RESUMO
OBJECTIVE: To investigate long-term prognosis of infants with esophageal atresia (EA) and/or tracheoesophageal fistula (TEF). METHODS: The data of patients with EA were investigated from their medical files. For the neurodevelopmental evaluation, they were requested to come for a return visit to authors' polyclinic. Intellectual development was assessed by Ankara Developmental Screening Inventory (ADSI) (for 0-6 age) and Wechsler Intelligence Scale for Children-Revised (WISC-R) (for 6-16 age). RESULTS: Of the 57 patients, 50 had EA+ distal TEF (87.7 %), six had isolated EA (10.5 %) and one had isolated TEF (1.8 %). Of the total patients, 18 cases (31 %) died and remaining 39 cases (69 %) survived. In the surviving cases, the most common long-term complication was dysphagia (n = 37, 94.8 %). Intellectual levels of the 24 patients assessed by ADSI were normal and of the remaining 15 cases evaluated by WISC-R ranged between 95 and 110 points. CONCLUSIONS: The long-term complications and hospital visits are common in surviving cases of EA; however, they have normal cognitive functions and physical developmental characteristics.
Assuntos
Atresia Esofágica , Insuficiência de Crescimento , Deficiência Intelectual , Efeitos Adversos de Longa Duração , Fístula Traqueoesofágica , Criança , Desenvolvimento Infantil/fisiologia , Cognição/fisiologia , Atresia Esofágica/complicações , Atresia Esofágica/diagnóstico , Atresia Esofágica/fisiopatologia , Atresia Esofágica/psicologia , Insuficiência de Crescimento/diagnóstico , Insuficiência de Crescimento/epidemiologia , Insuficiência de Crescimento/etiologia , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/epidemiologia , Deficiência Intelectual/etiologia , Efeitos Adversos de Longa Duração/diagnóstico , Efeitos Adversos de Longa Duração/epidemiologia , Efeitos Adversos de Longa Duração/etiologia , Masculino , Prognóstico , Análise de Sobrevida , Fístula Traqueoesofágica/complicações , Fístula Traqueoesofágica/diagnóstico , Fístula Traqueoesofágica/fisiopatologia , Fístula Traqueoesofágica/psicologia , Turquia/epidemiologiaRESUMO
Congenital diaphragmatic hernia (CDH, Bochdalek type) is rarely seen in both members of identical twins. Herein, we report a 37 weeks' twins with CDH along with a brief review of the literature. Both the neonates survived.
