Rintala R J, Sistonen S, Pakarinen M P
Department of Paediatric Surgery, Children's Hospital, University of Helsinki, Helsinki, Finland.
Semin Pediatr Surg. 2009 Feb;18(1):50-6. doi: 10.1053/j.sempedsurg.2008.10.010.
Survivors of esophageal atresia are reaching their adulthood in large numbers for the first time enabling assessment of true long-term outcome among this group of patients. This review summarizes the current knowledge on the subject focusing on late symptoms and complications, esophageal pathology and pulmonary function. Relationships between esophageal dysmotility, gastroesophageal reflux, esophagitis and epithelial metaplastic changes including esophageal cancer are outlined. In addition to pertinent literature, institutional experience, and follow-up of patients with esophageal atresia for more than 60 years is included.
食管闭锁幸存者首次大量步入成年期,这使得评估该组患者的真正长期预后成为可能。本综述总结了关于这一主题的当前知识,重点关注晚期症状和并发症、食管病理及肺功能。概述了食管运动障碍、胃食管反流、食管炎与包括食管癌在内的上皮化生改变之间的关系。除了相关文献外,还纳入了机构经验以及对食管闭锁患者超过60年的随访情况。