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Gastrointestinal system malformations in children are associated with congenital heart defects
Utku Arman Orün1, Meki Bilici, Fulya G Demirçeken
1Clinic of Pediatric Cardiology, Department of Pediatric Cardiology, Faculty of Medicine, Fatih University, Ankara, Turkey.
Insights
Congenital heart defects (CHD) affect 28.5% of children with gastrointestinal malformations (GISM). Early cardiac evaluation is crucial for these patients, as mortality rates do not significantly differ between those with and without CHD.
Area of Science:
- Pediatric Surgery
- Pediatric Cardiology
- Medical Genetics
Background:
- Gastrointestinal malformations (GISM) are a significant concern in pediatric surgery.
- Congenital heart defects (CHD) are common co-occurring conditions in pediatric patients.
- Understanding the interplay between GISM and CHD is vital for patient outcomes.
Purpose of the Study:
- To determine the incidence of congenital heart defects (CHD) in children diagnosed with gastrointestinal malformations (GISM).
- To investigate the mortality rates associated with GISM, considering the presence or absence of CHD.
Main Methods:
- Retrospective analysis of 242 pediatric patients with GISM.
- Cardiovascular anomaly screening by Pediatric Cardiology.
- Statistical analysis using the Chi-square test.
Main Results:
- Congenital heart defects (CHD) were identified in 28.5% of pediatric patients with GISM.
- Atrial septal defect (44.9%), ventricular septal defect (24.6%), and patent ductus arteriosus (7.2%) were the most common CHDs.
- No significant difference in mortality rates was observed between GISM patients with CHD (16.7%) and without CHD (13.3%).
Conclusions:
- Early and comprehensive cardiological evaluation is essential for all infants and children diagnosed with gastrointestinal malformations.
- Proactive cardiac assessment can aid in the management and improve outcomes for pediatric patients with GISM.
Objective:
To determine the frequency of congenital heart defects (CHD) in children with gastrointestinal malformations (GISM) and mortality rates in patients with GISM.
Methods:
Two hundred and forty two consecutive children patients with GISM followed up in Pediatric Surgery Clinics of our hospital were examined for cardiovascular anomaly by the Department of Pediatric Cardiology, and the CHD incidence was investigated by examining the records of the patients retrospectively. Chi-square test was used for the statistical analysis of data.
Results:
Two hundred and forty two patients with gastrointestinal system malformations were included in the study. Of 242 patients, 135 (55.8%) were male and 107 (44.2%) were female, and their age range was 0-15 years. The most frequent GISM were anorectal malformations (43.2%), atresia involving stomach, ileum or colon (21%) and esophageal atresia/tracheoesophageal fistula (18.3%). Congenital heart defects were observed in 28.5% of the participants. The most frequent defects were as follows; atrial septal defect (31 patients, 44.9%) a, ventricular septal defect (17 patients, 24.6%) and patent ductus arteriosus (5 patients, 7.2%). There was no significant difference (p>0.05) in mortality rate in patients with CHD (16.7%) and without CHD (13.3%) undergoing operations for GISM.
Conclusion:
We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations.
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