{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T16:38:03Z","timestamp":1788021483264,"version":"build-2784847793"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Posterior tracheopexy (PT) directly addresses the posterior trachealis membrane intrusion in severe tracheomalacia. During PT, the esophagus is mobilized and membranous trachea is sutured to the prevertebral fascia. Although dysphagia has been reported as a possible complication of PT, in the literature there are no data investigating postoperative esophageal anatomy and digestive symptoms. Our aim was to study clinical and radiological consequences of PT on esophagus.<\/jats:p><jats:p>\n          Methods\u2003Patients with symptomatic tracheobronchomalacia scheduled for PT between May 2019 and November 2022 underwent pre- and postoperative esophagogram. For each patient, we analyzed radiological images and measured esophageal deviation providing new radiological parameters.<\/jats:p><jats:p>\n          Results\u2003All 12 patients underwent thoracoscopic PT (n\u2009=\u20093) or robot-assisted thoracoscopic PT (n\u2009=\u20099). For all patients, the postoperative esophagogram showed a right dislocation of the thoracic esophagus (median postoperative deviation\u2009=\u200927.5\u2009mm). We report an esophageal perforation at postoperative day 7 in a patient affected by esophageal atresia, who underwent several surgical procedures before. A stent was placed and esophagus healed. Another patient with severe right dislocation referred transient dysphagia to solids, which resolved gradually in the first postoperative year. All the other patients did not present any esophageal symptoms.<\/jats:p><jats:p>\n          Conclusion\u2003For the first time, we demonstrate the right dislocation of the esophagus after PT and we propose an objective method to measure it. In most patients, PT is a procedure not affecting esophageal function, but dysphagia can occur if dislocation is important. Esophagus mobilization during PT should be cautious, especially in patients who underwent previous thoracic procedures.<\/jats:p>","DOI":"10.1055\/a-2111-5605","type":"journal-article","created":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T22:47:20Z","timestamp":1689893240000},"page":"306-313","source":"Crossref","is-referenced-by-count":5,"title":["Posterior Tracheopexy for Tracheomalacia: A Study of Clinical and Radiological Consequences on Esophagus"],"prefix":"10.1055","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5197-4380","authenticated-orcid":false,"given":"Michele","family":"Torre","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"},{"name":"Department of Pediatric Thoracic and Airway Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0586-904X","authenticated-orcid":false,"given":"Serena","family":"Reali","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"},{"name":"Department of Pediatric Surgery, UNIGE DiNOGMI, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Rizzo","sequence":"additional","affiliation":[{"name":"Department of Radiology Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"},{"name":"Department of Pediatric Thoracic and Airway Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittorio","family":"Guerriero","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"},{"name":"Department of Pediatric Thoracic and Airway Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Palo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Arrigo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"},{"name":"Department of Pediatric Thoracic and Airway Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliviero","family":"Sacco","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"},{"name":"Department of Pediatric Thoracic and Airway Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girolamo","family":"Mattioli","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Liguria, Italy"},{"name":"Department of Pediatric Surgery, UNIGE DiNOGMI, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,20]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"151062","DOI":"10.1016\/j.sempedsurg.2021.151062","article-title":"Current concepts in tracheobronchomalacia: diagnosis and treatment","volume":"30","author":"A Kamran","year":"2021","journal-title":"Semin Pediatr Surg"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/j.jpedsurg.2017.03.018","article-title":"Posterior tracheopexy for severe tracheomalacia","volume":"52","author":"H F Shieh","year":"2017","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1183\/13993003.00382-2019","article-title":"ERS statement on tracheomalacia and bronchomalacia in children","volume":"54","author":"C Wallis","year":"2019","journal-title":"Eur Respir J"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1001\/jamaoto.2018.3276","article-title":"Diagnosis, classification, and management of pediatric tracheobronchomalacia: a review","volume":"145","author":"S Choi","year":"2019","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"512","DOI":"10.3389\/fped.2019.00512","article-title":"Tracheomalacia and tracheobronchomalacia in pediatrics: an overview of evaluation, medical management, and surgical treatment","volume":"7","author":"A Kamran","year":"2019","journal-title":"Front Pediatr"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"720618","DOI":"10.3389\/fped.2021.720618","article-title":"Primary posterior tracheopexy in esophageal atresia decreases respiratory tract infections","volume":"9","author":"E S van Tuyll van Serooskerken","year":"2021","journal-title":"Front Pediatr"},{"key":"ref7","first-page":"16","article-title":"Surgical treatment of tracheobronchomalacia: a novel approach","volume":"19","author":"S Bairdain","year":"2016","journal-title":"Paediatr Respir Rev"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1016\/j.jpedsurg.2015.03.016","article-title":"Direct tracheobronchopexy to correct airway collapse due to severe tracheobronchomalacia: short-term outcomes in a series of 20 patients","volume":"50","author":"S Bairdain","year":"2015","journal-title":"J Pediatr Surg"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s42804-020-00082-6","article-title":"Posterior tracheobrochopexy with thoracoscopic or robotic approach: technical details","volume":"2","author":"M Torre","year":"2020","journal-title":"J Pediatr Endosc Surg"},{"issue":"12","key":"ref10","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1089\/lap.2018.0198","article-title":"Minimally invasive surgical approach for posterior tracheopexy to treat severe tracheomalacia: lessons learned from initial case series","volume":"28","author":"A Kamran","year":"2018","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1089\/lap.2019.0156","article-title":"Thoracoscopic posterior tracheopexy is a feasible and effective treatment for tracheomalacia","volume":"29","author":"L Dewberry","year":"2019","journal-title":"J Laparoendosc Adv Surg Tech A"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2111-5605.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T11:50:02Z","timestamp":1730807402000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2111-5605"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,16]]},"references-count":11,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,7,5]]},"published-print":{"date-parts":[[2024,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2111-5605","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,6,16]]},"published":{"date-parts":[[2023,6,16]]}}}