Related Experiment Video
Updated: May 20, 2025
11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
1.4K
Persisting Motor Function Problems in Children With Oesophageal Atresia Associated With Surgical Approach and Sports
Anne-Fleur R L van Hal1, Sophie de Munck1, Tabitha P L Zanen-van den Adel1,2
1Department of Paediatric Surgery, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.
Acta Paediatrica (Oslo, Norway : 1992)
|March 26, 2025
Summary
Children with oesophageal atresia often experience persistent motor impairments throughout school age. Encouraging sports participation may help mitigate these challenges, but further research is needed.
Area of Science:
- Pediatric Surgery
- Developmental Pediatrics
- Motor Function Research
Background:
- Children born with oesophageal atresia (OA) face risks of impaired motor function.
- Longitudinal data on motor development in this population are limited.
Purpose of the Study:
- To assess overall motor functioning and specific motor domains in school-aged children with OA over time.
- To identify potential predictors of motor impairment in this cohort.
Main Methods:
- A prospective observational cohort study involving 161 children with OA.
- Motor performance, including manual dexterity, ball skills, and balance, was assessed at ages 5, 8, and 12 years.
Main Results:
- Children with OA consistently showed significantly higher rates of motor impairments compared to the normative population across all assessed ages and subdomains.
- Risk factors identified included lower gestational age, longer anesthetic exposure, and lower socioeconomic status.
- Sports participation and, at age 8, absence of thoracotomy were independent predictors of better motor function.
Conclusions:
- School-aged children with OA are at risk for persistent motor impairments.
- Promoting sports participation is recommended to support motor development.
- Further investigation into the mechanisms underlying motor impairment in OA is warranted.
Related Concept Videos
01:26Esophageal Strictures-II: Clinical Features and Management
27
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
27
01:30Esophageal Strictures-I: Introduction
44
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
44
01:28Esophageal Perforation-II: Clinical Manifestations and Management
29
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
29
01:21Barrett Esophagus-II: Clinical Manifestations and Management
90
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
90
01:22Esophageal Perforation-I: Introduction
54
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
54
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
42
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
42