Table 3.
Literature on esophageal atresia (EA) repair in very low birth weight (VLBW)/extremely low birth weight (ELBW).
| Author | Year | Period | n1 | Weight | Primary | Staged | EA Type | Aim of the study | Conclusion |
|---|---|---|---|---|---|---|---|---|---|
| Schmidt et al. (15) | 2017 | 2002–2016 | 11 | 4 ELBW 7 VLBW (24 > 1,500 g) |
4 7 24 |
Gross C | Compare outcome after primary open repair in VLBW/ELBW with BW > 1,500 g | Complications are unrelated to bodyweight | |
| Hannon et al. (16) | 2016 | 1993–2015 | 9 | ELBW (m2 = 815 g) |
2 | 7 | All | Outcome of EA repair in ELBW | 56% survival, due to immaturity; Gross A with staged repair, 100% survival |
| Zani et al. (17) | 2016 | 2000–2014 | 7 | ELBW (m = 930 g) |
1 | 6 | All | Outcome of EA repair in ELBW | Complications associated with prematurity |
| Margain et al. (18) | 2014 | 2012–2013 | 3 | ELBW (m = 690 g) |
3 | Gross C | Outcome of EA repair in ELBW treated with LEB3 and delayed repair | LEB enables delayed repair (> 2100g) | |
| Ito et al. (19) | 2013 | 1 | ELBW (471 g) |
1 | Gross C | Case report: Delayed primary repair after EB4 | Complications associated with prematurity EA repair was performed too late |
||
| Petrosyan et al. (20) | 2009 | 1987–2008 | 25 | VLBW (m = 1380 g) |
16 | 9 | All | Comparison between primary and staged repair in EA | Significantly more complications after primary repair |
| Seitz et al. (21) | 2006 | 2002–2004 | 4 | VLBW (m = 920 g) |
4 | Gross C | Outcome of EA in VLBW | Primary repair is technically feasible, AI and AS in 25% |
|
| Chahine and Ricketts (5) | 2000 | 1981–1999 | 10 | VLBW (m = 1160 g) |
1 | 9 | all | Outcome of EA in VLBW | 10% died after sepsis caused by AI GER and fundo in 62.5% |
| Driver et al. (22) | 1997 | 1 | ELBW (740 g) |
1 | Gross C | Case report | Good outcome due to improved NICU treatment |
||
| Alexander et al. (23) | 1993 | 1966–1986 | 21 | <2,000 g (1590 g) |
4 | 17 | all | Comparison between primary and staged repair in EA | Staged repair incurred a lesser morbidity |
| Schaarschmidt et al. (24) | 1992 | 1 | ELBW (445 g) |
1 | Delayed primary repair without ligation of TEF5, Case report | No operation-associated complications | |||
| Todd et al. (25) | 1990 | 1 | ELBW (700g) |
1 | Outcome of EA (IIIb) and delayed repair after LEB3, Case report | Mechanical ventilation after LEB3 dilatates the distal esophagus |
Overview of the literature regarding the repair of EA with or without TEF in patients born with exclusively ELBW and VLBW, without the claim of completeness.
1
n, number of patients.
2
m, median.
3
LEB, lower esophageal banding.
4
EB, esophageal banding.
5
TEF, tracheo-esophageal fistula.