Growth and development after oesophageal atresia surgery: Need for long-term multidisciplinary follow-up

Summary Survival rates in oesophageal atresia patients have reached over 90%. In long-term follow-up studies the focus has shifted from purely surgical or gastrointestinal evaluation to a multidisciplinary approach. We reviewed the literature on the long-term morbidity of these patients and discuss...

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Bibliographic Details
Published in:Paediatric respiratory reviews 2016-06, Vol.19, p.34-38
Main Authors: IJsselstijn, Hanneke, Gischler, Saskia J, Toussaint, Leontien, Spoel, Marjolein, Zijp, Monique H.M. van der Cammen-van, Tibboel, Dick
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child, Preschool
Cognition
Esophageal Atresia - complications
Esophageal Atresia - surgery
Growth
Growth Disorders - etiology
Humans
Infant
Infant, Newborn
Motor function
Neurodevelopment
Neurodevelopmental Disorders - etiology
Oesophageal atresia
Outcome
Pediatrics
Pulmonary/Respiratory
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Summary:Summary Survival rates in oesophageal atresia patients have reached over 90%. In long-term follow-up studies the focus has shifted from purely surgical or gastrointestinal evaluation to a multidisciplinary approach. We reviewed the literature on the long-term morbidity of these patients and discuss mainly issues of physical growth and neurodevelopment. We conclude that growth problems – both stunting and wasting – are frequently seen, but that sufficient longitudinal data are lacking. Therefore, it is unclear whether catch-up growth into adolescence and adulthood occurs. Data on determinants of growth retardation are also lacking in current literature. Studies on neurodevelopment beyond preschool age are scarce but oesophageal atresia patients seem at risk for academic problems and motor function delay. Many factors contribute to the susceptibility to growth and development problems and we propose a multidisciplinary follow-up schedule into adulthood future care which may help improve quality of life.
ISSN:1526-0542
1526-0550
DOI:10.1016/j.prrv.2015.07.003