Adults with corrected oesophageal atresia: is oesophageal function associated with complaints and/or quality of life?
The aim of this study was to evaluate oesophageal function after correction of oesophageal atresia in adults, and to investigate the association between complaints, oesophageal function and quality of life (QoL). Twenty-five adults were included who participated in previous follow-up studies, during which complaints of dysphagia and gastro-oesophageal reflux (GOR), results of upper gastrointestinal endoscopy, oesophageal biopsies and QoL had been collected. Manometry was performed in 20 patients, 24 h pH-measurements were performed in 21 patients. pH-values (sample time 5 s) were calculated using criteria of Johnson and DeMeester. Associations were tested with ANOVA and chi (2)-tests. Ten patients (48%) reported complaints of dysphagia, seven (33%) of GOR. The amplitude of oesophageal contractions was low (<15 mmHg) in four patients (20%). pH-measurements showed pathological reflux in three patients (14%). Patients reporting dysphagia more often had disturbed motility (P = 0.011), and lower scores on the domains "general health perceptions" (SF-36) (P = 0.026), "standardised physical component" (SF-36) (P = 0.013), and "physical well-being" (GIQLI) (0.047). No other associations were found. This study shows a high percentage of oesophageal motility disturbances and a moderate percentage of GOR after correction of oesophageal atresia. Patients reporting dysphagia, whom more often had disturbed motility, seemed to be affected by these symptoms in their QoL.
Deurloo
J A
JA
Pediatric Surgical Center of Amsterdam, Emma Children's Hospital AMC, 1100 DD, Amsterdam, The Netherlands.
Klinkenberg
E C
EC
Ekkelkamp
S
S
Heij
H A
HA
Aronson
D C
DC
D000293:Adolescent; D000328:Adult; D003679:Deglutition / Q000502:physiology*; D004933:Esophageal Atresia / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D050782:Esophageal pH Monitoring; D004947:Esophagus / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008365:Manometry; D010349:Patient Compliance; D011312:Pressure; D011788:Quality of Life; D013997:Time Factors; D016896:Treatment Outcome