# Esophageal Surveillance Practices in Esophageal Atresia Patients — GCMD Library

<p>Another article you should know by Cecilia Gigena</p>

<p>"Esophageal Surveillance Practices in Esophageal Atresia Patients: A Survey by the Eastern Pediatric Surgery Network" </p>

<p>Authors: <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Malcolm N. Hamilton-Hall III</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Dana Jungbauer</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Christine Finck</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">William Middlesworth</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Benjamin Zendejas</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Samuel M. Alaish</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Cornelia L. Griggs</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Robert T. Russell</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Hester F. Shieh</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Stefan Scholz</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Shaun M. Kunisaki</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Christina Feng</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Melissa E. Danko</a>. <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Jennifer R. DeFazio</a>. <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Charles J. Smithers</a>. <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">Irving J. Zamora</a>. <a href="https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext#">J. Leslie Knod</a>, On behalf of theEastern Pediatric Surgery Network</p>

<p>Full article: <a href="javascript:;" target="_self">https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext</a></p>

<p>Abstract</p>

<p>Introduction</p>

<p>Endoscopic surveillance guidelines for patients with repaired esophageal atresia (EA) rely primarily on expert opinion. Prior to embarking on a prospective EA surveillance registry, we sought to understand EA surveillance practices within the Eastern Pediatric Surgery Network (EPSN).</p>

<p>Methods</p>

<p>An anonymous, 23-question Qualtrics survey was emailed to 181 physicians (surgeons and gastroenterologists) at 19 member institutions. Likert scale questions gauged agreement with international EA surveillance guideline-derived statements. Multiple-choice questions assessed individual and institutional practices.</p>

<p>Results</p>

<p>The response rate was 77%. Most respondents (80%) strongly agree or agree that EA surveillance endoscopy should follow a set schedule, while only 36% claimed to perform routine upper GI endoscopy regardless of symptoms. Many institutions (77%) have an aerodigestive clinic, even if some lack a multi-disciplinary EA team. Most physicians (72%) expressed strong interest in helping develop evidence-based guidelines.</p>

<p>Conclusions</p>

<p>Our survey reveals physician agreement with current guidelines but weak adherence. Surveillance methods vary greatly, underscoring the lack of evidence-based data to guide EA care. Aerodigestive clinics may help implement surveillance schedules. Respondents support evidence-based protocols, which bodes well for care standardization. Results will inform the first multi-institutional EA databases in the United States (US), which will be essential for evidence-based care.</p>

<p>Level of Evidence</p>

<p>This is a prognosis study with level 4 evidence.</p>


Type: video · posted 2023-07-19
Canonical: https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844

## Chapters
- [0:00](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=0) Survey of Esophageal Atresia Surveillance Practices

## Statements
- "The Eastern Pediatric Surgery Network in the US created a survey distributed among pediatric surgeons to understand current practices of esophageal surveillance in esophageal atresia patients" — Cecilia Gigena (epidemiological) [0:00](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=0)
- "139 pediatric surgeons responded to the survey" — Cecilia Gigena (epidemiological) [0:30](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=30)
- "75% of respondents strongly agree or agree with current esophageal atresia surveillance guidelines" — Cecilia Gigena (epidemiological) [0:40](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=40)
- "Only 37% of respondents reported that their esophageal atresia patients have pre-determined outpatient clinic follow-up schedule" — Cecilia Gigena (epidemiological) [0:50](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=50)
- "80% of respondents agree or strongly agree that endoscopy should follow a set schedule" — Cecilia Gigena (epidemiological) [1:05](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=65)
- "Only 37% of respondents perform follow-up endoscopy regardless of symptoms" — Cecilia Gigena (epidemiological) [1:20](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=80)
- "There is high agreement with current esophageal atresia surveillance guidelines but weak adherence to them" — Cecilia Gigena (opinion) [1:35](https://library.globalcastmd.com/watch/esophageal-surveillance-practices-in-esophageal-atresia-patients-6844?t=95)

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Not medical advice · citation policy: https://library.globalcastmd.com/ai