Atresia esofágica y fístula traqueoesofágica: evolución y complicaciones postquirúrgicas / Esophageal atresia and tracheoesophagic fistula: evolution and postsurgical complications
Rev. chil. pediatr
;
81(4): 339-346, ago. 2010. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-577514
ABSTRACT
Esophageal atresia (EA) and tracheoesophageal fistula are congenital anomalies associated with respiratory and gastrointestinal morbidity. Objective:
The aim of this study was to describe clinical characteristics of patients with EA and TEF during childhood, specially focused on respiratory and gastrointestinal complications.Methods:
We reviewed the clinical charts from fifteen patients admitted to our hospital and who were followed locally between 1995 and 2007.Results:
Gross classification distribution was A 0, B 0, C 12, D 2, E 1. Waterston distribution was Al 6, B1 1, B2 4y C2 4. Associated malformations to EA and TEF were 7/15. Main morbidity during the follow up period was Recurrent pneumonia 6/15, recurrent wheezing 12/15, tracheomalacia in 9/15 and apnea in one patient. Fistula re-opening in 3/15, Gastro esophageal reflux in 15/15 esophagic stenosis in 7/15. All patients were admitted to the hospital at least once during the follow up and in 12/15 of this were due to respiratory causes.Conclusions:
EA and TEF after surgical repair have significant respiratory and gastrointestinal morbidity and frequent admission to the hospital during the first years of life.RESUMEN
La Atresia esofágica (AE) con o sin fístula traqueoesofágica (FTE) es una malformación congénita que se asocia a complicaciones respiratorias y digestivas. Objetivo:
Describir las características de estos pacientes, su morbilidad respiratoria, digestiva y hospitalizaciones en su evolución a largo plazo. Materiales yMétodos:
Se revisaron en forma retrospectiva 15 fichas de pacientes con diagnóstico de FTE evaluados por el equipo de Neumología Pediátrica de la Universidad Católica de Chile entre 1995 y 2007.Resultados:
N = 15 pacientes, sexo masculino 9 diagnóstico el primer día de vida 13/15 pacientes. Clasificación de Gross A= 0, B= 0, C= 12, D= 2, E= 1. Clasificación de Waterston Al 6, Bl 1, B2 4 y C2 4 Malformaciones asociadas en 7/15. Complicaciones respiratorias Neumonía recurrente 8/15, sibilancias recurrentes 12/15, Recurrencia de fístula 3 /15 pacientes, Apnea 1 paciente, Traqueomalacia (TM) (9/15). Complicaciones digestivas Reflujo gastroesofágico 15/15, Estenosis esofágica II15. Un paciente requirió cirugía de Nissen. Todos los pacientes se hospitalizaron en al menos una oportunidad y en el 12/15 la causa fue respiratoria.Conclusión:
La FTE es una enfermedad de resolución quirúrgica con alta morbilidad respiratoria, digestiva y frecuentes hospitalizaciones en los primeros años de vida.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Postoperative Complications
/
Respiratory Tract Diseases
/
Tracheoesophageal Fistula
/
Digestive System Diseases
/
Esophageal Atresia
Type of study:
Observational study
/
Risk factors
Limits:
Child
/
Child, preschool
/
Humans
/
Infant
/
Male
Language:
Spanish
Journal:
Rev. chil. pediatr
Journal subject:
Pediatrics
Year:
2010
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico Pontificia Universidad Católica de Chile/CL
/
Hospital Exequiel González Cortés/CL
/
Hospital de Quillota/CL
Similar
MEDLINE
...
LILACS
LIS