{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:08Z","timestamp":1782956648532,"version":"3.54.5"},"reference-count":33,"publisher":null,"issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Oesophageal atresia (EA) is the most common congenital anomaly of the oesophagus. Despite improvement of survival observed over the previous two decades in developed countries, the mortality remains very high and the management greatly challenging in resource-poor settings such as Cameroon. We report our experience of management of EA in this environment, with a successful outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We prospectively assessed patients diagnosed with EA and operated in January 2019, at the University Hospital Centre of Yaounde. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures and outcomes. The study has received approval from the Institutional Ethics Committees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, six patients (three males and three females, sex ratio, 0.5; mean age at diagnosis, 3.6 days; range, 1\u20137 days) were assessed. A past history of polyhydramnios was found in one patient (16.7%). All patients were classified Waterston Group A at diagnosis, with Ladd-Swenson type III atresia. Early primary repair was performed in four patients (66.7%) and delayed primary repair in two patients (33.3%). Operative repair mainly involved resection of the fistula, suture of trachea and oesophagus end-to-end anastomosis, followed by interposition of vascularised pleural flap. Patients were followed up 24 months. With one late death, the survival rate was 83.3%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Improvement has been achieved in the outcomes of neonatal surgery in Africa in the past two decades, but EA-related mortality remains relatively too high. Using simple techniques and available, reproducible equipment can improve survival in resource-poor settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_47_21","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T08:04:31Z","timestamp":1672819471000},"page":"138-143","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa"],"prefix":"10.67481","volume":"20","author":[{"given":"Olivier Kopong","family":"Fola","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital Centre of Yaounde, University of Yaounde I, Yaounde, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonaventure","family":"Jemea","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Unit, University Hospital Centre of Yaounde, University of Yaounde I, Yaounde, Cameroon"},{"name":"Department of Surgery and Subspecialities, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Emile Emmanuel","family":"Bayiha","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yaounde Central Hospital, University of Yaounde I, Yaounde, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette Ngo","family":"Nonga","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Centre of Yaounde, University of Yaounde I, Yaounde, Cameroon"},{"name":"Department of Surgery and Subspecialities, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2023,1,4]]},"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1055\/s-0036-1587330","article-title":"Esophageal atresia:Future directions for research on the digestive Tract","volume":"27","author":"Rayyan","year":"2017","journal-title":"Eur J Pediatr Surg"},{"key":"R2-20240829","doi-asserted-by":"crossref","first-page":"2202","DOI":"10.1002\/ajmg.a.61337","article-title":"Likelihood of meeting defined VATER\/VACTERL phenotype in infants with esophageal atresia with or without tracheoesophageal fistula","volume":"179","author":"Guptha","year":"2019","journal-title":"Am J Med Genet A"},{"key":"R3-20240829","first-page":"47","article-title":"Historical aspects of oesophageal surgery in pediatric surgical practice","volume":"6","author":"Kalinova","year":"2005","journal-title":"Khirurgiia (Sofiia)"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/978-3-642-70825-1_12","article-title":"The history of oesophageal atresia and tracheo-oesophageal fistula--1670-1984","volume":"20","author":"Myers","year":"1986","journal-title":"Prog Pediatr Surg"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1750-1172-2-24","article-title":"Oesophageal atresia","volume":"2","author":"Spitz","year":"2007","journal-title":"Orphanet J Rare Dis"},{"key":"R6-20240829","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1053\/j.sempedsurg.2008.10.003","article-title":"Esophageal atresia repair with thoracotomy:The Cincinnati contemporary experience","volume":"18","author":"Mortell","year":"2009","journal-title":"Semin Pediatr Surg"},{"key":"R7-20240829","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1016\/j.jpedsurg.2006.07.004","article-title":"Esophageal atresia. 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