Physical growth and social prognosis of esophageal atresia after 15 years of age
Masuya, R., Muto, M., Sugita, K., Murakami, M., Yano, K., Harumatsu, T., Onishi, S., Yamada, K., Yamada, W., Matsukubo, M., Kawano, T., Machigashira, S., Nakame, K., Torikai, M., Mukai, M., Kaji, T., Ieiri, S. (2022). Physical growth and social prognosis of esophageal atresia after 15 years of age. EKB Journal Management System, 18(1), -. doi: 10.1186/s43159-022-00185-0
Ryuta Masuya; Mitsuru Muto; Koshiro Sugita; Masakazu Murakami; Keisuke Yano; Toshio Harumatsu; Shun Onishi; Koji Yamada; Waka Yamada; Makoto Matsukubo; Takafumi Kawano; Seiro Machigashira; Kazuhiko Nakame; Motofumi Torikai; Motoi Mukai; Tatsuru Kaji; Satoshi Ieiri. "Physical growth and social prognosis of esophageal atresia after 15 years of age". EKB Journal Management System, 18, 1, 2022, -. doi: 10.1186/s43159-022-00185-0
Masuya, R., Muto, M., Sugita, K., Murakami, M., Yano, K., Harumatsu, T., Onishi, S., Yamada, K., Yamada, W., Matsukubo, M., Kawano, T., Machigashira, S., Nakame, K., Torikai, M., Mukai, M., Kaji, T., Ieiri, S. (2022). 'Physical growth and social prognosis of esophageal atresia after 15 years of age', EKB Journal Management System, 18(1), pp. -. doi: 10.1186/s43159-022-00185-0
Masuya, R., Muto, M., Sugita, K., Murakami, M., Yano, K., Harumatsu, T., Onishi, S., Yamada, K., Yamada, W., Matsukubo, M., Kawano, T., Machigashira, S., Nakame, K., Torikai, M., Mukai, M., Kaji, T., Ieiri, S. Physical growth and social prognosis of esophageal atresia after 15 years of age. EKB Journal Management System, 2022; 18(1): -. doi: 10.1186/s43159-022-00185-0

Physical growth and social prognosis of esophageal atresia after 15 years of age

Annals of Pediatric Surgery
Volume 18, Issue 1, January 2022  XML PDF (748.91 K)
DOI: 10.1186/s43159-022-00185-0
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Authors
Ryuta Masuya; Mitsuru Muto; Koshiro Sugita; Masakazu Murakami; Keisuke Yano; Toshio Harumatsu; Shun Onishi; Koji Yamada; Waka Yamada; Makoto Matsukubo; Takafumi Kawano; Seiro Machigashira; Kazuhiko Nakame; Motofumi Torikai; Motoi Mukai; Tatsuru Kaji; Satoshi Ieiri email orcid
Abstract
Background
The mortality rate of esophageal atresia (EA) has significantly improved, but late complications remain problematic. We evaluated the physical growth, late complications, and social prognosis of postoperative patients with EA who have reached 15 years of age.
Methods
EA patients who were treated at our institution from 1984 to 2003 were enrolled. The follow-up, physical growth at the last visit, late complications and treatment, academic status, and employment situation were evaluated.
Results
Twenty-nine EA patients were registered, and the 23 surviving patients (79.3%) were followed. Anthropometry at the latest visit tended to be below the standard values. Fundoplication was performed in 6 (26.1%) of 9 (39.1%) patients with gastroesophageal reflux. Anastomotic stenosis was found in 12 patients (52.2%), and 2 (8.7%) were treated with re-anastomosis. Thirteen patients were attending a regular school, and one was attending a school for disabled children. Four had jobs from 18 years of age. Follow-up was aborted during early childhood in nine patients.
Conclusions
The physical size of EA was smaller than in the healthy population of the same age. Late complications had not affected the physical growth but were sometimes recognized in adolescence. The social prognosis of the patients was largely favorable.
Keywords
Esophageal Atresia; Long-term outcome; physical growth; Social prognosis; Late Complications
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