{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:03:17Z","timestamp":1777921397686,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim of the Study:<\/jats:title>\n                    <jats:p>Esophageal dilatations are commonly performed in pediatric patients who have undergone an esophageal atresia\/tracheoesophageal fistula (EA\/TEF) repair or following caustic injury. We sought to compare the practice of esophageal dilatation across different specialties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed all patients who had an esophageal dilatation at our center between April 2014 and December 2018. Patients were identified via prospectively maintained databases and clinical coding records. Patients had a combination of dilatations under each specialty: interventional radiology (IR), surgery, and gastroenterology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Thirty-five individual patients underwent 226 dilatations, median dilatations per patient was 3 (1\u201340). The median age at first dilatation was 18 months (1\u2013194 months). Sixty-eight percent of patients had a previous EA\/TEF repair. IR performed 59% of dilatations, surgeons 26%, and 15% by gastroenterologists. Surgeons more frequently were performing initial dilatations (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05) and performed more dilatations in EA\/TEF patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.0001). There was a significant difference between the time from a surgical dilatation until the next dilatation, 3.7 months, compared with an IR dilatation, 1.8 months (ANOVA,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05). Surgeons more frequently increased the size of balloon used (57% versus 33% versus 39%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01). There was no significant difference in balloon size between specialties or in the incremental increase in size between subsequent dilatations. There was one postprocedure perforation, managed conservatively (complication rate\u2009=\u20090.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We have demonstrated that on average, patients wait longer after a surgical dilatation until their next procedure, and surgical teams are more likely to increase the size of the dilating balloon. Surgeons tend to be more involved in their postoperative patients in the initial phases of stricture management. Our results suggest the feasibility and safety of a multispecialty approach for these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2019.0592","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T17:54:35Z","timestamp":1575395675000},"page":"206-209","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Pediatric Esophageal Dilatations: A Cross-Specialty Experience"],"prefix":"10.1177","volume":"30","author":[{"given":"Joseph R.","family":"Davidson","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Evelina London Children's Hospital, London, United Kingdom."},{"name":"Stem Cells and Regenerative Medicine Section, UCL-GOS Institute of Child Health, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"McCluney","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Evelina London Children's Hospital, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nastasia","family":"Hadjichristou","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology, Evelina London Children's Hospital, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Mutalib","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology, Evelina London Children's Hospital, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leo","family":"Monzon","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iain E.","family":"Yardley","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Evelina London Children's Hospital, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-2-24"},{"key":"e_1_3_4_3_2","first-page":"310","article-title":"Long-term esophageal and respiratory outcomes in children with esophageal atresia and tracheoesophageal fistula","volume":"4","author":"Cartabuke RH","year":"2016","unstructured":"Cartabuke RH, , Lopez R, , Thota PN. Long-term esophageal and respiratory outcomes in children with esophageal atresia and tracheoesophageal fistula. Gastroenterol Rep, 2016; 4:310\u2013314.","journal-title":"Gastroenterol Rep"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(90)90561-M"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2017.02.002"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.13122184"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-13691"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000232686.29864.0A"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.02.089"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-016-4013-z"},{"key":"e_1_3_4_11_2","first-page":"e62","article-title":"Anastomotic strictures after esophageal atresia repair: Timing of dilatation during the first two postoperative years","volume":"4","author":"Sal\u00f6 M","year":"2018","unstructured":"Sal\u00f6 M, , Stenstr\u00f6m P, , Anderberg M, , Arnbj\u00f6rnsson E. Anastomotic strictures after esophageal atresia repair: Timing of dilatation during the first two postoperative years. Surg J (New York, NY), 2018; 4:e62\u2013e65.","journal-title":"Surg J (New York, NY)"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-013-2693-2"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2019.0592","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0592","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:53:25Z","timestamp":1777665205000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2019.0592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,1]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2,1]]}},"alternative-id":["10.1089\/lap.2019.0592"],"URL":"https:\/\/doi.org\/10.1089\/lap.2019.0592","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,1]]}}}