{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:43:53Z","timestamp":1784288633844,"version":"3.55.0"},"reference-count":13,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatology"],"published-print":{"date-parts":[[2006]]},"abstract":"<i>Background:<\/i> Advances in neonatal intensive care have led to an increased survival of very low birth weight (VLBW, <1,500 g) and extremely low birth weight infants (ELBW, <1,000 g). Several abnormalities may occur in these children, e.g. esophageal atresia (EA), imperforate anus or abdominal wall defects. Correction of EA is often performed as a staged procedure in this group of patients. <i>Objectives:<\/i> To evaluate the feasibility of a primary correction of EA in 4 ELBW and VLBW infants. <i>Methods:<\/i> Between 2002 and 2004, 4 infants below 1,200 g were operated on in our institution with a diagnosis of EA with lower tracheoesophageal fistula. Birth weight ranged from 780 to 1,120 g (median: 920 g), gestational age from 28 to 30 weeks. Treatment included closure of the tracheoesophageal fistula and primary anastomosis of the esophagus in a one-step procedure. <i>Results:<\/i> Primary correction of EA and fistula repair was feasible in all children. Initially, all children had a normal passage of the esophagus as observed in barium swallowing. One child suffering from a leakage of the anastomosis was managed conservatively. Another infant suffered from spontaneous small bowel perforation 6 days after surgery, which was treated by laparotomy. One child developed stenosis of the esophagus and required a single dilatation 14 months after initial treatment. In the 4th child, a type II cleft syndrome was subsequently diagnosed, requiring secondary cleft repair together with semifundoplication. This child eventually died from cytomegalovirus pneumonia. <i>Conclusions:<\/i> Primary repair of EA and closure of a tracheoesophageal fistula is technically feasible and offers a good treatment option for ELBW and VLBW infants. Staged repair can be avoided. Infants with cleft syndrome are still a diagnostic and therapeutic challenge.<\/jats:p>","DOI":"10.1159\/000094037","type":"journal-article","created":{"date-parts":[[2006,6,21]],"date-time":"2006-06-21T06:15:18Z","timestamp":1150870518000},"page":"247-251","source":"Crossref","is-referenced-by-count":27,"title":["Primary Repair of Esophageal Atresia in Extremely Low Birth Weight Infants: A Single-Center Experience and Review of the Literature"],"prefix":"10.1159","volume":"90","author":[{"given":"Guido","family":"Seitz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven W.","family":"Warmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juergen","family":"Schaefer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian F.","family":"Poets","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joerg","family":"Fuchs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2006,11,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-3468%2898%2990588-7"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016%2F0022-3468%2881%2990011-7"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2F0022-3468%2894%2990354-9"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-3468%2897%2990571-6"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-198905000-00003"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1542%2Fpeds.113.5.1223"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-3468%2899%2990231-2"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-3468%2889%2980214-3"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-198405000-00007"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-3468%2887%2980420-7"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-3468%2888%2980438-X"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016%2F0022-3468%2892%2990495-S"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-3468%2883%2980089-X"}],"container-title":["Neonatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/94037","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/94037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T02:27:50Z","timestamp":1745461670000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000094037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006]]},"references-count":13,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2006,11,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000094037","archive":["Portico"],"relation":{},"ISSN":["1661-7800","1661-7819"],"issn-type":[{"value":"1661-7800","type":"print"},{"value":"1661-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006]]}}}