The effect of gestational age on short- and long-term complications following primary esophageal atresia repair
Mathias Johansen, Samuel Wasserman, Dan Poenaru, Jean Martin Laberge, Sam J. Daniel, Thomas Engelhardt
Abstract
Dear Editor,
Esophageal Atresia (EA) is a rare congenital anomaly with an incidence of 1.2 to 4.5 per 10,000 live births. It is frequently associated with comorbidities which pose significant challenges in the perioperative period. Although notable progress in treatment options and survival has been made during the past decades, patients with esophageal atresia still encounter long-term complications that severely impact their quality of life. The majority relate to gastrointestinal and respiratory problems which result in multiple hospital admissions as well as diagnostic and therapeutic interventions. Prematurity, among other factors, may affect overall long-term outcomes following successful esophageal atresia repair. This current study hence investigated the impact of gestational age on gastroesophageal and respiratory complications during the first 5 years of life
Referências
1. Sfeir R, Bonnard A, Khen-Dunlop N, et al. Esophageal atresia: data from a national cohort. J Pediatr Surg. 2013;48:1664−9.
2. Comella A, Tan Tanny SP, Hutson JM, et al. Esophageal morbidity in patients following repair of esophageal atresia: A systematic review. J Pediatr Surg. 2021;56:1555−63.
3. Mirra V, Maglione M, Di Micco LL, Montella S, Santamaria F. Longitudinal Follow-up of Chronic Pulmonary Manifestations in EsophagealAtresia: A Clinical Algorithm and Review of the Literature. Pediatr Neonatol. 2017;58:8−15.
4. Dellenmark-Blom M, Quitmann J, Dingemann C. Health-Related Quality of Life in Patients after Repair of Esophageal Atresia: A Review of Current Literature. Eur J Pediatr Surg. 2020;30:239−50.
5. Harrison MS, Goldenberg RL. Global burden of prematurity. Semin Fetal Neonatal Med. 2016;21:74−9.
6. The Surgery of Infancy and Childhood: Its Principles and Techniques.Gross RE, Ladd WE. AMA Arch Intern Med. 1954;93(3):478−9.
7. Disma N, Veyckemans F, Virag K, et al. NECTARINE Group of the European Society of Anaesthesiology Clinical Trial Network; Austria; Belgium; Croatia; Czech Republic; Denmark; Estonia; Finland; France; Germany; Greece; Hungary; Ireland; Italy; Latvia; Lithuania; Luxembourg; Malta; Netherlands; Norway; Poland; Portugal; Romania; Serbia; Slovakia; Slovenia; Spain; Switzerland; Turkey; Ukraine; United Kingdom.Morbidity and mortality after anaesthesia in early life: results of the European prospective multicentre observational study, neonate and children audit of anaesthesia practice in Europe (NECTARINE). Br J Anaesth. 2021;126:1157−72.
8. Habre W, Disma N, Virag K, et al. APRICOT Group of the European Society of Anaesthesiology Clinical Trial Network. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. Lancet Respir Med. 2017;5:412−25.
9. van den Berg MJ, Johansen M, Disma N, et al. Perioperative anesthetic management and short-term outcome of neonatal repair of esophageal atresia with or without tracheoesophageal fistula in Europe. A sub-analysis of the neonate and children audit of anesthesia practice in Europe (NECTARINE) prospective multicenter observational study. Eur J Anaesthesiol. 2023;40:936−45.
Submetido em:
24/12/2023
Aceito em:
23/07/2024