PMID: 9537569Apr 16, 1998Paper

Quality of life more than 20 years after repair of esophageal atresia

Journal of Pediatric Surgery
B M UreA M Holschneider

Abstract

To examine the quality of life after repair of esophageal atresia, follow-up studies were performed in 58 of 71 surviving patients (81.7%). Fifty patients with primary anastomosis and all eight surviving patients with colon interposition were seen. The mean age was 25.3 years (range, 20 to 31). Symptoms were evaluated by a standardized interview. Quality of life assessment was performed using a visual analogue scale (0 to 100 points), the Spitzer Index (5 dimensions, 10 points), and the Gastrointestinal Quality of Life Index (GIQLI, 5 dimensions, 128 points). After primary anastomosis the estimated meal capacity was unrestricted in 46 patients (92%), but numerous symptoms such as recidivating cough (60%), hold up (48%), and short breath (30%) were reported. All symptoms except cough were seen more frequently in patients with colon interposition, and all of these patients suffered from periods of short breath. Quality of life scores were higher in patients with primary anastomosis compared with colon interposition. The difference in the visual analogue scale score did not reach statistical significance, but the mean Spitzer Index was 9.7 compared with 8.8 after colon interposition (P < .05). The GIQLI after primary anastomosis w...Continue Reading

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Citations

Mar 16, 2007·Pediatric Surgery International·Kokila Lakhoo
Mar 21, 2008·Pediatric Surgery International·Helene Engstrand Lilja, Tomas Wester
Oct 1, 2011·Pediatric Surgery International·Saara J SistonenRisto J Rintala
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