasegawa T,Oshima Y,Higashide S,Nakatani E,Kaneda H,Kawamoto A,Nishijima E

doi

10.1016/j.jpedsurg.2017.12.017

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

2140-2144

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(17)30845-X

journal_volume

53

pub_type

杂志文章
  • Effect of proximal gastric vagotomy and truncal vagotomy and pyloroplasty on gastric functions and growth in puppies after massive small bowel resection.

    abstract::The effects of truncal vagotomy and pyloroplasty and proximal gastric vagotomy on gastric acid hypersecretion, hypergastrinemia, and growth after massive bowel resection were studied in beagle puppies. In puppies with 80% enterectomy, neither type of vagotomy alters significantly the postprandial hypersecretion of aci...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(79)80011-1

    authors: Wolf SA,Telander RL,Go VL,Dozois RR

    更新日期:1979-08-01 00:00:00

  • Pseudoaneurysm after penetrating trauma in children and adolescents.

    abstract:BACKGROUND:Although skin lacerations are common in children and adolescents, the complication of pseudoaneurysm (PA) has rarely been reported. METHODS:The author reports a series of four cases of patients in whom PA developed after lacerations. The diagnosis was made on the basis of the history and clinical findings i...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(98)90504-8

    authors: Zitsman JL

    更新日期:1998-10-01 00:00:00

  • Risk of malignancy for each Bethesda class in pediatric thyroid nodules.

    abstract:PURPOSE:The Bethesda classification for cytology is used to classify thyroid nodules into one of six categories, and for each category there is an implied cancer risk and also recommendation for management. Despite lack of data in children, the American thyroid association promotes the use of the same management guidel...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpedsurg.2014.10.046

    authors: Norlén O,Charlton A,Sarkis LM,Henwood T,Shun A,Gill AJ,Delbridge L

    更新日期:2015-07-01 00:00:00

  • Fryns syndrome in children with congenital diaphragmatic hernia.

    abstract:PURPOSE:Fryns syndrome is characterized by multiple congenital anomalies including Congenital Diaphragmatic Hernia (CDH), and has a reported poor prognosis with a survival rate during the neonatal period of approximately 15%. This report details the management and outcome of patients with Fryns syndrome and CDH. METHO...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2002.36695

    authors: Neville HL,Jaksic T,Wilson JM,Lally PA,Hardin WD Jr,Hirschl RB,Langham MR Jr,Lally KP,Congenital Diaphragmatic Hernia Study Group.

    更新日期:2002-12-01 00:00:00

  • Influence of age on the presentation and outcome of choledochal cyst.

    abstract:PURPOSE:The aim of this study was to identify the most appropriate timing for surgery in newborns with choledochal cysts. METHODS:The clinical and histological data of 8 newborn cases of choledochal cysts (newborn group) were compared with 45 cases that were diagnosed later than the newborn period (late group). RESUL...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(99)90308-1

    authors: Suita S,Shono K,Kinugasa Y,Kubota M,Matsuo S

    更新日期:1999-12-01 00:00:00

  • Torsion of an undescended intraabdominal benign testicular teratoma.

    abstract::A 4-year-old well boy was seen because of an asymptomatic left testicle undescended since birth; the testis was not palpable and the right side was normal. After an episode of left lower quadrant and left hip area pain, with some bladder symptoms and left leg limping, a work-up including a CAT scan showed a calcified ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(87)80637-1

    authors: Ein SH

    更新日期:1987-09-01 00:00:00

  • Clinical features of mesenteric lymphatic malformation in children.

    abstract:BACKGROUND:Mesenteric lymphatic malformations (MLs) are a heterogeneous group of benign diseases of the lymphatic system that present with cystic dilated lymphatics of the mesentery. MLs are rare and represent less than 5% of all lymphatic malformations. The aims of this study were to analyze the characteristics of MLs...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2015.11.021

    authors: Kim SH,Kim HY,Lee C,Min HS,Jung SE

    更新日期:2016-04-01 00:00:00

  • Splanchnic artery pseudo-aneurysms secondary to blunt abdominal trauma in children.

    abstract::Traumatic splanchnic artery pseudo-aneurysms are uncommon; only two cases have been reported among the pediatric population. The authors describe their experience with four patients in whom splanchnic artery pseudoaneurysms developed after blunt abdominal trauma. Splenic artery pseudo-aneurysms were found in a 6-year-...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(96)90140-2

    authors: Gow KW,Murphy JJ 3rd,Blair GK,Stringer DA,Culham JA,Fraser GC

    更新日期:1996-06-01 00:00:00

  • Ultrasonography for inguinal hernias in boys.

    abstract:BACKGROUND/PURPOSE:History taking and physical examination alone no longer meet the surgeon's need in the diagnosis of inguinal hernia. Ultrasonography (US) provides a good and safe diagnostic tool for inguinal hernias in boys. METHODS:From 1995 to 1997, 244 boys with inguinal hernias (41 bilateral and 203 unilateral)...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(98)90284-6

    authors: Chen KC,Chu CC,Chou TY,Wu CJ

    更新日期:1998-12-01 00:00:00

  • A case of 46, XY DSD presenting as a crossed ectopic gonad with a contralateral sliding inguinal hernia.

    abstract::A three-month-old boy was referred to our facility for the treatment of a right impalpable testis, left inguinal hernia, and penoscrotal hypospadias with asymmetric external genitalia. The left gonad was palpated in the left scrotum. The chromosomal study revealed a normal male 46, XY karyotype. Operative findings sho...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2012.09.053

    authors: Fukui S,Watanabe M,Yoshino K

    更新日期:2012-12-01 00:00:00

  • First clinical application of an automatic VA-ECMO system using artificial hearts as a blood pump.

    abstract::A new extracorporeal membrane oxygenation (ECMO) circuit using air-driven artificial hearts as a blood pump was first applied on a newborn with congenital diaphragmatic hernia. ECMO was continued for 67 hours 36 minutes with no mechanical trouble. Since the artificial hearts changed their output automatically in propo...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(93)90334-h

    authors: Ito T,Seo T,Ishiguro T,Takagi H

    更新日期:1993-06-01 00:00:00

  • Idiopathic constipation in childhood is associated with thickening of the internal anal sphincter.

    abstract::This study was undertaken to search for a rational basis for the use of anal dilatation and internal sphincterotomy as the treatment for chronic intractable constipation in children. Sixteen children, age 5 months to 13 years, who had constipation resistant to conservative treatment were compared with 39 age-matched c...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(97)90395-x

    authors: Hosie GP,Spitz L

    更新日期:1997-07-01 00:00:00

  • Ambulatory 24-hour manometric and pH metric evidence of permanent impairment of clearance capacity in patients with esophageal atresia.

    abstract::Dysphagia and gastroesophageal reflux (GER) probably caused by structural disorganization of the esophagus occur frequently after repair of tracheoesophageal fistula (TEF), and the extent to which they may improve beyond childhood is not known. The aim of the present study is to assess by combined ambulatory 24-hour m...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(95)90029-2

    authors: Tovar JA,Diez Pardo JA,Murcia J,Prieto G,Molina M,Polanco I

    更新日期:1995-08-01 00:00:00

  • Pediatric ovarian immature teratoma: Histological grading and clinical characteristics.

    abstract:BACKGROUND:Ovarian immature teratomas (ITs) are relatively rare among all pediatric ovarian tumors. The histological grading for ovarian ITs, which ranges from 1 to 3, is based on the proportion of immature neuroepithelial component. Higher-grade ITs in adults are treated as malignant neoplasms and require adjuvant che...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2019.04.037

    authors: Shinkai T,Masumoto K,Chiba F,Shirane K,Tanaka Y,Aiyoshi T,Sasaki T,Ono K,Gotoh C,Urita Y,Takayasu H,Suzuki R,Sakashita S

    更新日期:2020-04-01 00:00:00

  • Human amniotic membrane as an intestinal patch for neomucosal growth in the rabbit model.

    abstract::This experiment was carried out as a preliminary study, an attempt to grow new intestinal mucosa on human amniotic membrane in the terminal ileum in 37 rabbits. After ketamin sulfate anesthesia at laparatomy, 5-cm ileal defects were patched with human amniotic membrane (5 x 2 cm). These patched intestines were investi...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(92)90456-h

    authors: Barlas M,Gökçora H,Erekul S,Dindar H,Yücesan S

    更新日期:1992-05-01 00:00:00

  • Pediatric phyllodes tumors: A review of the National Cancer Data Base and adherence to NCCN guidelines for phyllodes tumor treatment.

    abstract:BACKGROUND:Phyllodes tumors are fibroepithelial breast lesions that are uncommon in women and rare among children. Due to scarcity, few large pediatric phyllodes tumor series exist. Current guidelines do not differentiate treatment recommendations between children and adults. We examined national guideline adherence fo...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2018.02.070

    authors: Leraas HJ,Rosenberger LH,Ren Y,Ezekian B,Nag UP,Reed CR,Thomas SM,Hwang ES,Tracy ET

    更新日期:2018-06-01 00:00:00

  • Early postoperative fever workup in children: utilization and utility.

    abstract:BACKGROUND:Early postoperative fever is common. Adult data indicate that workup is unnecessary in the early postoperative period, but comparable data in children is limited. The objectives are to determine the incidence of fever and the utilization and yield of tests ordered in children. METHODS:Single-institution, re...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2017.06.019

    authors: Corkum KS,Hunter CJ,Grabowski JE,Lautz TB

    更新日期:2018-07-01 00:00:00

  • The implication of intestinal bacterial translocation in central line associated blood stream infections in the pediatric population.

    abstract:INTRODUCTION:Bacterial intestinal translocation plays an important role in neonatal sepsis. We aimed to elucidate the importance of such translocation in causing central line associated blood stream infection (CLABSI) in patients undergoing gastrointestinal surgery (GIS). METHODS:Using a database of pediatric patients...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2020.02.012

    authors: Haddad FC,Rao R,Kaur S,Redkey J,Karcz A,Ladd AP

    更新日期:2020-08-01 00:00:00

  • Surgeon volume trumps specialty: outcomes from 3596 pediatric cholecystectomies.

    abstract:BACKGROUND:Laparoscopic cholecystectomy is the standard surgical management of biliary disease in children, but there has been a paucity of studies addressing outcomes after pediatric cholecystectomies, particularly on a national level. We conducted the first study to address the effect of surgeon specialty and volume ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2011.10.054

    authors: Chen K,Cheung K,Sosa JA

    更新日期:2012-04-01 00:00:00

  • Colon interposition for esophagus in children.

    abstract::In 25 years, from 1959 to 1984, esophageal substitution was performed in 32 patients. In most, the transverse colon was used, brought through the left chest on a vascular pedicle of the left colic artery. Indications for operation included: 21, esophageal atresia; 5, caustic injury; 3, peptic stricture; 2, esophageal ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(85)80051-8

    authors: Hendren WH,Hendren WG

    更新日期:1985-12-01 00:00:00

  • Predictors of postnatal outcome in neonates with gastroschisis.

    abstract:BACKGROUND/PURPOSE:The optimal management of neonates with gastroschisis is unclear, and there is a significant morbidity. We performed a review of neonates with gastroschisis treated at our center of pediatric surgery over the last 21 years to determine predictive factors of outcome. METHODS:Single-center retrospecti...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2011.07.012

    authors: Kassa AM,Lilja HE

    更新日期:2011-11-01 00:00:00

  • Development of a model for prediction of survival in pediatric trauma patients: comparison of artificial neural networks and logistic regression.

    abstract:BACKGROUND/PURPOSE:There is a paucity of outcome prediction models for injured children. Using the National Pediatric Trauma Registry (NPTR), the authors developed an artificial neural network (ANN) to predict pediatric trauma death and compared it with logistic regression (LR). METHODS:Patients in the NPTR from 1996 ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2002.33885

    authors: DiRusso SM,Chahine AA,Sullivan T,Risucci D,Nealon P,Cuff S,Savino J,Slim M

    更新日期:2002-07-01 00:00:00

  • Demonstration of both primary and secondary reninism in renal tumors in children.

    abstract::Two infants with renal tumors and associated hypertension are presented. By using an antibody to purified human renal renin, the sites of renin production were localized immunohistochemically in each tumor. The first case was a 9-month-old girl with Beckwith-Wiedemann syndrome. She presented with bilateral renal masse...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(88)80435-4

    authors: Yokomori K,Hori T,Takemura T,Tsuchida Y

    更新日期:1988-05-01 00:00:00

  • Diagnostic and therapeutic approach to sialoblastoma: report of a case.

    abstract::The natural history of a rare parotid tumor, the sialoblastoma (embryoma) is reported. It is a blastematous neoplasm said to recapitulate the epithelial differentiation of a gland at various stages of development. The tumor grew in a period of 5 years (from shortly after birth until it was excised) to a firm asymptoma...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(99)90338-x

    authors: Alvarez-Mendoza A,Calderon-Elvir C,Carrasco-Daza D

    更新日期:1999-12-01 00:00:00

  • Ileal exclusion for Byler's disease: an alternative surgical approach with promising early results for pruritus.

    abstract:BACKGROUND/PURPOSE:Progressive familial intrahepatic cholestasis (Byler's disease) is often characterized by pruritus-induced self-mutilation with minimal response to medical therapy. The causative cholestasis is likely to progress to cirrhosis necessitating transplantation. Partial external biliary diversion has been ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(98)90435-3

    authors: Hollands CM,Rivera-Pedrogo FJ,Gonzalez-Vallina R,Loret-de-Mola O,Nahmad M,Burnweit CA

    更新日期:1998-02-01 00:00:00

  • Metallic foreign body in the appendix of 3-year-old boy.

    abstract::Foreign body-induced appendicitis is a rare but well-known entity. This condition was discovered during the first appendectomy performed almost 275 years ago. For the pediatric surgeon, evaluation of a patient for swallowed foreign bodies is common, and most foreign bodies traverse the gastrointestinal tract without i...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2008.07.026

    authors: Hartin CW Jr,Lau ST,Caty MG

    更新日期:2008-11-01 00:00:00

  • Diagnosis of acute appendicitis in children using a clinical practice guideline.

    abstract:PURPOSE:In October 2000, our institution implemented a clinical practice guideline (CPG) utilizing selective computed tomography (CT) and ultrasound scan (US) for the evaluation of children with suspected appendicitis. The authors sought to determine surgical outcomes and diagnostic accuracy in the CPG period. METHODS...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2003.11.015

    authors: Smink DS,Finkelstein JA,Garcia Peña BM,Shannon MW,Taylor GA,Fishman SJ

    更新日期:2004-03-01 00:00:00

  • Postoperative chylothorax in children: differences between vascular and traumatic origin.

    abstract::Twenty-four children with postoperative chylothorax were encountered among 1,264 consecutive thoracic operations over a 7-year period and form the basis of this study. Chylothorax was caused by direct lesion to the thoracic duct or lymphatic vessels in 17 patients and was associated with superior vena cava (SVC) obstr...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(91)90696-q

    authors: Le Coultre C,Oberhänsli I,Mossaz A,Bugmann P,Faidutti B,Belli DC

    更新日期:1991-05-01 00:00:00

  • Intracranial pressure monitoring in the management of the pediatric trauma patient.

    abstract::Intracranial pressure (ICP) monitoring is an important adjunct in the management of the severely injured child with major head trauma. From a series of 18 patients with multiple trauma, smoke inhalation, and near-drowning, we report an illustrative case of head injury and pulmonary aspiration in which ICP monitoring w...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(80)80769-x

    authors: Caniano DA,Nugent SK,Rogers MC,Haller JA

    更新日期:1980-08-01 00:00:00

  • Improving survival for patients with high-risk congenital diaphragmatic hernia by using extracorporeal membrane oxygenation.

    abstract::The benefit of extracorporeal membrane oxygenation (ECMO) in cases of high-risk congenital diaphragmatic hernia (CDH) was studied by comparing pre-ECMO (1987-1990) and post-ECMO (1991-1994) 3-month survival statistics. Fifty-five CDH patients who presented in respiratory distress within 6 hours after birth were referr...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(95)90408-5

    authors: vd Staak FH,de Haan AF,Geven WB,Doesburg WH,Festen C

    更新日期:1995-10-01 00:00:00