{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T22:34:46Z","timestamp":1784932486974,"version":"3.55.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>\n            Introduction\u2003The aim of this study was to stratify anastomotic strictures (AS) following esophageal atresia (EA) repair and to establish predictors for the need of dilations.<\/jats:p><jats:p>\n            Materials and Methods\u2003A retrospective study on children operated on for EA between 2004 and 2014 was conducted. The stricture index (SI) was measured both radiologically (SIXR) and endoscopically (SIEND). A correlation analysis between the SI and the number of dilations was performed using Spearman's test and linear regression analysis.<\/jats:p><jats:p>\n            Results\u2003In this study, 40 patients were included: 35 (87.5%) presented with Gross's type C EA, 3 (7.5%) type A, 1 (2.5%) type B, and 1 (2.5%) type D. The mean follow-up time was 101\u2009\u00b1\u200971.1 months (range: 7.8\u2013232.5, median: 97.6). The mean SIXR was 0.56\u2009\u00b1\u20090.16 (range: 0.15\u20130.86). The mean SIEND was 0.45\u2009\u00b1\u20090.22 (range: 0.15\u20130.85). Twenty-four patients (60%) underwent a mean of 2 endoscopic dilations (range: 1\u20139). The number of dilations was poorly correlated with SIXR, while significantly correlated with SIEND. Patients who did not need dilations had a SIEND\u2009&lt;\u20090.33, patients who needed only one dilation had 0.33\u2009\u2264\u2009SIEND\u2009&lt;\u20090.44, and those with SIEND\u2009\u2265\u20090.44 needed two or more dilations. No significant association with other clinical variables was found. All patients were asymptomatic at the time of the first endoscopy.<\/jats:p><jats:p>\n            Conclusion\u2003SIEND is a useful tool to classify AS and can represent a predictor of the need for endoscopic dilation. The role of the SIEND becomes even more important as clinical characteristics have a low predictive value for the development of an AS and the need for subsequent endoscopic esophageal dilatations.<\/jats:p>","DOI":"10.1055\/s-0037-1598656","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T23:48:25Z","timestamp":1488844105000},"page":"243-249","source":"Crossref","is-referenced-by-count":14,"title":["Classification of Esophageal Strictures following Esophageal Atresia Repair"],"prefix":"10.1055","volume":"28","author":[{"given":"Francesco","family":"Macchini","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Parente","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Farris","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerio","family":"Gentilino","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernesto","family":"Leva","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Morandi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,3,6]]},"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1598656.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,5,8]],"date-time":"2018-05-08T22:36:05Z","timestamp":1525818965000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1598656"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,6]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2018,5,8]]},"published-print":{"date-parts":[[2018,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1598656","relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,6]]}}}