Review of Complications of Operated Esophageal Atresia and Tracheoesophageal Fistula Patients

Özet

Objective: This study was aimed to investigate the complications arising during follow-up andthe reasons for hospitalization in pediatric patients who were operated on for esophagealatresia (EA) and tracheoesophageal fistula (TEF).Materials and Methods: Between 2007 and 2019, all patients operated for EA and TEF wereevaluated in terms of age, gender, age at diagnosis, post-op, and complications in follow-up.Results: In the study, 28 of 50 patients were operated on for EA and TEF, 14 for isolated EA, and8 for isolated TEF. The mean age of the patients was 4.9 ± 4.4 years, and 18 (36%) of them werefemale. The median age of diagnosis was 1 (IQR: 1-3) day and the mean follow-up durationwas 4.6 ± 4.1 years. During follow-up, 84% of patients had recurrent pneumonia, 60% gastroesophagealreflux (GER), 34% growth retardation, 30% restrictive lung disease, and 18% scoliosis.Postoperative pneumonia, hospitalization, development of stricture and growth retardationwere more frequent in patients with GER (P < .05). Patients with scoliosis had more frequentpneumonia and hospitalization rates (P < .05).Conclusion: Hospital admissions of the patients with EA and TEF were higher due to GER, recurrentpneumonia, restrictive lung disease, and scoliosis in the follow-up. Pneumonia, hospitalization,stricture in the esophagus, and growth retardation were observed more frequently inpatients with GER. Patients should be followed up by the pediatric pulmonology, gastroenterology,and orthopedic departments.