{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T00:43:13Z","timestamp":1725496993545},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2020,7]]},"abstract":"Zusammenfassung<\/jats:title>Die \u00d6sophagusatresie (\u00d6A) ist eine angeborene\n Kontinuit\u00e4tsunterbrechung der Speiser\u00f6hre mit oder ohne Fistel\n zur Trachea (Tracheo\u00f6sophageale Fistel, T\u00d6F). Je nach Abstand\n zwischen den beiden \u00d6sophagusenden unterscheidet man eine\n \u201ekurzstreckige\u201c von einer \u201elangstreckigen\u201c Form.\n Bis zu 50% der Neugeborenen weisen weitere Anomalien auf. Eine\n pr\u00e4natale Diagnose der \u00d6A gelingt in 32\u201363% der\n F\u00e4lle. Die interdisziplin\u00e4re Betreuung dieser Kinder hat sich in\n den letzten Jahren gewandelt. In der folgenden Arbeit wird die aktuelle\n S2K-Leitlinie der Deutschen Gesellschaft f\u00fcr Kinderchirurgie zur\n Behandlung der \u00d6A mit unterer T\u00d6F, die etwa 90% aller\n F\u00e4lle ausmacht, zusammengefasst. Hierzu geh\u00f6ren das\n pr\u00e4operative Management sowie operative und an\u00e4sthesiologische\n Aspekte (u.\u2009a. Thorakoskopie vs. Thorakotomie, pr\u00e4operative\n Tracheobronchoskopie, intraoperative Hyperkapnie und Azidose). Ferner wird das\n postoperative Management insbesondere von relevanten Komplikationen wie der\n Anastomosenstenose beschrieben. Trotz Fortschritten in der Behandlung der\n \u00d6A ist die Langzeitmorbidit\u00e4t mit\n Motilit\u00e4tsst\u00f6rungen des \u00d6sophagus,\n gastro\u00f6sophagealer Refluxkrankheit, rezidivierenden Infektionen der\n oberen und unteren Atemwege, Tracheomalazie, mangelhaftem Gedeihen sowie\n orthop\u00e4dischen Problemen nach Thorakotomie weiterhin hoch. Zum Erreichen\n einer guten Lebensqualit\u00e4t ist daher eine gute interdisziplin\u00e4re\n Nachsorge wichtig.<\/jats:p>","DOI":"10.1055\/a-1149-9483","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T23:58:40Z","timestamp":1593215920000},"page":"178-186","source":"Crossref","is-referenced-by-count":8,"title":["Behandlung der \u00d6sophagusatresie mit unterer\n tracheo\u00f6sophagealer Fistel \u2013 Zusammenfassung der aktuellen\n S2K-Leitlinie der DGKCH"],"prefix":"10.1055","volume":"232","author":[{"given":"Steffi","family":"Mayer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Hospital Leipzig,\n Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidrun","family":"Gitter","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Urology, Klinikum Bremen-Mitte,\n Children's Hospital, Bremen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"G\u00f6bel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Urology, Elisatbeth\n Hospital, Halle (Saale)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz Wolfgang","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, University Hospital Leipzig,\n Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"H\u00f6hne","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Intensive Medicine and Pain Medicine, DRK\n Hospitals Berlin Koepenick, Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Hosie","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, M\u00fcnchen Klinik gGmbH,\n Munich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"Hubertus","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Munich University Hospital Dr von\n Hauner Children\u2019s Hospital, Munich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Leutner","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical Center Dortmund,\n Dortmund"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Muensterer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Johannes Gutenberg University Hospital\n Mainz, Mainz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Schmittenbecher","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Klinikum Karlsruhe,\n Karlsruhe"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elias","family":"Seidl","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pneumology, Dr von Hauner Children's\n Hospital, Ludwig Maximilians University Munich, Munich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Stepan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, University Hospital Leipzig,\n Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Thome","sequence":"additional","affiliation":[{"name":"Divsion of Neonatology, University Hospital Leipzig,\n Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Till","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery, Medical University of\n Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anke","family":"Widenmann-Grolig","sequence":"additional","affiliation":[{"name":"The Federation of Esophageal Atresia and Tracheo-Esophageal Fistula\n Support Groups, KEKS e.V., Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Lacher","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Hospital Leipzig,\n Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,6,26]]},"container-title":["Klinische P\u00e4diatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1149-9483.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T22:36:09Z","timestamp":1594679769000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1149-9483"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,26]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2020,7,13]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1149-9483","relation":{},"ISSN":["0300-8630","1439-3824"],"issn-type":[{"value":"0300-8630","type":"print"},{"value":"1439-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,26]]}}}