# Anastomotic Strictures — GCMD Library living collection

Everything in the library about anastomotic strictures — built automatically from dossiers that name it.

Updated: n/a · 4 episodes · 13 cited statements

## Episodes
### Evidence & Research
- [Prophylactic Acid-suppression Medication to Prevent Anastomotic Strictures After Oesophageal Atresia Surgery](https://library.globalcastmd.com/watch/prophylactic-acid-suppression-medication-to-prevent-anastomotic-strictures-after-oesophageal-atresia-surgery-7829) — video · [machine version](https://library.globalcastmd.com/watch/prophylactic-acid-suppression-medication-to-prevent-anastomotic-strictures-after-oesophageal-atresia-surgery-7829.md)
- [Supresión ácida profiláctica para prevenir estenosis anastomóticas después de la cirugía de atresia esofágica](https://library.globalcastmd.com/watch/supresi-n-cida-profil-ctica-para-prevenir-estenosis-anastom-ticas-despu-s-de-la-cirug-a-de-atresia-esof-gica-7830) — video · [machine version](https://library.globalcastmd.com/watch/supresi-n-cida-profil-ctica-para-prevenir-estenosis-anastom-ticas-despu-s-de-la-cirug-a-de-atresia-esof-gica-7830.md)
- [Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940) — video · 0:56 · [machine version](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940.md)
- [Journal of Pediatric Surgery Article Review: October 2023](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504) — podcast · 12:59 · [machine version](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/prophylactic-acid-suppression-medication-to-prevent-anastomotic-strictures-after-oesophageal-atresia-surgery-7829?t=0) Systematic Review of Prophylactic Acid Suppression After Esophageal Atresia Repair (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/supresi-n-cida-profil-ctica-para-prevenir-estenosis-anastom-ticas-despu-s-de-la-cirug-a-de-atresia-esof-gica-7830?t=0) Systematic review of prophylactic acid suppression for post-EA repair strictures (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=0) Robotic vs Thoracoscopic Repair for Esophageal Atresia (Ep 3)
- [0:00](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=0) Introduction and episode overview (Ep 4)
- [1:07](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=67) Prophylactic acid suppression after esophageal atresia repair (Ep 4)
- [4:39](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=279) Management of primary spontaneous pneumothorax (Ep 4)
- [8:07](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=487) Clinical symptoms and CPAM treatment outcomes (Ep 4)
- [11:25](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=685) Summary and closing (Ep 4)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "The study is a retrospective multi-center study done in China" — Cecilia Gigena (host_summary) [Ep 3 · 0:10](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=10)
- "After propensity score matching, there were 126 patients total, 63 in each group" — Cecilia Gigena (host_summary) [Ep 3 · 0:21](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=21)
- "Robotic surgery had longer operative time compared to thoracoscopic repair" — Cecilia Gigena (host_summary) [Ep 3 · 0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28)
- "Robotic surgery had shorter anastomotic time compared to thoracoscopic repair" — Cecilia Gigena (host_summary) [Ep 3 · 0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28)
- "The robotic group had lower anastomotic strictures compared to thoracoscopic repair" — Cecilia Gigena (host_summary) [Ep 3 · 0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28)
- "The robotic group had lower unplanned readmissions within 2 years post-op compared to thoracoscopic repair" — Cecilia Gigena (host_summary) [Ep 3 · 0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28)
- "Robotic surgery appears to be a good option for esophageal atresia repair" — Cecilia Gigena (host_summary) [Ep 3 · 0:46](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=46)
- "Acid suppression medicines, particularly proton pump inhibitors (PPIs), have potential harms" — Tom Wiley (clinical) [Ep 4 · 2:03](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=123)
- "There are no randomized controlled trials on prophylactic acid suppression after esophageal atresia repair" — Madina Chakraborty (epidemiological) [Ep 4 · 2:30](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=150)
- "Within 1,395 patients across 12 observational studies, 753 received acid suppression medication but this did not reduce the odds of having an esophageal stricture" — Cecilia Gigena (host_summary) [Ep 4 · 2:37](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=157)
- "There was no significant difference in secondary outcomes (gastroesophageal reflux disease, anastomotic leak, esophagitis) between infants receiving prophylactic acid suppression and those who did not" — Em Gootee (host_summary) [Ep 4 · 3:14](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=194)
- "There is currently no evidence that anti-acid medication reduces the risk of stricture, and there was a tendency toward higher incidence of strictures with treatment" — Pablo Laje (clinical) [Ep 4 · 3:33](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=213)
- "Potential risks of long-term acid suppression therapy include dysbiosis, necrotizing enterocolitis, and increased neonatal infection rates, particularly relevant in preterm and low birth weight infants" — Em Gootee (host_summary) [Ep 4 · 3:51](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=231)
- "A large prospective study demonstrated that even children with sizable pneumothorax can be safely observed" — Elizabeth Speck (clinical) [Ep 4 · 5:43](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=343)
- "Not every patient with pneumothorax has an active leak; aspiration followed by repeat imaging a few hours later can identify patients who can go home if there is no recurrence" — Pablo Laje (clinical) [Ep 4 · 6:04](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=364)
- "Cross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion" — Elizabeth Speck (guideline) [Ep 4 · 6:22](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=382)
- "If patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation" — Elizabeth Speck (clinical) [Ep 4 · 6:42](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=402)
- "The data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax" — Elizabeth Speck (clinical) [Ep 4 · 6:51](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=411)
- "Studies are not available to demonstrate that one pleural-based procedure is better than another" — Elizabeth Speck (epidemiological) [Ep 4 · 7:28](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=448)
- "Some randomized trials showed that doing something to the pleura does not actually reduce recurrences of spontaneous pneumothorax" — Cecilia Gigena (host_summary) [Ep 4 · 7:08](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=428)
- "For the asymptomatic contralateral side in children with spontaneous pneumothorax, do not do anything unless it develops symptoms" — Cecilia Gigena (host_summary) [Ep 4 · 7:40](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=460)
- "For recurrent pneumothorax, whatever procedure was done before, do something more aggressive" — Elizabeth Speck (opinion) [Ep 4 · 7:52](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=472)
- "The CPAM study reviewed 110 patients operated over about 5 years, comparing perioperative outcomes between symptomatic and asymptomatic patients" — Pablo Laje (epidemiological) [Ep 4 · 8:44](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=524)
- "The asymptomatic CPAM group had shorter operating times, shorter postoperative mechanical ventilation, shorter chest tube durations, and shorter hospital stays" — Cecilia Gigena (host_summary) [Ep 4 · 9:00](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=540)
- "Factors associated with symptomatic CPAM lesions include age older than 4 years, postnatal diagnosis, and maximum cyst diameter greater than 39.9 millimeters" — Em Gootee (host_summary) [Ep 4 · 9:20](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=560)
- "The CPAM study did not enroll patients who accepted conservative treatment compared to asymptomatic patients" — Em Gootee (host_summary) [Ep 4 · 9:50](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=590)
- "The CPAM study sample size was insufficient and all patients were from a single center" — Em Gootee (host_summary) [Ep 4 · 10:00](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=600)
- "The CPAM study did not explain why operations were performed in asymptomatic patients, some of whom were several years old (5 to 120 months)" — Pablo Laje (opinion) [Ep 4 · 10:09](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=609)
- "The CPAM study excluded patients who underwent thoracotomy, including only thoracoscopic resections" — Pablo Laje (epidemiological) [Ep 4 · 10:31](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-october-2023-8504?t=631)
- "This is a systematic review that analyzed whether prophylaxis with acid suppression was effective to reduce stricture rates after esophageal atresia repair." — Cecilia Gigena (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/supresi-n-cida-profil-ctica-para-prevenir-estenosis-anastom-ticas-despu-s-de-la-cirug-a-de-atresia-esof-gica-7830?t=0)
- "The review identified 12 observational articles." — Cecilia Gigena (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/supresi-n-cida-profil-ctica-para-prevenir-estenosis-anastom-ticas-despu-s-de-la-cirug-a-de-atresia-esof-gica-7830?t=0)
- "Prophylaxis with acid suppression tended to have higher stricture rates than those without suppression, but there was no significant difference." — Cecilia Gigena (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/supresi-n-cida-profil-ctica-para-prevenir-estenosis-anastom-ticas-despu-s-de-la-cirug-a-de-atresia-esof-gica-7830?t=0)
- "Prophylaxis with acid suppression does not appear to prevent strictures after esophageal atresia repair." — Cecilia Gigena (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/supresi-n-cida-profil-ctica-para-prevenir-estenosis-anastom-ticas-despu-s-de-la-cirug-a-de-atresia-esof-gica-7830?t=0)
- "A systematic review analyzed whether prophylactic acid suppression would reduce the rates of strictures after esophageal atresia repair." — Cecilia Gigena (host_summary) [Ep 1 · 0:00](https://library.globalcastmd.com/watch/prophylactic-acid-suppression-medication-to-prevent-anastomotic-strictures-after-oesophageal-atresia-surgery-7829?t=0)
- "The systematic review included 12 observational studies." — Cecilia Gigena (host_summary) [Ep 1 · 0:30](https://library.globalcastmd.com/watch/prophylactic-acid-suppression-medication-to-prevent-anastomotic-strictures-after-oesophageal-atresia-surgery-7829?t=30)
- "Prophylactic acid suppression had a trend towards increasing strictures after EA repair, but the difference was not statistically significant." — Cecilia Gigena (host_summary) [Ep 1 · 0:45](https://library.globalcastmd.com/watch/prophylactic-acid-suppression-medication-to-prevent-anastomotic-strictures-after-oesophageal-atresia-surgery-7829?t=45)
- "Prophylactic acid suppression does not appear to work to prevent strictures after EA repair." — Cecilia Gigena (host_summary) [Ep 1 · 1:10](https://library.globalcastmd.com/watch/prophylactic-acid-suppression-medication-to-prevent-anastomotic-strictures-after-oesophageal-atresia-surgery-7829?t=70)

## Changelog
- Sep 25: 4 items added automatically

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