Faculty of Medicine, Department of Pediatric Surgery, Ege University, Bornova, 35100, Izmir, Turkey.
Faculty of Medicine, Department of Physical Therapy and Rehabilitation, Ege University, Bornova, 35100, Izmir, Turkey.
Pediatr Surg Int. 2022 Sep;38(9):1227-1233. doi: 10.1007/s00383-022-05169-0. Epub 2022 Jul 14.
The aim of this study was to evaluate the swallowing problems by fiberoptic endoscopic evaluation of swallowing (FEES) study in both short- and long-gap patients after esophageal atresia (EA) repair.
Hospital records of patients who had undergone surgery for EA were reviewed retrospectively. Patients were divided into two groups as short-gap (SG) group (n:16) and long-gap (LG) group (n:10) to compare the swallowing problems. FEES study was performed, and the results were discussed in detail.
There were twenty-six (16 M/10 F) patients with a mean age at evaluation was 7.52 ∓ 3.68 years. Mean follow-up period was 75.35 ∓ 44.48 months. In FEES study, pharyngeal phase abnormalities were detected in 10 patients (38.4%). Pharyngeal phase abnormalities were detected significantly higher in LG group (p:0.015). Laryngeal penetration/aspiration was seen in four patients on FEES study (15.3%). All of them was in LG group (40%). Laryngeal penetration/aspiration was seen significantly higher in LG group (p:0.014).
This is the first study to conduct FEES study in children after esophageal atresia repair to evaluate their swallowing conditions. Even though our sample is small, swallowing problems are more common than expected in the cases of LG when compared to SG.
本研究旨在通过纤维内镜吞咽功能检查（FEES）评估食管闭锁（EA）修复后短、长间隙患者的吞咽问题。
回顾性分析接受 EA 手术的患者的医院记录。将患者分为短间隙（SG）组（n=16）和长间隙（LG）组（n=10），比较吞咽问题。详细讨论了 FEES 研究的结果。
共有 26 名（16 名男性/10 名女性）患者，平均评估年龄为 7.52±3.68 岁。平均随访时间为 75.35±44.48 个月。在 FEES 研究中，10 名患者（38.4%）发现咽部期异常。LG 组咽部期异常发生率明显较高（p=0.015）。FEES 研究中有 4 名患者出现喉咽渗透/吸入（15.3%）。他们都在 LG 组（40%）。LG 组喉咽渗透/吸入发生率明显较高（p=0.014）。
这是第一项在 EA 修复后评估儿童吞咽情况的 FEES 研究。尽管我们的样本量较小，但与 SG 相比，LG 患者的吞咽问题更为常见。
