AUTHOR=Morini Francesco , Conforti Andrea , Zani Augusto , Sindjic-Antunovic Sanja , Koivusalo Antti , Friedmacher Florian , van Heurn Ernest , Pierro Agostino , Hollwarth Michael , Bagolan Pietro 

TITLE=Diagnostic Workup of Neonates With Esophageal Atresia: Results From the EUPSA Esophageal Atresia Registry

JOURNAL=Frontiers in Pediatrics

VOLUME=8

YEAR=2020

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2020.00489

DOI=10.3389/fped.2020.00489

ISSN=2296-2360

ABSTRACT=<p><bold>Aim:</bold> Controversies exist on the optimal diagnostic workup for neonates with esophageal atresia (EA) with/without tracheoesophageal fistula (TEF). Aim of this study was to describe the current diagnostic policies in EA/TEF patients enrolled in an International multicenter registry.</p><p><bold>Methods:</bold> All patients consecutively registered from July 2014 to December 2017 in the EUPSA Esophageal Atresia Registry (EUPSA-EAR) were included in the study. Data related to diagnostic investigations among Centers forming the EUPSA-EAR were analyzed.</p><p><bold>Main Results:</bold> During the study period, 374 consecutive patients were recorded by 23 Centers. The majority of patients underwent chest X-rays, echocardiography, abdominal ultrasound, and abdominal X-rays. Preoperative bronchoscopy and esophageal gap measurement were performed in one third of the patients.</p><p><bold>Conclusions:</bold> Present data from a large cohort of patients from the EUPSA-EAR show both inter-institutional and intra-institutional variability in diagnostic workup of patients with EA/TEF. Efforts should be made to develop guidelines on the diagnostic workup for EA/TEF patients.</p>