Cineradiographic evaluation of postoperative patients with esophageal atresia and tracheoesophageal fistula.
Esophageal dysmotility is a common occurrence after successful repair of esophageal atresia (EA) and tracheoesophageal fistula (TEF). The etiology of this motility disorder, however, remains controversial. Cine-barium esophagograms were performed in 25 survivors of EA/TEF at a mean age of 30.5 months. A clinical evaluation was done at the same time and the results were classified as "excellent", "good", and "fair". The study revealed that 88% of patients had dysmotile esophageal segments and segmental contractions. Normal peristalsis was seen in only 16% of patients and 64% showed to-and-fro movements. The bolus transit time was delayed in 60%. The clinical status of these patients correlated well with the cine-radiographic findings. Thus, abnormal motility of the esophagus, which may be inherent, exists in postoperative survivors of EA/TEF and may be responsible for the clinical status of these patients.
Dutta
H K
HK
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi.
Rajani
M
M
Bhatnagar
V
V
D001466:Barium Sulfate; D002648:Child; D002675:Child, Preschool; D002933:Cineradiography / Q000379:methods*; D003287:Contrast Media; D004933:Esophageal Atresia / Q000145:classification / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D005769:Gastrointestinal Motility; D005772:Gastrointestinal Transit; D006801:Humans; D007223:Infant; D010528:Peristalsis; D011182:Postoperative Care / Q000379:methods*; D012720:Severity of Illness Index; D017741:Survivors; D014138:Tracheoesophageal Fistula / Q000145:classification / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome
D003287:Contrast Media; D001466:Barium Sulfate