Related Experiment Videos
Reflex bradycardia: a grave complication of oesophageal atresia repair
Acta Paediatrica Academiae Scientiarum Hungaricae
|January 1, 1978
Insights
Five infants with oesophageal atresia experienced reflex bradycardia during meals. Atropine treatment resolved symptoms in four, who are now healthy and developing well.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastroenterology
Background:
- Oesophageal atresia is a congenital condition requiring surgical intervention.
- Reflex bradycardia during feeding can be a complication in infants post-surgery.
Purpose of the Study:
- To investigate the incidence and management of reflex bradycardia in infants operated for oesophageal atresia.
Main Methods:
- Retrospective analysis of 39 infants operated for oesophageal atresia.
- Observation of feeding-related complications, specifically reflex bradycardia.
- Evaluation of treatment outcomes with atropine.
Main Results:
- Five out of 39 infants (12.8%) presented with reflex bradycardia during meals.
- One patient with oesophageal atresia and bradycardia died at 1.5 years.
- Four patients treated with atropine became symptom-free and are developing satisfactorily.
Conclusions:
- Reflex bradycardia is a notable complication in a subset of infants undergoing oesophageal atresia repair.
- Atropine demonstrates efficacy in managing feeding-related reflex bradycardia in this population.
- Early intervention with atropine can lead to positive outcomes and satisfactory development.
Abstract:
Among 39 infants operated upon for oesophageal atresia in newborn age, 5 presented attacks of reflex bradycardia during meals. One patient died at the age of one and a half years. Four patients became symptom-free on atropine treatment. They are healthy and develop satisfactorily.