Long term digestive outcome of œsophageal atresia

Œsophageal atresia is a rare neonatal malformation consisting in an interruption of the continuity of the œsophagus, with or without a tracheo-œsophageal fistula. Although mortality rate is now low and most cases can benefit from successful surgical repair soon after birth, morbidity –specially dige...

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Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2022-02, Vol.56-57, p.101771-101771, Article 101771
Main Authors: Aumar, Madeleine, Nicolas, Audrey, Sfeir, Rony, Seguy, David, Gottrand, Frédéric
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Age
Barrett œsophagus
Child development
Congenital diseases
Dysphagia
Endoscopy
Eosinophilic œsophagitis
Esophageal Atresia - diagnosis
Esophageal Atresia - surgery
Esophageal cancer
Esophagitis, Peptic
Fistula
Food
Gastro-œsophageal reflux
Gastroesophageal reflux
Humans
Infant, Newborn
Meals
Medical prognosis
Motility
Neonatal surgery
Newborn babies
Population
Quality of Life
Surgery
Teenagers
Tracheoesophageal Fistula - surgery
Transition
Œsophageal atresia
œsophageal cancer
œsophageal dysmotility
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Summary:Œsophageal atresia is a rare neonatal malformation consisting in an interruption of the continuity of the œsophagus, with or without a tracheo-œsophageal fistula. Although mortality rate is now low and most cases can benefit from successful surgical repair soon after birth, morbidity –specially digestive and nutritional-remains high. Many of the adults born with œsophageal atresia will suffer from dysphagia, gastro-œsophageal reflux and/or œsophageal dysmotility, leading to nutritional consequences and quality of life impairment. Barrett's œsophagus, potential risk of œsophageal cancer as well as risk of anastomotic stenosis and eosinophilic œsophagitis justify transition to adulthood and a lifelong prolonged follow-up.
ISSN:1521-6918
1532-1916
DOI:10.1016/j.bpg.2021.101771