Nutrition Delivery and Growth Outcomes in Infants with Long-Gap Esophageal Atresia Who Undergo the Foker Process

Space: StayCurrentMD Author: Amanda W. Harrington, Jane Riebold, Kayla Hernandez, Steven J. Staffa, Wendy Jo Svetanoff, David Zurakowski, Thomas Hamilton, Russell Jennings, Nilesh M. Mehta, Benjamin Zendejas Published:

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Amanda W. Harrington, Jane Riebold, Kayla Hernandez, Steven J. Staffa, Wendy Jo Svetanoff, David Zurakowski, Thomas Hamilton, Russell Jennings, Nilesh M. Mehta, Benjamin Zendejas

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Abstract

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

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