#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Long-gap Esophageal Atresia. Growth, Nutritional Status and Morbidity 2-10 Years after Operation


Authors: J. Kalousová;  J. Stýblová;  J. Šnajdauf;  R. Fryč;  K. Pýcha;  O. Petrů;  D. Pachmannová;  L. Tomášek 1
Authors‘ workplace: Klinika dětské chirurgie 2. LF UK a FN Motol, Subkatedra dětské chirurgie IPVZ, Praha přednosta prof. MUDr. J. Šnajdauf, DrSc. Státní ústav radiační ochrany, Praha1 ředitel ing. R. Filgas
Published in: Čes-slov Pediat 2004; (5): 219-224.
Category:

Overview

Aim of study:
To evaluate nutritional status, feeding, gastrointestinal and respiratory problems and quality oflife of children operated on for long - gap (LG) esophageal atresia (EA) and compare results of several surgicaltechniques.Methods: Children operated on for EA in 1992 - 2001 were included in the study. Data about feeding problems,gastrointestinal and respiratory symptoms and quality of life were collected by a questionnaire filled in by parentsof children with EA. Nutritional status evaluation was based on anthropometrical parameters: height, weight, headand arm circumference and skinfold thickness: triceps, subscapular, suprailiacal. Children with LG were dividedinto subgroups according to surgical technique - primary anastomosis (PA), delayed anastomosis (DA) andesophageal substitution - gastric transposition (GT). Children without long - gap atresia with primary anastomosisserved as a control group.Results: 37.7% children after operation for EA have feeding difficulties, 26.1% have postprandial problems.Children with LG have higher incidence of nausea, dyspnoea, diarrhea. The incidence of respiratory problems is30.4%. Dyspnoea without and after exercise (25 and 28.6%, respectively) and during the night (23.8%) are morefrequent after LG atresia. This is also true for all subgroups of LG atresia - PA, DA, GT. The average height (-0.56 SD),weight (-0.82 SD), head (-0.51 SD) and arm circumference (-0.81 SD) are below the population average. ChildrenwithDAhave the worst results in the subgroups of LG: height -1.47 SD, weight -1.57 SD. Quality of life is consideredto be good in 69.1%, favorable in 25%, unfavorable in 5.9%. There are no statistically significant differences inquality of life evaluation in the subgroups.Conclusion: According to the results of long term follow up delayed anastomosis seems to be the least successfulmethod in the treatment of long - gap esophageal atresia.

Key words:
long-gap esophageal atresia, esophageal substitution, primary anastomosis, delayed anastomosis,gastroesophageal reflux, nutritional status

Full text is not available online.
If interested in a scan of this journal, contact NTO ČLS JEP.

Labels
Neonatology Paediatrics General practitioner for children and adolescents
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#