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Feeding disorders in children with oesophageal atresia: a cross-sectional study

Aurélie Pham1, Emmanuelle Ecochard-Dugelay2, Arnaud Bonnard3

  • 1AP-HP, Department of Neonatology, Armand-Trousseau Childrens Hospital, Paris, France aurelie.pham@inserm.fr.

Archives of Disease in Childhood
|April 17, 2021
PubMed

Insights

Paediatric feeding disorders (PFD) are common in children with oesophageal atresia (OA), affecting 42% of those studied. Early screening for PFD is crucial for improving growth and outcomes in these children.

Area of Science:

  • Pediatric Surgery
  • Neonatology
  • Gastroenterology
  • Developmental Pediatrics

Background:

  • Survival rates for patients with oesophageal atresia (OA) have improved due to advancements in surgical and neonatal care.
  • Despite improved survival, conditions associated with OA, such as feeding difficulties, remain a significant challenge.
  • Paediatric feeding disorders (PFD) in children with OA are not well-described, impacting their development and growth.

Purpose of the Study:

  • To describe the prevalence and characteristics of PFD in children born with OA using a standardized feeding scale.
  • To identify conditions associated with the development of PFD in this patient population.

Main Methods:

  • A national cohort study involving children with OA born between 2013 and 2016.
  • Parents completed the French version of the Montreal Children's Hospital Feeding Scale.
  • Data from 145 children were analyzed, with a focus on PFD and associated factors.

Main Results:

  • 42% of the included children (n=145) developed PFD.
  • Chronic respiratory symptoms were associated with an increased risk of PFD.
  • 16% of children with PFD had no other complicating conditions besides OA.

Conclusions:

  • PFD are highly prevalent in children with OA, necessitating systematic screening.
  • There is no specific patient profile that predicts PFD risk, emphasizing the need for universal screening.
  • Early identification and management of PFD can improve patient outcomes, particularly growth.
Abstract

Keywords:
gastroenterologygrowthneonatologyoccupational therapy

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