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7005085 
Journal Article 
Post-operative paralysis and elective ventilation reduces anastomotic complications in esophageal atresia: a systematic review and meta-analysis 
O'Connell, JS; Janssen Lok, M; Miyake, H; Seo, S; Bindi, E; Alganabi, M; Pierro, A; , 
2019 
1 
Pediatric Surgery International
ISSN: 0179-0358
EISSN: 1437-9813 
English 
30415438 
The repair of esophageal atresia (EA) carries an increased risk of anastomotic leak and stricture formation, especially in patients with anastomotic tension. To minimize this risk, pediatric surgeons perform elective post-operative muscle paralysis, positive-pressure ventilation, and head flexion (PVF) to reduce movement and tension at the anastomosis. We systematically reviewed and analyzed the effect of post-operative PVF on reducing anastomotic complications.