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Erschienen in:

29.05.2022 | Original Article

Growth assessments for children with recurrent tracheoesophageal fistulas

verfasst von: Peize Wang, Shen Yang, Kaiyun Hua, Zhi Yang, Siqi Li, Junmin Liao, Yanan Zhang, Yong Zhao, Yichao Gu, Shuangshuang Li, Jinshi Huang

Erschienen in: Pediatric Surgery International | Ausgabe 8/2022

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Abstract

Purpose

To assess the growth status of children with recurrent tracheoesophageal fistula (rTEF), and determine the possible risk factors of growth retardation (GR).

Methods

The medical records of 83 patients with rTEF who underwent surgical repair were retrospectively analyzed. The patients were retrospectively divided into two groups according to whether they had GR. The clinical variables were compared between the GR and non-GR groups. Univariate and multivariable logistic regression analysis were performed to identify the risk factors for GR.

Results

Eighty-three children diagnosed with rTEF were included in this study. After a median follow-up of 31.4 (19.8, 48.7) months, GR occurred in 28 patients (33.7%). Among them, six patients with only weight for age Z score (WAZ) < -2SD, five patients with only height for age Z score (HAZ) < -2SD, and six patients with only BMI for age Z score (BAZ) < -2SD, while seven patients with both WAZ and HAZ < -2SD and four patients with both WAZ, HAZ and BAZ < -2SD. Multivariate logistic regression analysis showed that birth weight, anastomotic stricture and dysphagia after rTEF repair were independent risk factors with OR of 0.325 (0.119, 0.891), 4.396 (1.451, 13.324) and 5.341 (1.153, 24.752) for GR, respectively.

Conclusions

GR is a common complication after rTEF repair. Birth weight, anastomotic stricture and dysphagia after rTEF repair are independent risk factors affecting growth.

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Titel: Growth assessments for children with recurrent tracheoesophageal fistulas
verfasst von: Peize Wang
Shen Yang
Kaiyun Hua
Zhi Yang
Siqi Li
Junmin Liao
Yanan Zhang
Yong Zhao
Yichao Gu
Shuangshuang Li
Jinshi Huang
Publikationsdatum: 29.05.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 8/2022
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-022-05142-x

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Growth assessments for children with recurrent tracheoesophageal fistulas