StayCurrent Espanol · Revisión bibliográfica sobre atresia esofágica: manejo quirúrgico y complicaciones
Podcast16 min·Published Oct 2022Older

Revisión bibliográfica sobre atresia esofágica: manejo quirúrgico y complicaciones

Chapter 1 of 5

Vagus preservation

Introduction and vagus nerve preservation

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What the experts said3 expert statements · 12 host summaries
Postoperative esophageal stenosis occurs in general with early feeding, typically within days of the procedure
Clinical
The limitation of the drainage paper is that it does not clearly explain the differences in the repairs
Opinion
There is much controversy regarding the use of acid suppression therapy because there is no control of how much is used and no clear indication for its use
Opinion
Comparison of patients with vagus nerve preservation versus non-preservation shows no relationship between preservation status and esophageal stenosis rates
Host summaryThe host summarizing the discussion · not cited in answers
Vagus nerve preservation status shows no relationship with anastomotic leak rates
Host summaryThe host summarizing the discussion · not cited in answers
Vagus nerve preservation status shows no relationship with pneumonitis rates in patients
Host summaryThe host summarizing the discussion · not cited in answers
The recommendation is to preserve the vagus nerve during esophageal atresia repair
Host summaryThe host summarizing the discussion · not cited in answers
A systematic review evaluated the benefit of drainage placement in neonates with esophageal atresia repair, analyzing approximately eight studies
Host summaryThe host summarizing the discussion · not cited in answers
There was no difference in postoperative complications between patients who had drainage and those who did not
Host summaryThe host summarizing the discussion · not cited in answers
There was no difference in pneumonia rates between patients with and without drainage
Host summaryThe host summarizing the discussion · not cited in answers
Patients with drainage had a higher mortality rate compared to those without drainage
Host summaryThe host summarizing the discussion · not cited in answers
Drainage does not show a difference in the development of leak
Host summaryThe host summarizing the discussion · not cited in answers
Drainage may have utility in the diagnosis of leak
Host summaryThe host summarizing the discussion · not cited in answers
Drainage placement may produce more complications overall
Host summaryThe host summarizing the discussion · not cited in answers
The association between acid suppression and stenosis is another problem, and the utility of acid suppression was not found in this work
Host summaryThe host summarizing the discussion · not cited in answers