Department of Psychology, Montreal Children's Hospital, McGill University Health Centre, Montreal QC H3H 1P3, Quebec, Canada.
Dis Esophagus. 2013 May-Jun;26(4):410-2. doi: 10.1111/dote.12062.
Esophageal atresia (EA) is one of the congenital neonatal anomalies whose immediate consequence for the newborn is the inability to feed. Most centers strive to minimize the effects of surgeries and subsequent postoperative complications such as esophageal strictures, respiratory problems, and gastrointestinal reflux on the child's ability or motivation to feed. Feeding difficulties in early infancy may not only interrupt maternal expectations of becoming providers of nutrition to their infants but may also influence the infant's development of sensory motor skills and parent-child relationships. Early involvement by a multidisciplinary team consisting of occupational therapist, nutritionist, and psychologist is an important addition to the surgical and medical team. The team assists in preparing mothers for feeding-related difficulties, providing anticipatory guidance to improve feeding abilities and relationships, especially for children with multiple surgical involvements and prolonged periods of non-oral feeding.
食管闭锁（EA）是一种先天性新生儿畸形，其直接后果是新生儿无法进食。大多数中心都努力将手术及其随后的并发症（如食管狭窄、呼吸问题和胃食管反流）对儿童进食能力或进食意愿的影响降到最低。婴儿早期的喂养困难不仅可能会中断母亲对婴儿的营养提供者的期望，还可能影响婴儿的感觉运动技能和亲子关系的发展。由职业治疗师、营养师和心理学家组成的多学科团队的早期介入是对手术和医疗团队的重要补充。该团队帮助母亲为与喂养相关的困难做好准备，提供预期指导以提高喂养能力和关系，特别是对于有多次手术和长时间非口服喂养的儿童。
