Turkish Archives of Pediatrics
Original Article

Review of Complications of Operated Esophageal Atresia and Tracheoesophageal Fistula Patients

1.

Division of Pediatric Chest Diseases, Department of Pediatrics, Gazi University School of Medicine, Ankara, Turkey

2.

Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey

Turk Arch Pediatr 2021; 56: 380-385
DOI: 10.5152/TurkArchPediatr.2021.20125
Read: 85 Downloads: 28 Published: 29 June 2021

Objective: This study was aimed to investigate the complications arising during follow-up and the reasons for hospitalization in pediatric patients who were operated on for esophageal atresia (EA) and tracheoesophageal fistula (TEF).

Materials and Methods: Between 2007 and 2019, all patients operated for EA and TEF were evaluated in terms of age, gender, age at diagnosis, post-op, and complications in follow-up.

Results: In the study, 28 of 50 patients were operated on for EA and TEF, 14 for isolated EA, and 8 for isolated TEF. The mean age of the patients was 4.9 ± 4.4 years, and 18 (36%) of them were female. The median age of diagnosis was 1 (IQR: 1-3) day and the mean follow-up duration was 4.6 ± 4.1 years. During follow-up, 84% of patients had recurrent pneumonia, 60% gastroesophageal reflux (GER), 34% growth retardation, 30% restrictive lung disease, and 18% scoliosis. Postoperative pneumonia, hospitalization, development of stricture and growth retardation were more frequent in patients with GER (P < .05). Patients with scoliosis had more frequent pneumonia and hospitalization rates (P < .05).

Conclusion: Hospital admissions of the patients with EA and TEF were higher due to GER, recurrent pneumonia, restrictive lung disease, and scoliosis in the follow-up. Pneumonia, hospitalization, stricture in the esophagus, and growth retardation were observed more frequently in patients with GER. Patients should be followed up by the pediatric pulmonology, gastroenterology, and orthopedic departments.

Cite this article as: Ramaslı Gürsoy T, Şişmanlar Eyüboğlu T, Tana Aslan A, et al. Review of complications of operated esophageal atresia and tracheoesophageal fistula patients. Turk Arch Pediatr. 2021; 56(4): 380-385.

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