Seminars in Pediatric Surgery
Volume 18, Issue 1 , Pages 50-56, February 2009

Outcome of esophageal atresia beyond childhood

  • R.J. Rintala, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: R. J. Rintala, MD, PhD, Professor of Paediatric Surgery, Children's Hospital, University of Helsinki, P O Box 281, FIN-00029 HUS, Finland
  • ,
  • S. Sistonen
  • ,
  • M.P. Pakarinen

Department of Paediatric Surgery, Children's Hospital, University of Helsinki, Helsinki, Finland

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.

Keywords: Esophageal atresia, Esophageal dysmotility, Esophagitis, Gastresophageal reflux, Long-term outcome, Metaplasia

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PII: S1055-8586(08)00086-3

doi:10.1053/j.sempedsurg.2008.10.010

Seminars in Pediatric Surgery
Volume 18, Issue 1 , Pages 50-56, February 2009