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Changes in Quality of Life from Infancy to School Age After Esophagoesophagostomy for Tracheoesophageal Fistula: Thoracotomy Versus Thoracoscopy

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Date 2017 Aug 24
PMID 28831606
Citations 5
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Abstract

Background: We assessed the quality of life (QOL) of postoperative esophageal atresia (EA) with tracheoesophageal fistula (TEF) cases, comparing open with thoracoscopic repair.

Methods: A retrospective review of consecutive EA/TEF repairs (2001-2014) was performed, excluding cases with birth weight less than 2000 g and severe cardiac/chromosomal anomalies. Of 37 cases, 13 had thoracoscopic repair (TR) and 24 had open repair (OR) according to the operating surgeon's preference. QOL was determined regularly by scoring responses to a standard questionnaire about oral intake, vomiting, bougienage, coughing, growth retardation, learning ability, and thoracic deformity. Lower scores reflected poorer outcome. QOL after TR and OR was compared 1 year postoperatively (POQ) and after starting school (ScQ).

Results: Subject demographics were similar. Apart from two anastomotic leaks that resolved spontaneously after TR, there were no intraoperative complications or recurrence of TEF. Laparoscopic fundoplication was required for gastroesophageal reflux in four cases (OR 1; TR 3) (p = ns). QOL scores went from 6.5 → 11.5 in OR and 4.6 → 11.3 in TR, respectively. Final ScQ scores were similar, but POQ was significantly higher after OR (p < 0.05).

Conclusion: Initial QOL scores were significantly lower after TR, but by school age QOL scores were similar.

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References
1.
Gatzinsky V, Wennergren G, Jonsson L, Ekerljung L, Houltz B, Redfors S . Impaired peripheral airway function in adults following repair of esophageal atresia. J Pediatr Surg. 2014; 49(9):1347-52. DOI: 10.1016/j.jpedsurg.2013.12.027. View

2.
Rintala R, Sistonen S, Pakarinen M . Outcome of esophageal atresia beyond childhood. Semin Pediatr Surg. 2008; 18(1):50-6. DOI: 10.1053/j.sempedsurg.2008.10.010. View

3.
MacKinlay G . Esophageal atresia surgery in the 21st century. Semin Pediatr Surg. 2008; 18(1):20-2. DOI: 10.1053/j.sempedsurg.2008.10.004. View

4.
Malmstrom K, Lohi J, Lindahl H, Pelkonen A, Kajosaari M, Sarna S . Longitudinal follow-up of bronchial inflammation, respiratory symptoms, and pulmonary function in adolescents after repair of esophageal atresia with tracheoesophageal fistula. J Pediatr. 2008; 153(3):396-401. DOI: 10.1016/j.jpeds.2008.03.034. View

5.
Spitz L . Esophageal atresia. Lessons I have learned in a 40-year experience. J Pediatr Surg. 2006; 41(10):1635-40. DOI: 10.1016/j.jpedsurg.2006.07.004. View