Outcomes of multi-gestational pregnancies affected by esophageal atresia - tracheoesophageal fistula.
J Pediatr Surg
; 54(10): 2080-2083, 2019 Oct.
Article
em En
| MEDLINE
| ID: mdl-31103274
ABSTRACT
BACKGROUND:
Contemporary outcomes of infants with esophageal atresia with or without tracheoesophageal fistula (EA/TEF) from multi-gestational pregnancies compared to those of singleton pregnancies have not been reported.METHODS:
A single-center retrospective review of EA/TEF patients born from 1999 to 2013 was performed. Patient demographics, gestational age (GA), birth weight, associated anomalies, requirement for gastrostomy tube and mortality were reviewed.RESULTS:
Singleton EA/TEF patients outnumbered those from multi-gestational pregnancies nearly 101 (214 vs 22 patients). EA/TEF patients from multi-gestational pregnancies were more likely to be premature (77% vs. 32%), have lower birth weight (mean 1766â¯g vs. 2695â¯g), have associated duodenal atresia (18% vs. 6%) and require gastrostomy tube (41% vs. 33%) for feeding challenges compared to EA/TEF singletons. Mortality was also significantly greater for multi-gestational EA/TEF patients compared to singleton EA/TEF patients (18% vs. 6%).CONCLUSION:
EA/TEF infants from multi-gestational pregnancies have greater clinical complexity and mortality than singleton EA/TEF patients. Parents of EA/TEF multi-gestational infants should be appropriately counseled and supported.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gravidez Múltipla
/
Fístula Traqueoesofágica
/
Atresia Esofágica
/
Doenças do Recém-Nascido
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2019
Tipo de documento:
Article