Long-term morbidity in adolescents and young adults with surgically treated esophageal atresia View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-12-27

AUTHORS

Hiroomi Okuyama, Yuko Tazuke, Takehisa Uenoa, Hiroaki Yamanaka, Yuichi Takama, Ryuta Saka, Keigo Nara, Noriaki Usui

ABSTRACT

PurposeTo investigate the long-term morbidity of surgically treated esophageal atresia (EA) in adolescents and young adults and establish whether these long-term morbidities are affected by the type of EA.Patients and methodsWe reviewed the medical records, including backgrounds and associated conditions, of 69 long-term survivors of EA, aged >15 years. The long-term morbidities included neurodevelopmental abnormality, nutritional impairment (short height <−2SD, low BMI <18.5), subjective symptoms, and musculoskeletal deformities. Comparisons of the results were made between Gross A-type EA (n = 6) and Gross C-type EA (n = 63).ResultsAll patients underwent esophageal anastomosis without esophageal replacement. Cardiac anomalies and long gap were present in 26 and 18%, respectively. Esophageal dilatation, fundoplication, and aortopexy were performed in 40, 34, and 18%, respectively. The incidence of long gap and esophageal stenosis was higher in Gross A-type EA than in Gross C-type EA. The long-term morbidities included neurodevelopmental abnormality (13%), nutritional impairment (62%: as short height in 34% and as low BMI in 46%), subjective symptoms (14%), and musculoskeletal deformities (59%). There were no differences in the long-term morbidities between Gross A and Gross C.ConclusionsThe incidence of the long-term morbidities is high in adolescents and young adults, regardless of the type of EA. Early detection of morbidity is important to improve the long-term outcomes of EA. More... »

PAGES

872-876

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-016-1462-x

DOI

http://dx.doi.org/10.1007/s00595-016-1462-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031253501

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28028638


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