Esophageal Surveillance Practices in Esophageal Atresia Patients
Timestops (7)
Tools Used
Topic Overview
Key Takeaways
- 75% of pediatric surgeons agree with EA surveillance guidelines, but only 37% implement scheduled outpatient follow-up protocols.
- Despite 80% endorsing scheduled endoscopy, only 37% perform routine surveillance endoscopy independent of symptoms.
- Significant gap exists between guideline acceptance and clinical adherence in esophageal atresia long-term management.
- Eastern Pediatric Surgery Network survey (n=139) reveals inconsistent EA surveillance practices across US centers.
- Structured follow-up protocols needed to improve adherence to evidence-based esophageal atresia surveillance recommendations.
Keywords
Hashtags
Transcript
Do you have any surveillance guidance for esophageal atresia patients? Hi, I'm Cecilia Higuera from Cincinnati Children's Hospital and I think this is an article that you should know about. This is a study made by the Eastern Pediatric Surgery Network in the US and what they did is like create a survey that distributed among the pediatric surgeons to understand the current practices of esophageal surveillance in esophageal atresia patients. And what did they find? They had 139 respondents. Of them, 75% say they strongly agree or agree with the current guidelines, but only 37% of them reported that their esophageal atresia patients have pre-determined outpatient clinic follow-up schedule. Also, even though 80% of them agree or strongly agree that endoscopy should follow a set schedule, only 37% of them done a follow-up endoscopy regardless of symptoms. So, it seems that even though there's a high agreement with the current guidelines, there's a weak adherence to them. Let us know what you think about this and stay tuned for more articles that you should know about.