SavedAdd your journal

Journals / Anadolu Kardiyoloji Dergisi / 2011 / Cilt: 11 - Sayı: 2

Gastrointestinal sistem malformasyonları çocuklarda doğumsal kalp defektleri ile ilişkilidir

Gastrointestinal system malformations in children are associated with congenital heart defects

Utku Arman ÖRÜN
Yusuf Hakan ÇAVUŞOĞLU
Selmin KARADEMİR
Burhan ÖCAL
Filiz ŞENOCAK
Fulya G DEMİRÇEKEN
Derya ERDOĞAN
Mahya TOSUN
Meki BİLİCİ
Pages
146–149
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To determine the frequency of congenital heart defects (CHD) in children with gastrointestinal malformations (GISM) and mortality rates in patients with GISM.
📊
Key Findings & Data:Of 242 patients, 135 (55.8%) were male and 107 (44.2%) were female, and their age range was 0-15 years.
💡
Conclusion & Impact:Conclusion: We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To determine the frequency of congenital heart defects (CHD) in children with gastrointestinal malformations (GISM) and mortality rates in patients with GISM. Methods: Two hundred and forty two consecutive children patients with GISM followed up in Pediatric Surgery Clinics of our hospital were examined for cardiovascular anomaly by the Department of Pediatric Cardiology, and the CHD incidence was investigated by examining the records of the patients retrospectively. Chi-square test was used for the statistical analysis of data. Results: Two hundred and forty two patients with gastrointestinal system malformations were included in the study. Of 242 patients, 135 (55.8%) were male and 107 (44.2%) were female, and their age range was 0-15 years. The most frequent GISM were anorectal malformations (43.2%), atresia involving stomach, ileum or colon (21%) and esophageal atresia/tracheoesophageal fistula (18.3%). Congenital heart defects were observed in 28.5% of the participants. The most frequent defects were as follows; atrial septal defect (31 patients, 44.9%) a, ventricular septal defect (17 patients, 24.6%) and patent ductus arteriosus (5 patients, 7.2%). There was no significant difference (p>0.05) in mortality rate in patients with CHD (16.7%) and without CHD (13.3%) undergoing operations for GISM. Conclusion: We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations.

Özet

Amaç: Gastrointestinal sistem malformasyonlu (GİSM) çocuklarda doğumsal kalp hastalıklarının sıklığını ve mortalite ile ilişkisini saptamak. Yöntemler: Hastanemizin, Çocuk Cerrahisi Kliniğinde GİSM nedeniyle izlenen ve kardiyolojik inceleme yapılan ardışık 242 çocuk hastanın kayıtları retrospektif olarak incelenerek, GİSM olan çocuk hastalarda doğumsal kalp defektlerinin (DKH) insidansı araştırılmıştır. Verilerin istatistiksel değerlendirmesinde Ki-kare testi kullanılmıştır. Bulgular: GİSM saptanan, yaşları 0 gün ile 15 yıl arasında değişen 242 hasta değerlendirildi. Hastaların 135’i (%55.8) erkek, 107’si kız (%44.2) idi. En sık görülen gastrointestinal malformasyonları anorektal malformasyon (%43.2), mide, ileum veya kolon atrezisi (%21) ve özofajiyal atrezi/ trakeoözofajiyal fistül (%18.3) idi. Hastaların %28.5’inde doğumsal kalp hastalığı saptanmış olup, en sık gözlenen anomaliler; olguların 31’inde (%44.9) atriyal septal defekt, 17’sinde (%24.6) ventriküler septal defekt, 5’inde (%7.2) patent duktus arteriyozus idi. GİSM nedeni ile ameliyat edilen doğumsal kalp hastalığı olan (%16.7) ve olmayan (%13.3) hastalar arasında mortalite açısından anlamlı fark saptanmadı (p>0.05). Sonuç: Gastrointestinal sistem malformasyonu saptanan hastaların erken dönemde kardiyolojik açıdan değerlendirilmesi gerektiği vurgulanmak istenmiştir.

🔖

Cite This Article

ÖRÜN, U. A., ÇAVUŞOĞLU, Y. H., KARADEMİR, S., ÖCAL, B., ŞENOCAK, F., DEMİRÇEKEN, F. G., ERDOĞAN, D., TOSUN, M., BİLİCİ, M. (2022). Gastrointestinal sistem malformasyonları çocuklarda doğumsal kalp defektleri ile ilişkilidir. Anadolu Kardiyoloji Dergisi, Cilt: 11 - Sayı: 2, 146–149. https://ajindex.com/articles/436554

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Olgun H, Karacan M, Caner İ, Oral A, Ceviz N. Congenital cardiac malformations in neonates with apparently isolated gastrointestinal malformations. Pediatr Int 2009; 51: 260-2
  2. Wojtalik M, Mrowczynski W, Henschke J, Wronecki K, Siwiska A, Piaszcynski M, et al. congenital heart defect with associated malformations in children. J Pediatr Surg 2005; 40: 1675-80
  3. Thompson AJ, Mulholland HC. The incidence of cardiac lesions in infants born with major gastrointestinal malformations in Northern Ireland. Ulster Med J 2000; 69: 23-6
  4. Tulloh RM, Tansey SP, Parashar K, De Giovanni JV, Wright JG, Silove ED. Echocardiographic screening in neonates undergoing surgery for selected gastrointestinal malformations. Arch Dis Child Fetal Neonatal 1994; 70: 206-8
  5. Cho S, Moore SP, Fangman T. One hundred three consecutive patients with anorectal malformations and their associated anomalies. Arch Pediatr Adolesc Med 2001; 155: 587-91
  6. Ein SH, Shandling B, Wesson D, Filler RM. Esophageal atresia with distal tracheoesophageal fistula: associated anomalies and prognosis in the 1980s. J Pediatr Surg 1989; 24: 1055-9
  7. Hassink EA, Rieu PN, Hamel BC, Severijnen RS, vd Staak FH, Festen C. Additional congenital defects in anorectal malformations. Eur J Pediatr 1996; 155: 477-82
  8. Tárnok A, Méhes K. Gastrointestinal malformations, associated congenital abnormalities, and intrauterine growth. J Pediatr Gastroenterol Nutr 2002; 34: 406-9
  9. Uğuralp S, Paç FA, Gürbüz N, Demircan M. Congenital heart disease associated with gastrointestinal system malformations ın the newborn: is it sufficiently evaluated? İnönü Üniversitesi Tıp Fakültesi Dergisi 2002; 9: 229-32
  10. Chittmittrapap S, Spitz L, Kiely EM, Brereton RJ. Oesophageal atresia and associated anomalies. Arch Dis Child 1989; 64: 364-8
  11. David TJ, O’Callaghan SE. Cardiovascular malformations and osephageal atresia. Br Heart J 1974; 36: 559-65
  12. German JC, Mahour GH, Woolley MM. Esophageal atresia and associated anomalies. J Pediatr Surg 1976; 11: 299-306
  13. Diaz LK, Akpek EA, Dinavahi R, Andropoulos DB. Tracheoesophageal fistula and associated congenital heart disease: implications for anesthetic management and survival. Pediatr Anaesth 2005; 15: 862-9
  14. Teixeira OH, Malhotra K, Sellers J, Mercer S. Cardiovascular anomalies with imperfore anus. Arch Dis Child 1983; 58: 747-9
  15. Cho S, Moore SP, Fangman T. One hundred three consecutive patients with anorectal malformations and their associated anomalie