Growth assessments for children with recurrent tracheoesophageal fistulas
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Aug 2022 · 1 min read
In brief
In brief
Retrospective study of 83 children with recurrent tracheoesophageal fistula found growth retardation in 34% at median 31-month follow-up. Low birth weight, anastomotic stricture, and post-repair dysphagia were independent risk factors, highlighting the need for long-term nutritional monitoring in this population.
Written by the GCMD Library team from the article.
Abstract
Purpose
To assess the growth status of children with recurrent tracheoesophageal fistula (rTEF), and determine the possible risk factors of growth retardation (GR).
Methods
The medical records of 83 patients with rTEF who underwent surgical repair were retrospectively analyzed. The patients were retrospectively divided into two groups according to whether they had GR. The clinical variables were compared between the GR and non-GR groups. Univariate and multivariable logistic regression analysis were performed to identify the risk factors for GR.
Results
Eighty-three children diagnosed with rTEF were included in this study. After a median follow-up of 31.4 (19.8, 48.7) months, GR occurred in 28 patients (33.7%). Among them, six patients with only weight for age Z score (WAZ) < -2SD, five patients with only height for age Z score (HAZ) < -2SD, and six patients with only BMI for age Z score (BAZ) < -2SD, while seven patients with both WAZ and HAZ < -2SD and four patients with both WAZ, HAZ and BAZ < -2SD. Multivariate logistic regression analysis showed that birth weight, anastomotic stricture and dysphagia after rTEF repair were independent risk factors with OR of 0.325 (0.119, 0.891), 4.396 (1.451, 13.324) and 5.341 (1.153, 24.752) for GR, respectively.
Conclusions
GR is a common complication after rTEF repair. Birth weight, anastomotic stricture and dysphagia after rTEF repair are independent risk factors affecting growth.