The Long-term Outcome of Esophageal Atresia.
- Author:
Jae Hong JEONG
1
;
Hye Eun KIM
;
Suk Koo LEE
;
Jeong Meen SEO
Author Information
1. Division of Pediatric Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. seojm@skku.edu
- Publication Type:Original Article
- Keywords:
Esophageal atresia;
Complication;
Children
- MeSH:
Child;
Deglutition Disorders;
Esophageal Atresia;
Gastroesophageal Reflux;
Humans;
Incidence;
Medical Records;
Postoperative Complications;
Quality of Life;
Respiratory Tract Infections;
Tracheoesophageal Fistula
- From:Journal of the Korean Association of Pediatric Surgeons
2008;14(2):117-124
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Children who underwent reparative operations for esophageal atresia (EA) with or without tracheoesophageal fistula (TEF), are confronted with many gastrointestinal or respiratory problems, especially during the early years of life. We reviewed the medical records of 50 patients who underwent repairs of EA with or without TEF at the Division of Pediatric Surgery, Samsung Medical Center, from December 1994 to December 2005. Current status of children was accessed by telephone-interview, but only 27 of them were accessible. Of 50 patients, 3 patients (6%) were type A, 45 patients (90%) were type C, and 2 patients (4%) were type E. The mean interval between primary operation and interview was 5.5 years. The incidences of growth retardation (<10 percentile of height/weight) were 39% and 21 % during the first 5 years after repairs, respectively. The incidences of dysphagia or gastroesophageal reflux and recurrent respiratory infections were 33% and 39 %, respectively. However, these problems were likely to improve as the children grew. The incidences of growth retardations (<10 percentile of height/weight) were 11% and 11% for the children more than five years postoperative. The incidences of dysphagia or gastroesophageal reflux and recurrent respiratory infections were 22% and 22%, respectively. Children with EA with or without TEF are faced with many obstacles. Close observation and adequate treatment for delayed postoperative complications are necessary to improve the quality of life for these children.
