Editorial: Oesophageal Atresia-Tracheoesophageal Fistula
Notice bibliographique
Résumé
Esophageal atresia is among the most common congenital digestive malformations, affecting 1 in 3,000 newborn babies at birth.Since the first successful primary repair of esophageal atresia (EA) in 1941, improvements in operative and perioperative care have led to better outcomes, and thus we have seen an evolvement from mortality to morbidity and quality-of-life issues.In fact, EA is no longer a mere neonatal surgical problem but rather a lifelong problem for the patient.It appears that respiratory, nutritional, and gastroenterological issues are the most prevalent sequelae-not only in the first years of life but also in adolescence and adulthood.Hence a multidisciplinary approach has been advocated by many centers in order to coordinate and optimize the management of these patients at all stages of life.In 2010, the First International Workshop on Esophageal Atresia was held in Lille, France.The success of that event established a new model of conference based not on medical subspecialty but specifically on disease, bringing together diverse disciplines all linked together by their common interest and expertise in treating EA.The International Network of Esophageal Atresia (INoEA) was founded in 2013.On September 15-16, 2016, the fourth International Conference on Esophageal Atresia "Coming Together" took place in Sydney, NSW, Australia.More than 200 participants from all over the world attended the conference.There were over 80 scientific abstracts submitted.All the categories of people involved in the care of EA patients were represented; not only neonatologists, pediatricians, surgeons, gastroenterologists, otolaryngologists, pulmonologists, radiologists, anesthesiologists, intensivists, but also, nurses, dieticians, speech pathologists, psychologists, occupational therapists, social workers, parents of patients, and children and adults with EA.The scientific program was both comprehensive and innovative, covering the entire spectrum of disease from genetic predisposition and pathophysiology, aspiration risk and chronic respiratory morbidity (CRM), investigation and management of gastroesophageal reflux disease including risk of Barrett's and esophageal cancer, tracheomalacia, and its management including novel techniques like posterior aortopexy, newer techniques of reflux and motility testing, techniques of surgical repair and role of fundoplication, stricture management, feeding difficulties and their practical management, quality of life of these patients, the need for ongoing care with transition to adulthood, and the need for an international registry.For the first time, the ESPGHAN-NASPGHAN consensus guidelines on the management of gastrointestinal complication in children with EA were presented and very well received not only by the clinicians involved in the care of these patients but also the parent support groups.Innovative topics, which were presented for the first time and which stimulated interesting discussions included: deliberations from the InoEA working group on Long Gap Esophageal Atresia, Preliminary deliberations from the respiratory working group, Prevalence of abnormal Gastric Function and Dumping syndrome in this cohort, the role of pH-impedance
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,005 | 0,001 |
| Méta-épidémiologie (sens large) | 0,004 | 0,002 |
| Bibliométrie | 0,003 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,004 | 0,004 |
| Science ouverte | 0,003 | 0,001 |
| Intégrité de la recherche | 0,010 | 0,012 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,019 | 0,013 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».