Chetcuti P, Phelan P D
Department of Thoracic Medicine, Royal Children's Hospital, Australia.
Arch Dis Child. 1993 Feb;68(2):163-6. doi: 10.1136/adc.68.2.163.
Upper gastrointestinal morbidity and anthropometric data in 334 patients aged 1 to 37 years with repaired oesophageal atresia and tracheo-oesophageal fistula are reported. Two thirds were subsequently hospitalised with oesophageal complications and half underwent one or more surgical procedures. Thirteen percent were hospitalised for more than 50 days. Anastomotic strictures were present in one third and just under half had gastro-oesophageal reflux. Dysphagia was present in about 65% in all age groups but symptom severity and surgical intervention decreased significantly after 5 years of age. Gastro-oesophageal reflux symptoms were commoner in the older patients increasing from 18% in the group under 5 years of age to 52% in those over 15 years. Height centile distribution was normal, but the median weight centile was the 25th. Weight for height values greater than 2 SD below the mean were present in 13%, and two thirds of these patients were under 5 years of age. The majority of adults enjoyed a normal lifestyle and were comparable with their peers.
报告了334例年龄在1至37岁之间、患有食管闭锁并气管食管瘘且已修复的患者的上消化道发病率和人体测量数据。三分之二的患者随后因食管并发症住院，半数患者接受了一次或多次外科手术。13%的患者住院时间超过50天。三分之一的患者存在吻合口狭窄，不到一半的患者有胃食管反流。各年龄组中约65%的患者有吞咽困难，但5岁以后症状严重程度和手术干预显著降低。胃食管反流症状在老年患者中更为常见，从5岁以下组的18%增加到15岁以上组的52%。身高百分位数分布正常，但体重中位数百分位数为第25位。身高体重值低于平均值2个标准差以上的患者占13%，其中三分之二的患者年龄在5岁以下。大多数成年人生活方式正常，与同龄人相当。
