Related Experiment Videos
[Pneumopathy in patients surgically treated for type III esophageal atresia]
M C Soto1, F Rivilla, M J Dorado
1Servicio de Cirugía Pediátrica, Hospital Universitario San Carlos, C/Martín Lagos s/n, 28040 Madrid.
Insights
Respiratory distress is common in infants treated for esophageal atresia with tracheoesophageal fistula (EA-TEF). Early pulmonary function tests aid in managing these long-term respiratory complications.
Area of Science:
- Pediatric Surgery
- Pulmonology
- Gastroenterology
Context:
- Esophageal atresia with tracheoesophageal fistula (EA-TEF) repair can lead to significant long-term respiratory issues in infants.
- Associated conditions include esophageal dysmotility, gastroesophageal reflux (GER), and lung dysplasia.
Purpose:
- To evaluate the incidence and nature of long-term respiratory complications in patients post-EA-TEF treatment.
- To assess the role of gastroesophageal reflux (GER) in these respiratory issues.
- To determine the utility of pulmonary function tests (PFTs) in managing these complications.
Summary:
- A study followed 10 patients for a mean of 7.3 years after EA-TEF repair.
- 70% experienced respiratory distress in the first postoperative year, though only 25% were GER-related.
- PFTs revealed restrictive patterns in 3 of 6 evaluated patients.
Impact:
- Respiratory distress is a frequent early complication after EA-TEF repair.
- Pulmonary function testing is valuable for early detection and management of respiratory sequelae.
- This highlights the importance of ongoing respiratory monitoring in EA-TEF survivors.
Unlabelled:
Patients following esophageal atresia with tracheoesophageal fistula (EA-TEF) treatment have several long-term respiratory complications during infancy. They are associated with esophageal dismotility and gastroesophageal reflux (GER) as well as lung dysplasia.
Material And Methods:
Ten patients were evaluated as follow: 1. Review of medical record. 2. An annual interview was performed concerning respiratory and digestive symptoms. 3. Phmetric score and radiologic studies of the digestive tract. 4. Functional respiratory test. 5. Update symptoms.
Results:
Mean follow-up was 7.3 +/- 4.45 years (8 months-15 years). Seven cases (70%) had respiratory distress during the first postoperative year. Two of them had middle GER, performing a Nissen procedure in another patient with severe GER. Spirometry was underwent in 6 cases, showing a restrictive pattern in three.
Conclusion:
Respiratory distress were common during the first postoperative year (70% of cases in our serie) but only 25% were GER related. Pulmonary function test can be performed in long-term evolution of patients following operation for EA-TEF in order to have early treatment for respiratory complications.