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Long-term evaluation of respiratory status after esophageal atresia repair

J Beucher1, J Wagnon, V Daniel

  • 1Department of Pediatric Pulmonology, CHU Hôpital Sud, Rennes, France.

Pediatric Pulmonology
|May 24, 2012
PubMed

Insights

Children with repaired esophageal atresia (EA) often have impaired lung function, even with minimal symptoms. Cardiopulmonary function testing reveals a limited ventilatory reserve, highlighting the need for better respiratory management.

Area of Science:

  • Pediatric Surgery
  • Pulmonology
  • Congenital Malformations

Background:

  • Esophageal atresia (EA) is a congenital condition with improving initial survival rates.
  • Long-term respiratory outcomes in children with EA require further assessment.
  • The study investigated the utility of cardiopulmonary function testing in evaluating respiratory health post-EA repair.

Purpose of the Study:

  • To assess the long-term respiratory outcome in children treated for EA.
  • To evaluate the benefits of cardiopulmonary function testing in this population.
  • To identify potential under-treatment of respiratory symptoms in EA patients.

Main Methods:

  • Retrospective review of medical records for 77 children operated on for EA (1990-2004).
  • Collection of respiratory function test (RFT) and cardiopulmonary exercise test (CPET) data.
  • Analysis of neonatal and anthropometric data alongside respiratory function.

Main Results:

  • Pulmonary function tests (PFTs) were abnormal in 68% of 31 evaluated EA patients.
  • Cardiopulmonary function testing detected poor ventilatory response in 45% of patients.
  • Abnormal PFTs were present in 10 children not receiving asthma treatment, suggesting under-diagnosis.

Conclusions:

  • Repaired EA is associated with significant impaired lung function.
  • CPET results correlate with spirometry and reveal reduced ventilatory reserve (VR).
  • Respiratory symptoms in EA patients may be overlooked, necessitating improved and adequate treatment strategies.
Abstract

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