Original articleGastroesophageal Reflux and Related Pathology in Adults Who Were Born With Esophageal Atresia: A Long-Term Follow-up Study
Section snippets
Methods
The Oesophageal Atresia Review Clinic for Adults was established in March 2000 as a joint clinic of Royal Children’s Hospital and St Vincent’s Hospital Melbourne, Australia with the primary aim of providing expert assessment and care for this group of patients. The clinic was attended by gastroenterologists and pediatric surgeons to provide continuity and expertise. Attempts were made to trace and contact all adults aged at least 20 years who were identified from a database of patients who had
Results
Four hundred eighty-five infants had undergone surgery for EA at Royal Children’s Hospital up to 1982. Of these individuals, 316 were believed to be alive on the basis of a previous follow-up study in 1988.6 Among this group, 10 deaths had occurred since 1988, and 18 others could not be contacted. Two hundred eighty-eight were able to be contacted and were invited to attend the clinic. One hundred thirty-two patients (46%) attended the clinic from 2000–2003. Characteristics of these patients
Discussion
This series is easily the largest long-term follow-up study after surgery for EA. There are several important issues arising from these data that have direct implications for the management of these patients as well as some areas for further research and clarification.
These data show that ongoing esophageal symptoms are common, whereas respiratory problems are less frequent but still significant. Despite the frequency of these symptoms, it is striking that most adults born with EA have grown
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Supported by the Oesophageal Atresia Research Auxiliary of the Royal Children’s Hospital Melbourne.