Publications by authors named "Alisa Hawley"
Background And Objectives: Presence of a syndrome (or association) is predictive of poor survival in esophageal atresia (EA). However, most reports rely on historical patient outcomes, limiting their usefulness when estimating risk for neonates born today. We hypothesized improved syndromic EA survival due to advances in neonatal care.
View Article and Find Full Text PDFPurpose: Preoperative echocardiography is used routinely in neonates with esophageal atresia to identify patients in whom congenital cardiac disease will impact upon anesthetic and surgical decision-making. We aimed to determine the suitability of selective preoperative echocardiography.
Methods: We performed a single-center retrospective review of neonates with esophageal atresia over 6 years (2010-2015) at our tertiary pediatric institution.
Background: The long-term outcomes of H-type tracheoesophageal fistula (TOF), an uncommon variant of esophageal atresia/tracheoesophageal fistula (OA/TOF), are rarely described in the literature. We reviewed our institutional experience of 70 years.
Methods: The Nate Myers Oesophageal Atresia Database was queried for patients with an H-type TOF (1948-2017).
Delayed Diagnosis in Esophageal Atresia and Tracheoesophageal Fistula: Case Study.
Adv Neonatal Care
February 2021
Background: Timely identification of esophageal atresia is challenging. Diagnosis may be suspected antenatally with a combination of polyhydramnios, associated with a small or absent stomach bubble or other anomalies. Esophageal atresia can be suspected postnatally in the presence of tachypnea, increased oral secretions, and an inability to advance an orogastric tube.
View Article and Find Full Text PDFAim: To describe the burden of esophageal dilatations in patients following esophageal atresia (EA) repair.
Method: A retrospective review was performed at The Royal Children's Hospital, Melbourne, of all neonates undergoing operative repair for EA over a 17-year period (1999-2015). Stricture was defined by radiological and/or intra-operative findings of narrowing at the esophageal anastomosis.
Article Synopsis
- This study analyzed mortality rates and associated factors in patients with esophageal atresia treated at The Royal Children's Hospital in Melbourne between 1980 and 2018.
- Out of 650 patients, 88 died, resulting in a 13.5% mortality rate; 75% of these deaths occurred before the patients were discharged from the hospital.
- Common causes of death included respiratory issues, associated syndromes like trisomy 18, and neurologic anomalies, with some deaths occurring years after discharge due to respiratory compromise and sudden unexplained deaths.
- The findings emphasize the importance of counseling for parents regarding the risks associated with esophageal atresia, highlighting that both preoperative and postoperative factors can impact mortality.
Objectives: Fundoplication is commonly performed in patients with a history of esophageal atresia (EA), however, the success of this surgery is reduced, as reflected by an increased rate of redo fundoplication. We aimed to determine whether EA impacts the prevalence of fundoplication, its timing, and performance of a redo operation.
Study Design: A single-center, retrospective review of all patients undergoing fundoplication over a 20-year period (1994-2013) was performed.
Background: Long-gap oesophageal atresia (LGOA) causes significant early and long-term morbidity. We conducted a retrospective 25-year review comparing outcomes of delayed primary anastomosis versus oesophageal replacement with greater curvature gastric tube.
Methods: Records of 44 consecutive patients undergoing LGOA repair (1986-2010) were obtained from OA database with ethics approval and were analysed for complication and long-term outcomes.