AUTHOR=Morini Francesco , Conforti Andrea , Zani Augusto , Sindjic-Antunovic Sanja , Koivusalo Antti , Friedmacher Florian , van Heurn Ernest , Pierro Agostino , Hollwarth Michael , Bagolan Pietro 

TITLE=Diagnostic Workup of Neonates With Esophageal Atresia: Results From the EUPSA Esophageal Atresia Registry

JOURNAL=Frontiers in Pediatrics

VOLUME=Volume 8 - 2020

YEAR=2020

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2020.00489

DOI=10.3389/fped.2020.00489

ISSN=2296-2360

ABSTRACT=Aim: Controversies exist on the optimal diagnostic workup for neonates with esophageal atresia (EA) with/without tracheoesophageal fistula (TEF). Aim of this study was to describe the current diagnostic policies in EA/TEF patients enrolled in an International multicenter registry.
Methods: All patients consecutively registered from July 2014 to December 2017 in the EUPSA Esophageal Atresia Registry (EUPSA-EAR) were included in the study. Data related to diagnostic investigations among Centres forming the EUPSA-EAR were analyzed. Chi-square test or Fisher’s exact test were used as appropriate.
Main results: During the study period, 374 consecutive patients
were recorded by 23 Centers. The majority of patients underwent chest X rays, echocardiography, abdominal ultrasound, and abdominal X rays. Preoperative bronchoscopy and esophageal gap measurement were performed in one third of the patients.
Conclusions: Present data from a large cohort of patients from the EUPSA- EAR show both inter-institutional and intra-institutional variability in diagnostic workup of patients with EA/TEF. Efforts should be made to develop guidelines on the diagnostic workup for EA/TEF patients.