Three-year follow up of patients with esophageal atresia in Mashhad, Iran

Document Type: Original Article

Authors

Abstract

Introduction:  Esophageal atresia is one of the most significant congenital diseases in pediatric surgery. Postoperative complications have become an important issue. Additionally, the little data are about life quality of baby's that had been surgery. The aim of our study was to analyze and evaluating the long- term life quality of subjects.
Methods: We performed an observational study of the clinical data of patients who were treated for esophageal atresia from 2009 to 2012.This data was extracted from the HIS system. The required data acquired by telephone interview. Statistical analyses were performed using spss software (Statistical Package for the Social Sciences).
Results: From 126 patients that had been surgery for esophageal atresia. The telephone interview was possible with 33 patient .Twenty tree patients (18.25%) were died. Furthermore, 63.6% of persons had weight below the 5th percentile for age. Respiratory complications there were in 12 patients (36.3%). Also 48.4% patients required endoscopy after operation. Cough during feeding reported in 54.4%patients. 24.2%of patients have combined cardiac anomalies. However, among these facts, 31 patients (94%) had normal development without vomiting and  problem in the anastomosis place (esophageal).
Conclusion: Although survival of patients with esophageal atresia has markedly improved due to advances in surgical techniques and neonatal intensive care, Post discharge morbidity and mortality in patients was relatively high. According to this study, most of patients had low weight and most of half of them had respiratory problems. In
Summary, this founds suggest that patients with esophageal atresia required post surgical closed care and follow up.

Keywords