Abstract
Recent studies in patients with repair of esophageal atresia and tracheoesophageal fistula show a high incidence of significant abnormalities of esophageal function. We have studied 20 patients operated on over the past 12 years. Ages ranged from 4 months to 12 years (av. 5.9 yrs). Studies included history, esophageal manometry, pH probe acid reflux test (Tuttle) and barium esophagram.
The only symptom present was occasional dysphagia for solid foods in 5 patients. Three had had a coin removed and 4 had required dilatation. Seven patients had a history of pneumonia.
Only 1 patient had a lower esophageal sphincter pressure less than 12mm Hg. In 5, peristalsis was abnormal by manometry and in 5 by esophagram. However, only 1 patient was in both groups. Minimal reflux was seen in 5 patients by esophagram and in 6 by Tuttle test. Only 1 patient was in both groups. As the patients became older, symptoms decreased.
This study reveals fewer severe abnormalities than previously described. Minimal reflux seems to occur frequently without sequellae and most problems in our patients were related to esophageal narrowing requiring dilatation.
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Brown, M., Lawrence, R., Campbell, M. et al. 520 FOLLOW-UP OF ESOPHAGEAL FUNCTION IN REPAIRED ESOPHA GEAL ATRESIA. Pediatr Res 15 (Suppl 4), 527 (1981). https://doi.org/10.1203/00006450-198104001-00533
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DOI: https://doi.org/10.1203/00006450-198104001-00533
