Growth and development after oesophageal atresia surgery: Need for long-term multidisciplinary follow-up

Paediatr Respir Rev. 2016 Jun:19:34-8. doi: 10.1016/j.prrv.2015.07.003. Epub 2015 Jul 23.

Abstract

Survival rates in oesophageal atresia patients have reached over 90%. In long-term follow-up studies the focus has shifted from purely surgical or gastrointestinal evaluation to a multidisciplinary approach. We reviewed the literature on the long-term morbidity of these patients and discuss mainly issues of physical growth and neurodevelopment. We conclude that growth problems - both stunting and wasting - are frequently seen, but that sufficient longitudinal data are lacking. Therefore, it is unclear whether catch-up growth into adolescence and adulthood occurs. Data on determinants of growth retardation are also lacking in current literature. Studies on neurodevelopment beyond preschool age are scarce but oesophageal atresia patients seem at risk for academic problems and motor function delay. Many factors contribute to the susceptibility to growth and development problems and we propose a multidisciplinary follow-up schedule into adulthood future care which may help improve quality of life.

Keywords: Cognition; Growth; Motor function; Neurodevelopment; Oesophageal atresia; Outcome.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Esophageal Atresia / complications*
  • Esophageal Atresia / surgery*
  • Growth Disorders / etiology*
  • Humans
  • Infant
  • Infant, Newborn
  • Neurodevelopmental Disorders / etiology*