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Table 3 Peri- and post-operative management

From: Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia

 

All patients (n = 65)

LGEA (n = 13)

Non-LGEA (n = 52)

p value*

Pre-operative and operative management

 Pre-op intubation

18 (27.7%)

5 (38.5%)

13 (25%)

0.489

 Duration to first op, median (IQR)

1 (1–2)

1 (1–10)

1 (1–1)

0.025

 Bronchoscopy performed

65 (100%)

13 (100%)

52 (100%)

1.000

 Gap length, VB, median (range)

1.3 (0.4–8.0)

3.9 (1.3–8.0)

1.0 (0.4–3.0)

 < 0.001

 Gap length, CM, median (range)

2 (0.6–12.0)

5.9 (2.0–12.0)

1.5 (0.6–4.5)

0.001

 Open repair

57 (87.7%)

9 (69.2%)

48 (92.3%)

0.026

 Extrapleural dissection

48 (73.8%)

7 (53.8%)

41 (78.8%)

0.005

 Trans-anastomotic tube placement

58 (89.2%)

10 (76.9%)

48 (92.3%)

0.142

 Cathetherization of TEF

16 (25%)

5 (41.7%)

11 (21.2%)

0.156a

 Chest drain placement

61 (95.3%)

11 (91.7%)

50 (96.2%)

0.470a

 Tension at anastomosis

17 (26.2%)

6 (46.2%)

11 (21.2%)

0.060

Post-operative management

 Days intubated, median (IQR)

5 (4–9)

4 (2.5–7.5)

6 (4–9)

0.106

 Days to contrast study, median (IQR)

8 (7–9.75)

9 (7.5–12.5)

8 (7–9)

0.233a

 Days to feeds initiation, median (IQR)

8 (6–9)

9.5 (7.25–12.75)

8 (6–9)

0.069a

 LOSb, median (IQR)

27 (15.75–52.25)

45 (30.25–132.00)

22 (14.00–43.25)

0.018

 Discharged on oral feeds

38 (64.4%)

3 (30%)

35 (71.4%)

0.022a

  1. aMissing values excluded from analysis
  2. bLOS length of stay (excluding patients who demised)
  3. *p value is for comparison between LGEA and non-LGEA