RESPIRATORY MORBIDITY AFTER REPAIR OF ESOPHAGEAL ATRESIA AND TRACHEOESOPHAGEAL FISTULA

被引:87
作者
CHETCUTI, P
PHELAN, PD
机构
[1] UNIV MELBOURNE,ROYAL CHILDRENS HOSP,DEPT THORAC MED,PARKVILLE,VIC 3052,AUSTRALIA
[2] UNIV MELBOURNE,DEPT PAEDIAT,PARKVILLE,VIC 3052,AUSTRALIA
关键词
D O I
10.1136/adc.68.2.167
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Respiratory morbidity in 334 patients aged 1 to 37 years with repaired oesophageal atresia and tracheo-oesophageal fistula is reported. Just under half the patients were subsequently hospitalised with respiratory illness. Two thirds of admissions were before 5 years of age. Five percent were admitted on more than five occasions. Patients with gastro-oesophageal reflux and low birth weight were more likely to be admitted. Thirty one percent of patients had one or more episodes of pneumonia in the first five years of life and 5% after 15 years. The prevalence of annual bouts of bronchitis in these age groups was 74% and 41% respectively. The prevalence of wheeze was about 40% in all age groups. Patients with symptoms persisting after 15 years were more likely to have had lower respiratory tract illness in early childhood and a history of atopy. In the 12 months before review, weekly episodes of wheezing were present in one third under 5 years and 15% over 15 years. Thirty two percent of patients aged 5-10 years and 8% over 15 years missed two or more weeks of school or work in the previous year with respiratory illness.
引用
收藏
页码:167 / 170
页数:4
相关论文
共 33 条
  • [1] IMPACT OF VIRAL RESPIRATORY-DISEASES ON INFANTS AND YOUNG-CHILDREN IN A RURAL AND URBAN AREA OF SOUTHERN WEST-VIRGINIA
    BELSHE, RB
    VANVORIS, LP
    MUFSON, MA
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1983, 117 (04) : 467 - 474
  • [2] BENJAMIN B, 1976, SURGERY, V79, P504
  • [3] LONG-TERM EVALUATION OF ESOPHAGEAL AND PULMONARY-FUNCTION IN PATIENTS WITH REPAIRED ESOPHAGEAL ATRESIA AND TRACHEOESOPHAGEAL FISTULA
    BILLER, JA
    ALLEN, JL
    SCHUSTER, SR
    TREVES, ST
    WINTER, HS
    [J]. DIGESTIVE DISEASES AND SCIENCES, 1987, 32 (09) : 985 - 990
  • [4] TREATMENT OF TRACHEOMALACIA - 8 YEARS EXPERIENCE
    BLAIR, GK
    COHEN, R
    FILLER, RM
    [J]. JOURNAL OF PEDIATRIC SURGERY, 1986, 21 (09) : 781 - 785
  • [5] CARCI MR, 1988, ARCH SURG-CHICAGO, V123, P618
  • [6] CHRISPIN AR, 1966, THORAX, V81, P104
  • [7] LONG-TERM PULMONARY CONSEQUENCES OF ESOPHAGEAL ATRESIA WITH TRACHEO-OESOPHAGEAL FISTULA
    COURIEL, JM
    HIBBERT, M
    OLINSKY, A
    PHELAN, PD
    [J]. ACTA PAEDIATRICA SCANDINAVICA, 1982, 71 (06): : 973 - 978
  • [8] EFFECTS OF CISAPRIDE ON PARAMETERS OF ESOPHAGEAL MOTILITY AND ON THE PROLONGED INTRAESOPHAGEAL PH TEST IN INFANTS WITH GASTROESOPHAGEAL REFLUX DISEASE
    CUCCHIARA, S
    STAIANO, A
    BOCCIERI, A
    DESTEFANO, M
    CAPOZZI, C
    MANZI, G
    CAMERLINGO, F
    PAONE, FM
    [J]. GUT, 1990, 31 (01) : 21 - 25
  • [9] DAMIS O, 1976, J PEDIATR, V89, P220
  • [10] RESPIRATORY COMPLICATIONS IN LONG-TERM SURVIVORS OF ESOPHAGEAL ATRESIA
    DUDLEY, NE
    PHELAN, PD
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 1976, 51 (04) : 279 - 282