Unal Bakal1, Fikret Ersoz2, Irem Eker3, Mehmet Sarac2, Mustafa Aydin4, Ahmet Kazez2. 1. Department of Pediatric Surgery, Firat University School of Medicine, 23119, Elazig, Turkey. unalbakal@hotmail.com. 2. Department of Pediatric Surgery, Firat University School of Medicine, 23119, Elazig, Turkey. 3. Department of Psychology, Elazığ Mental Health Hospital, Elazig, Turkey. 4. Department of Pediatrics-Neonatology, Firat University School of Medicine, Elazig, Turkey.
Abstract
OBJECTIVE: To investigate long-term prognosis of infants with esophageal atresia (EA) and/or tracheoesophageal fistula (TEF). METHODS: The data of patients with EA were investigated from their medical files. For the neurodevelopmental evaluation, they were requested to come for a return visit to authors' polyclinic. Intellectual development was assessed by Ankara Developmental Screening Inventory (ADSI) (for 0-6 age) and Wechsler Intelligence Scale for Children-Revised (WISC-R) (for 6-16 age). RESULTS: Of the 57 patients, 50 had EA+ distal TEF (87.7 %), six had isolated EA (10.5 %) and one had isolated TEF (1.8 %). Of the total patients, 18 cases (31 %) died and remaining 39 cases (69 %) survived. In the surviving cases, the most common long-term complication was dysphagia (n = 37, 94.8 %). Intellectual levels of the 24 patients assessed by ADSI were normal and of the remaining 15 cases evaluated by WISC-R ranged between 95 and 110 points. CONCLUSIONS: The long-term complications and hospital visits are common in surviving cases of EA; however, they have normal cognitive functions and physical developmental characteristics.
OBJECTIVE: To investigate long-term prognosis of infants with esophageal atresia (EA) and/or tracheoesophageal fistula (TEF). METHODS: The data of patients with EA were investigated from their medical files. For the neurodevelopmental evaluation, they were requested to come for a return visit to authors' polyclinic. Intellectual development was assessed by Ankara Developmental Screening Inventory (ADSI) (for 0-6 age) and Wechsler Intelligence Scale for Children-Revised (WISC-R) (for 6-16 age). RESULTS: Of the 57 patients, 50 had EA+ distal TEF (87.7 %), six had isolated EA (10.5 %) and one had isolated TEF (1.8 %). Of the total patients, 18 cases (31 %) died and remaining 39 cases (69 %) survived. In the surviving cases, the most common long-term complication was dysphagia (n = 37, 94.8 %). Intellectual levels of the 24 patients assessed by ADSI were normal and of the remaining 15 cases evaluated by WISC-R ranged between 95 and 110 points. CONCLUSIONS: The long-term complications and hospital visits are common in surviving cases of EA; however, they have normal cognitive functions and physical developmental characteristics.
Authors: Saara J Sistonen; Antti Koivusalo; Harry Lindahl; Eero Pukkala; Risto J Rintala; Mikko P Pakarinen Journal: J Pediatr Surg Date: 2008-04 Impact factor: 2.545