Abstract
Background/purpose
For children with esophageal atresia (EA) or tracheoesophageal fistula (TEF), the
first years of life can be associated with many problems. Little is known about the
long-term function of children who underwent repair as neonates. This study evaluates
outcome and late sequelae of children with EA/TEF.
Methods
Medical records of infants with esophageal anomalies (May 1972 through December 1990)
were reviewed. Study parameters included demographics, dysphagia, frequent respiratory
infections (> 3/yr), gastroesophageal reflux disease (GERD), frequent choking, leak,
stricture, and developmental delays (weight, height < 25%, < 5%, respectively).
Results
Over 224 months, 69 infants (37 boys, 32 girls) were identified: type A, 10 infants;
type B, 1; type C, 53; type D, 4; type E, 1. Mean follow-up was 125 months. During
the first 5 years of follow-up, dysphagia (45%), respiratory infections (29%), and
GERD (48%) were common as were growth delays. These problems improved as the children
matured.
Conclusions
Children with esophageal anomalies face many difficulties during initial repair and
frequently encounter problems years later. Support groups can foster child development
and alleviate parent isolationism. Despite growth retardation, esophageal motility
disorders, and frequent respiratory infections, children with EA/TEF continue to have
a favorable long-term outcome.
Keywords
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www.eatef.org. EA/TEF Child and Family Support Connection, Inc. 111 West Jackson Blvd, Suite 1145, Chicago, IL 60604-3502
www.tofs.org.uk. St George’s Centre, 91 Victoria Rd, Netherfield Nottingham NG4 2NN, July 29, 1999
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© 2003 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
