Investigation of Short and Long-Term Complications of Respiratory System After Esophageal Atresia and/or Tracheoesophageal Fistular Surgery

dc.contributor.authorOzturk, Gokcen Kartal
dc.contributor.authorEksi, Aykut
dc.contributor.authorDemir, Esen
dc.contributor.authorGulen, Figen
dc.date.accessioned2021-05-03T20:38:31Z
dc.date.available2021-05-03T20:38:31Z
dc.date.issued2020
dc.departmentEge Üniversitesien_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 patients.en_US
dc.identifier.doi10.5222/buchd.2020.53325
dc.identifier.endpage280en_US
dc.identifier.issn2146-2372
dc.identifier.issn1309-9566
dc.identifier.issn2146-2372en_US
dc.identifier.issn1309-9566en_US
dc.identifier.issue3en_US
dc.identifier.startpage274en_US
dc.identifier.urihttps://doi.org/10.5222/buchd.2020.53325
dc.identifier.urihttps://hdl.handle.net/11454/70470
dc.identifier.volume10en_US
dc.identifier.wosWOS:000602443900012en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherDr Behcet Uz Cocuk Hastaliklari Ve Cerrahisien_US
dc.relation.ispartofIzmir Dr Behcet Uz Cocuk Hastanesi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEsophageal atresiaen_US
dc.subjecttracheoesophageal fistulaen_US
dc.subjectrespiratory system complicationsen_US
dc.titleInvestigation of Short and Long-Term Complications of Respiratory System After Esophageal Atresia and/or Tracheoesophageal Fistular Surgeryen_US
dc.typeArticleen_US

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