Nutrition Delivery and Growth Outcomes in Infants with Long-Gap Esophageal Atresia Who Undergo the Foker Process
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In brief
In brief
This retrospective study examines nutritional delivery strategies and growth outcomes in 45 infants with long-gap esophageal atresia treated with the Foker Process. The analysis evaluates weight-for-age trajectories during hospitalization and post-discharge to identify predictors of optimal growth in this complex patient population.
Written by the GCMD Library team from the article.
Background
: Predictors of growth outcomes in patients with long-gap esophageal atresia (LGEA) are not known. We examined nutrition and growth in-hospital and post-discharge in LGEA patients who underwent the Foker Process (FP).
Methods
: Single-center, retrospective cohort study of infants with LGEA undergoing primary (non-rescue) FP from 2014 to 2020. Weight-for-age z scores (WAZ, 0=average), macronutrient prescription, anthropometry, and clinical variables were collected. Longitudinal median regression evaluated differences in WAZ over time. Multivariable median regression examined variables associated with change in WAZ at 1 year.
Results
: 45 patients met criteria, with median (IQR) age at repair of 4 (2, 5.8) months and WAZ of -0.96 (-1.55, -0.40). On admission, 11% were moderately (WAZ