Pneumopathy in patients surgically treated for type IIi esophageal atresia
Soto, M.C.; Rivilla, F.; Dorado, M.J.; Rueda, S.; Balboa, F.; Casillas, J.G.
Cirugia Pediatrica Organo Oficial de la Sociedad Espanola de Cirugia Pediatrica 13(4): 136-140
2000
ISSN/ISBN: 0214-1221 PMID: 12601947 Document Number: 519084
Patients following esophageal atresia with tracheoesophageal fistula (EA-TEF) treatment have several long-term respiratory complications during infancy. They are associated with esophageal dismotility and gastroesophageal reflux (GER) as well as lung dysplasia. Ten patients were evaluated as follow: 1. Review of medical record. 2. An annual interview was performed concerning respiratory and digestive symptoms. 3. Phmetric score and radiologic studies of the digestive tract. 4. Functional respiratory test. 5. Update symptoms. Mean follow-up was 7.3 +/- 4.45 years (8 months-15 years). Seven cases (70%) had respiratory distress during the first postoperative year. Two of them had middle GER, performing a Nissen procedure in another patient with severe GER. Spirometry was underwent in 6 cases, showing a restrictive pattern in three. Respiratory distress were common during the first postoperative year (70% of cases in our serie) but only 25% were GER related. Pulmonary function test can be performed in long-term evolution of patients following operation for EA-TEF in order to have early treatment for respiratory complications.