Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2008-12-8
pubmed:abstractText
Although initial prognosis of oesophageal atresia is nowadays excellent with more than 95% of survival, the long-term complications are frequent. A gastro-oesophageal reflux is found in 26 to 75% of the cases, responsible for peptic oesophagitis, anastomotic stenosis and Barrett's oesophagus, risk factor of adenocarcinoma of the oesophagus. A dysphagia is frequently observed on these patients, sometimes several years after the surgery, observed in almost 45% of five-year-old children. Growth retardation is found in nearly a third of these children. Respiratory symptoms are particularly frequent, especially in the first years, associating tracheomalacia facilitating the bronchopulmonary infectious episodes (found in about 30% of 5-year-old children). Esotracheal fistula recurrence is very rare. A deformation of the rib cage is reported in 20%, and a scoliosis in 10% of the patients. However, the quality of life of these patients in the adulthood is good, and influenced by the existence of associated malformations. Even if the current prognosis of oesophageal atresia is good altogether, the frequency of the complications (digestive, respiratory, nutritional, orthopaedic) far from the initial intervention, and the necessity of a surveillance of the secondary oesophageal damages, justifies a systematic and multidisciplinary follow-up until adulthood.
pubmed:commentsCorrections
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0929-693X
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1837-42
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:18996685-Adolescent, pubmed-meshheading:18996685-Adult, pubmed-meshheading:18996685-Age Factors, pubmed-meshheading:18996685-Balloon Dilation, pubmed-meshheading:18996685-Child, pubmed-meshheading:18996685-Child, Preschool, pubmed-meshheading:18996685-Deglutition Disorders, pubmed-meshheading:18996685-Esophageal Atresia, pubmed-meshheading:18996685-Esophageal Stenosis, pubmed-meshheading:18996685-Esophagoscopy, pubmed-meshheading:18996685-Follow-Up Studies, pubmed-meshheading:18996685-Gastroesophageal Reflux, pubmed-meshheading:18996685-Humans, pubmed-meshheading:18996685-Infant, pubmed-meshheading:18996685-Postoperative Complications, pubmed-meshheading:18996685-Prognosis, pubmed-meshheading:18996685-Quality of Life, pubmed-meshheading:18996685-Time Factors, pubmed-meshheading:18996685-Tracheoesophageal Fistula, pubmed-meshheading:18996685-Treatment Outcome
pubmed:year
2008
pubmed:articleTitle
[Outcome of children with repaired oesophageal atresia].
pubmed:affiliation
Centre de référence des affections congénitales et malformatives de l'oesophage, clinique de pédiatrie, hôpital Jeanne-de-Flandre, 2, avenue Oscar-Lambret, 59037 Lille cedex, France. fgottrand@chru-lille.fr
pubmed:publicationType
Journal Article, Comparative Study, English Abstract