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[Functional study in children with repaired esophageal atresia]
J L Toro1, G Gómez Rodríguez, P Torres
1Servicio de Gastroenterología Pediátrica, Hospital de Niños J. M. de los Ríos, Caracas, Venezuela.
G.E.N
|October 1, 1993
Summary
Esophageal atresia repair can lead to stenosis. Esophageal manometry is recommended for evaluating motor dysfunction after surgical correction in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Context:
- Esophageal atresia (EA) is a congenital condition requiring surgical repair.
- Post-surgical complications like esophageal stenosis and motor dysfunction can impact long-term outcomes.
- Children aged 5-11 years with Type III EA repaired previously were studied.
Purpose:
- To investigate the incidence of esophageal stenosis and motor dysfunction after surgical repair of Esophageal atresia Type III.
- To evaluate the utility of esophageal manometry in assessing these post-surgical complications.
Summary:
- Eight children (5-11 years old) with repaired Esophageal atresia Type III underwent evaluation.
- Radiology and endoscopy revealed esophageal stenosis in all patients post-surgery.
- Esophageal manometry identified motor dysfunction in the upper and middle esophagus in six patients.
- Dilation therapy was effective in restoring normal esophageal lumen.
Impact:
- Findings suggest that esophageal manometry is a valuable tool for the comprehensive evaluation of patients following surgical repair of esophageal atresia.
- Early identification of motor dysfunction can guide further management and improve patient outcomes.