1. Outcome of Very Low and Low Birth Weight Infants with Esophageal Atresia: Results of the Turkish Esophageal Atresia Registry
- Author
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Ilhan Ciftci, Hatice Sonay Yalçın Cömert, Ibrahim Akkoyun, Nazile Ertürk, Can İhsan Öztorun, Cigdem Ulukaya Durakbasa, Dilek Demirel, Zafer Dokumcu, Ayse Parlak, Gülnur Göllü, Basak Erginel, Hüseyin Ilhan, Abdullah Yildiz, Binali Firinci, Tutku Soyer, Akgun Oral, Önder Özden, Unal Guvenc, Gonca Topuzlu Tekant, Ayşe Karaman, Mustafa Onur Öztan, Gursu Kiyan, Ali Onur Erdem, and Ege Üniversitesi
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Turkey ,Survival ,Fistula ,Prenatal-Diagnosis ,very low birth weight ,Prenatal diagnosis ,Infant, Premature, Diseases ,national registry ,Anastomosis ,Postoperative Complications ,Risk Factors ,medicine ,Prevalence ,Humans ,Infant, Very Low Birth Weight ,Risk-Factors ,Registries ,esophageal atresia ,low birth weight ,Surgical treatment ,Children ,National data ,Primary Repair ,Retrospective Studies ,Single-Center Experience ,business.industry ,Primary anastomosis ,Atresia/Tracheoesophageal Fistula ,Infant, Newborn ,Infant, Low Birth Weight ,medicine.disease ,Low birth weight ,Treatment Outcome ,Esophagoplasty ,Atresia ,Pediatrics, Perinatology and Child Health ,Female ,Surgery ,medicine.symptom ,business ,Infant, Premature ,Follow-Up Studies ,Tracheoesophageal Fistula ,Prognostic Classification - Abstract
Introduction The data of the Turkish Esophageal Atresia Registry (TEAR) was evaluated to define the outcome of very low birth weight (VLBW) and low BW (LWB) infants with esophageal atresia (EA). Materials and Methods The data registered by 24 centers between 2014 and 2018 were evaluated for demographic features, prenatal findings, associated anomalies, surgical treatment, and outcome. Patients were enrolled in three groups according to their BWs (VLBW 2,500 g). Results Among the 389 cases, there were 37 patients (9.5%) in the VLBW group, 165 patients (42.4%) in the LBW group, and 187 patients (48.1%) in the NBW group. Prenatal diagnosis rates were similar among the three groups (29.7, 34.5, and 24.6%, respectively). The standard primary anastomosis was achieved at a significantly higher rate in NWB cases than in the other groups (p Conclusion The national data of TEAR demonstrates that the developmental and feeding parameters are better in NBW patients. Although VLBW patients have higher risk of developing fistula canalization than the LBW and NBW groups, long-term complications, such as anastomotic strictures, weight, and height values, after 1 year are similar in both groups. According to our results, associated anomalies and LBWs are still significant risk factors for mortality in cases with EA.
- Published
- 2021