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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.
Insights
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.
Abstract:
Esophageal atresia Type III was repaired in 8 children 5-11 y/o. All had stenosis in the esophagus diagnosed by radiology and endoscopy after surgical correction. Dilation was performed until normal lumen was obtained. Motor disfunction in upper and middle part of the esophagus was evidenced in six by manometry. Our findings are suggestive that Esophageal manometry is indicated in the evaluation of repaired esophageal atresia.