{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T14:40:15Z","timestamp":1793976015216,"version":"4.8.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study was performed to describe the current clinical practice and outcomes of type D esophageal atresia. We retrospectively analyzed 10 patients who were diagnosed with type D esophageal atresia and underwent esophageal atresia and tracheoesophageal fistula repair in the Capital Institute of Pediatrics and Beijing Children\u2019s Hospital from January 2017 to May 2022. Ten patients include three newborns and seven non-newborns. Seven (70%) cases were misdiagnosed as type C esophageal atresia before the first operation. Three neonatal children underwent thoracoscopic distal tracheoesophageal fistula ligation and esophageal anastomosis: the proximal tracheoesophageal fistula was simultaneously repaired with thoracoscopy in one of these children, and the proximal tracheoesophageal fistula was not detected under thoracoscopy in the other two children. Among the seven non-neonatal children, one underwent repair of the proximal tracheoesophageal fistula through the chest and the other six underwent repair through the neck. Nine patients were cured, and one died of complications of severe congenital heart disease. Type D esophageal atresia lacks specific clinical manifestations. Misdiagnosis as type C esophageal atresia is the main cause of an unplanned reoperation. Patients without severe malformations have a good prognosis.<\/jats:p>","DOI":"10.1007\/s00383-023-05519-6","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T10:02:15Z","timestamp":1696932135000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Diagnosis and management of congenital type D esophageal atresia"],"prefix":"10.1007","volume":"39","author":[{"given":"Cuizhu","family":"Feng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanxia","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinshi","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"issue":"3","key":"5519_CR1","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1136\/archdischild-2011-300597","volume":"97","author":"RN Pedersen","year":"2012","unstructured":"Pedersen RN, Calzolari E, Husby S et al (2012) Oesophageal atresia: prevalence, prenatal diagnosis and associated anomalies in 23 European regions. Arch Dis Child 97(3):227\u2013232. https:\/\/doi.org\/10.1136\/archdischild-2011-300597","journal-title":"Arch Dis Child"},{"issue":"3","key":"5519_CR2","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1007\/s00383-011-3014-1","volume":"28","author":"J Oddsberg","year":"2012","unstructured":"Oddsberg J, Lu Y, Lagergren J (2012) Aspects of esophageal atresia in a population-based setting: incidence, mortality and cancer risk. Pediatr Surg Int 28(3):249\u2013257. https:\/\/doi.org\/10.1007\/s00383-011-3014-1","journal-title":"Pediatr Surg Int"},{"issue":"8","key":"5519_CR3","doi-asserted-by":"publisher","first-page":"1664","DOI":"10.1016\/j.jped-surg.2013.03.075","volume":"48","author":"R Sfeir","year":"2013","unstructured":"Sfeir R, Bonnard A, Khen-Dunlop N et al (2013) Esophagealatresia: data from a national cohort. J Pediatr Surg 48(8):1664\u20131669. https:\/\/doi.org\/10.1016\/j.jped-surg.2013.03.075","journal-title":"J Pediatr Surg"},{"issue":"10","key":"5519_CR4","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1111\/jpc.12909","volume":"51","author":"E Leoncini","year":"2015","unstructured":"Leoncini E, Bower C, Nassar N (2015) Oesophageal atresia and tracheo-oesophageal fistula in Western Australia: prevalence and trends. J Paediatr Child Health 51(10):1023\u20131029. https:\/\/doi.org\/10.1111\/jpc.12909","journal-title":"J Paediatr Child Health"},{"issue":"2","key":"5519_CR5","doi-asserted-by":"publisher","first-page":"44","DOI":"10.21699\/jns.v6i2.582","volume":"6","author":"JM Lloreda-Garcfa","year":"2017","unstructured":"Lloreda-Garcfa JM, Sevilla-Denia S, Leante-Castellanos JL et al (2017) Type IV esophageal atresia with nasogastric tube in stomach. J Neonatal Surg 6(2):44. https:\/\/doi.org\/10.21699\/jns.v6i2.582","journal-title":"J Neonatal Surg"},{"key":"5519_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2014.04.004","author":"ZJ Kastenberg","year":"2014","unstructured":"Kastenberg ZJ, Wall JK, Bruzoni M (2014) Thoracoscopic repair of esophageal atresia with distal tracheoesophageal fistula and a proximal type-H tracheoesophageal fistula. J Pediatr Surg Case Rep. https:\/\/doi.org\/10.1016\/j.epsc.2014.04.004","journal-title":"J Pediatr Surg Case Rep"},{"issue":"4","key":"5519_CR7","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1111\/j.1442-200X.2010.03155.x","volume":"52","author":"M Takeyama","year":"2010","unstructured":"Takeyama M, Kanehiro H, Nishikubo T et al (2010) Type D congenital esophageal atresia associated with omphalomesenteric duct remnant. Pediatr Int 52(4):679. https:\/\/doi.org\/10.1111\/j.1442-200X.2010.03155.x","journal-title":"Pediatr Int"},{"issue":"5","key":"5519_CR8","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1055\/s-0034-1370780","volume":"24","author":"O Aworanti","year":"2014","unstructured":"Aworanti O, Awadalla S (2014) Management of recurrent tracheoesophageal fistulas: a systematic review. Eur J Pediatr Surg 24(5):365\u2013375. https:\/\/doi.org\/10.1055\/s-0034-1370780","journal-title":"Eur J Pediatr Surg"},{"key":"5519_CR9","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1097\/JCMA.0000000000000246","volume":"83","author":"C Chia-Sui","year":"2020","unstructured":"Chia-Sui C, Wen-Jue S, Yu-Sheng L et al (2020) Fiberoptic bronchoesophagoscopy-assisted evaluation and prognostic factor analysis in children with congenital esophageal atresia and tracheoesophageal fistula. J Chin Med Assoc 83:180\u2013187. https:\/\/doi.org\/10.1097\/JCMA.0000000000000246","journal-title":"J Chin Med Assoc"},{"key":"5519_CR10","doi-asserted-by":"publisher","first-page":"106376","DOI":"10.1016\/j.rmed.2021.106376","volume":"181","author":"TG Dil\u015fa","year":"2021","unstructured":"Dil\u015fa TG, Tutku S, Ery\u0131lmaz PS et al (2021) Evaluation of pulmonary complications and affecting factors in children for repaired esophageal atresia and tracheoesophageal fistula. Respir Med 181:106376. https:\/\/doi.org\/10.1016\/j.rmed.2021.106376","journal-title":"Respir Med"},{"issue":"3","key":"5519_CR11","doi-asserted-by":"publisher","first-page":"151060","DOI":"10.1016\/j.sempedsurg.2021.151060","volume":"30","author":"S Gutierrez Roc\u00edo","year":"2021","unstructured":"Gutierrez Roc\u00edo S, Miguel G, Varela BP (2021) Congenital and acquired tracheoesophageal fistulas in children. Semin Pediatr Surg 30(3):151060. https:\/\/doi.org\/10.1016\/j.sempedsurg.2021.151060","journal-title":"Semin Pediatr Surg"},{"issue":"3","key":"5519_CR12","doi-asserted-by":"publisher","first-page":"e2020049778","DOI":"10.1542\/peds.2020-049778","volume":"148","author":"L St\u00e9phanie","year":"2021","unstructured":"St\u00e9phanie L, Rony S, V\u00e9ronique R et al (2021) Esophageal atresia and respiratory morbidity. Pediatrics 148(3):e2020049778. https:\/\/doi.org\/10.1542\/peds.2020-049778","journal-title":"Pediatrics"},{"issue":"9","key":"5519_CR13","doi-asserted-by":"publisher","first-page":"doaa023","DOI":"10.1093\/dote\/doaa023","volume":"33","author":"K Hua","year":"2020","unstructured":"Hua K, Yang S, Zhang Y, Zhao Y, Gu Y, Li S et al (2020) Thoracoscopic surgery for recurrent tracheoesophageal fistula after esophageal atresia repair. Dis Esophagus 33(9):doaa023. https:\/\/doi.org\/10.1093\/dote\/doaa023","journal-title":"Dis Esophagus"},{"issue":"7","key":"5519_CR14","doi-asserted-by":"publisher","first-page":"985","DOI":"10.1016\/j.ijporl.2014.04.011","volume":"78","author":"F Parolini","year":"2014","unstructured":"Parolini F, Morandi A, Macchini F et al (2014) Cervical\/thoracotomic\/thoracoscopic approaches for H-type congenital trachea-esophageal fistula: a systematic review. Int J Pediatr Otorhinolaryngol 78(7):985\u2013989. https:\/\/doi.org\/10.1016\/j.ijporl.2014.04.011","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"8","key":"5519_CR15","doi-asserted-by":"publisher","first-page":"567","DOI":"10.3760\/cma.j.issn.0253-3006.2013.08.002","volume":"34","author":"HOU Da-wei","year":"2013","unstructured":"Da-wei HOU, Wei-hong GUO, Ying-zi LI et al (2013) The early diagnosis and management of isolated tracheoesophageal fistula. Chin J Pediatr Surg 34(8):567\u2013569. https:\/\/doi.org\/10.3760\/cma.j.issn.0253-3006.2013.08.002","journal-title":"Chin J Pediatr Surg"},{"issue":"7","key":"5519_CR16","doi-asserted-by":"publisher","first-page":"976","DOI":"10.1089\/lap.2018.0388","volume":"29","author":"CS Fabio","year":"2019","unstructured":"Fabio CS, Cosimo B, Elisa Z et al (2019) The use of endoclips in thoracoscopic correction of esophageal atresia: advantages or complications? J Laparoendosc Adv Surg Tech A 29(7):976\u2013980. https:\/\/doi.org\/10.1089\/lap.2018.0388","journal-title":"J Laparoendosc Adv Surg Tech A"}],"container-title":["Pediatric Surgery International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-023-05519-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00383-023-05519-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-023-05519-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T18:32:24Z","timestamp":1702578744000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00383-023-05519-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,10]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["5519"],"URL":"https:\/\/doi.org\/10.1007\/s00383-023-05519-6","relation":{},"ISSN":["1437-9813"],"issn-type":[{"value":"1437-9813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,10]]},"assertion":[{"value":"10 July 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"280"}}