Evaluation and treatment of long term complications of patients undergone esophageal aresia surgery in Tabriz children's hospital since 2014

Abstract

A total of 127 children who underwent surgery in Tabriz Children's Hospital from April 2014 to March 2016 due to esophageal atresia were studied. Demographic information was obtained from patients' records. All patients were then telephoned to discuss possible complications such as difficulty swallowing due to anastomotic stenosis, recurrent fistula symptoms, signs of gastroesophageal reflux, pulmonary disease findings, and thoracotomy-related problems. The required information was also obtained for the treatment of these complications. Among them, 55 patients were included in the study with inclusion and exclusion criteria. Then, if necessary, hospitalized patients and diagnostic and therapeutic measures were performed depending on the patient's problem. After discharge, patients were followed for six months. Results: The most common congenital anomaly in patients with esophageal atresia was cardiac anomaly (49.1%). The most common complications in patients were respiratory symptoms following surgery (47.3%), anastomotic stenosis (21.8%), and gastroesophageal reflux (16.4%), respectively. Based on logistic regression test, it was found that the presence of tension at the anastomosis site, intubation for more than 5 days and weight less than 2500 g increases the risk of stenosis at the anastomosis site (P <0.05). Leakage from the anastomotic site is also a risk factor for increasing anastomotic site stenosis (P <0.05). The incidence of reflux was significantly higher in patients with anastomotic stenosis (P = 0.001).