Abstract |
Dysphagia, gastroesophageal reflux (GER) and esophageal metaplasia are reported with various incidence in the long term follow-up of patients treated at birth for esophageal atresia (EA). To evaluate the long term outcomes 26 patients treated at birth for EA with Tracheo Esophageal Fistula (TEF) were examined 8-28 (mean 15.8) years later by clinical evaluation, including barium meal, fiberoptic upper GI endoscopy, 24 hour ambulatory two-channel pH-monitoring and stationary esophageal manometry. 50% of patients complained of dysphagia. Mild esophagitis was found in 20% of patients but GER was detected in only 16.7% of the cases. By morphological X-ray, esophageal anomalies were detected in 31% of cases without significant functional relevance. Hundred percent of patients had a disorganized peristaltic esophageal activity and a low amplitude of the esophageal contractions was observed in 58% of them. In our series, esophageal dismotilty seems to be the main consequence of EA without any relevant disturbance of normal nutritional habit.
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Authors | V Tomaselli, M L Volpi, C A Dell'Agnola, M Bini, A Rossi, A Indriolo |
Journal | Pediatric surgery international
(Pediatr Surg Int)
Vol. 19
Issue 1-2
Pg. 40-3
(Apr 2003)
ISSN: 0179-0358 [Print] Germany |
PMID | 12721721
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Child
- Deglutition Disorders
(epidemiology, physiopathology)
- Dyspepsia
(epidemiology, physiopathology)
- Esophageal Atresia
(physiopathology, surgery)
- Esophagitis
(epidemiology, physiopathology)
- Female
- Gastroesophageal Reflux
(epidemiology, physiopathology)
- Humans
- Longitudinal Studies
- Male
- Manometry
- Prevalence
- Tracheoesophageal Fistula
(epidemiology, physiopathology)
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