Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery

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dc.contributor.authorÖztürk, Gökçen
dc.contributor.authorGülen, Figen
dc.contributor.authorDemir, Esen
dc.contributor.authorEşki, Aykut
dc.date.accessioned2023-01-12T20:32:42Z
dc.date.available2023-01-12T20:32:42Z
dc.date.issued2020
dc.departmentN/A/Departmenten_US
dc.description.abstractObjective: Esophageal atresia (EA) and/or tracheoesophageal fistula (TEF) is one of the common developmental anomalies of the foregut. Despite advances in surgical techniques and postoperative care, respiratory system complications affect the quality of life of patients. We planned to evaluate our patients in terms of the general features, the risk factors for respiratory morbidity and short- and long-term respiratory complications after corrective surgical treatment. Method: Thirty-six patients with the diagnosis of EA and/or TEF and followed after surgical treatment between 2002 and 2019 were retrospectively enrolled in the study.Results: The most common symptom was chronic cough (77.7%) and wheezing (41.6%). Recurrent pulmonary infections were present in the great majority of the patients. The frequency of pulmonary infections was higher in patients who had undergone dilatation due to stricture (N=14) and in patients with recurrent TEF (N=6) and malacia (N=10). Bronchiectasis was present in eight patients and hospital admission due to infections was highly frequent. Aeroallergen sensitivity was detected in four and food allergy in five patients. Scoliosis was present in 33.3% of the patients all of whom had recurrent pulmonary infections. Pulmonary function tests were performed in 10 patients. Five patients had impaired pulmonary function. Medical treatment for reflux was given to the majority of patients (N=30), while fundoplication was performed in 10 patients. Most of the patients had a significant decrease in the frequency of pulmonary infections after the procedure. Conclusion: The etiology of pulmonary complications is multifactorial and many factors affect each other. Evaluation and management of the patients for each complication will improve the quality of life and comfort of the patientsen_US
dc.identifier.doi10.5222/buchd.2020.53325
dc.identifier.endpage280en_US
dc.identifier.issn2146-2372
dc.identifier.issn1309-9566
dc.identifier.issue3en_US
dc.identifier.startpage274en_US
dc.identifier.trdizinid411643en_US
dc.identifier.urihttps://doi.org/10.5222/buchd.2020.53325
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/411643
dc.identifier.urihttps://hdl.handle.net/11454/81201
dc.identifier.volume10en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofİzmir Dr. Behçet Uz Çocuk Hastanesi Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleInvestigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgeryen_US
dc.typeArticleen_US

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